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Hospitals in the region say most of their staff have received COVID-19 vaccines. Those that haven't could face penalties.
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Private and public employers are increasingly using the government’s Medicare Advantage program as an alternative to their existing retiree health plan and traditional Medicare coverage. As a result, the federal government is paying the “overwhelming majority” of medical costs, according to an industry analyst.
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Almost a year after the American Rescue Plan Act allocated what could amount to $25 billion to home and community-based services run by Medicaid, many states have yet to access much of the money due to delays and red tape.
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The administration is ending several Trump-era policies that restricted enrollment. Federal officials say states can no longer charge premiums to low-income residents enrolled in Medicaid and have ruled out work requirements.
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Among the 764 hospitals hit with a 1% reduction in payments for having high numbers of infections and avoidable complications are more than three dozen Medicare ranks among the nation's best.
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Hospitals are grappling with what to do, since federal and state law are at odds, and both carry financial penalties for non-compliance.
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Medicare billing codes for audio-only follow-up check-ins are leadng to new reimbursement battles.
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Officials have threatened to penalize the private companies selling Medicare Advantage and drug plans if they or agents working on their behalf mislead consumers.
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An alternative to original Medicare, the private plans are run mostly by major insurers. A recent analysis estimates Medicare overpaid these insurers by $106 billion from 2010 through 2019.
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Florida leads the nation in enrollment and plan selection. Texas, with more than 471,000 , was second in November, Enrollment will end Dec. 15.