- Center on Health Equity & Access
- Clinical
- Health Care Cost
- Health Care Delivery
- Insurance
- Policy
- Technology
- Value-Based Care
Industry Likes Medicare Home Care Expansion, But Cost Is Unknown
Patient advocacy and industry groups are cheering Medicare’s move to start paying nursing home, home care and physical therapy bills for some patients who were previously denied coverage. But how much extra it will cost the government is far from clear.
The change “is expected to affect the lives of tens of thousands of Americans, perhaps hundreds of thousands” with chronic conditions, Gill Deford, a lawyer with the Center for Medicare Advocacy, told reporters on a conference call. “Far too many American families have had to pay for vital services out of pocket” or forgo care they couldn’t afford, he said.
Read the full story: http://bit.ly/XedVkB
source: Kaiser Health News
Stuck in Prior Auth Purgatory: The Hidden Costs of Health Care Delays
June 19th 2025Delays, denials, and endless paperwork—prior authorization isn’t just a headache for providers; it’s a barrier for patients who need timely care, explains Colin Banas, MD, MHA, chief medical officer with DrFirst.
Listen
From Red Tape to Relief: Rewriting the Rules of Prior Authorization
June 23rd 2025Up to 257 million Americans could benefit from these prior authorization reforms that could have cross-market implications on health care plans administered through commercial insurers, Medicare Advantage, and Medicaid.
Read More
Democratic Doctors Caucus Reaffirms EMTALA Amid Trump's CMS Policy Reversal on Abortion Care
June 18th 2025Democratic leaders assert the Emergency Medical Treatment and Labor Act (EMTALA) remains vital for emergency care, countering confusion from recent policy changes affecting abortion rights and patient safety.
Read More
