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Medicare Patients 'Under Observation' Face Higher Costs
Simply put: When you're under observation, you're often less insured.
Doctors at Gulf Coast Medical Center were about to discharge 95-year-old June Stanley to a rehabilitation center last spring when Stanley's daughter remembered something she had read about how hospitals classify patients.
Was her mother admitted during her stay?, Carole Brokke wondered. Or had medical staff considered her only "under observation," despite her three days in a hospital bed?
The answer would mean the difference between a standard Medicare bill or one with potentially tens of thousands of dollars in out-of-pocket costs. It turns out that Stanley, who had recently taken a hard fall at a Lehigh Acres nursing home, had not been officially admitted. Insurance would not pay for skilled nursing care.
Read the full story here: http://newspr.es/1hB8KGX
Source: News Press
Despite Record ACA Enrollment, Report Reveals Underinsured Americans Are in Crisis
November 21st 2024Despite significant progress in expanding health insurance coverage since the Affordable Care Act (ACA) was enacted, millions of Americans still face critical gaps in access to and affordability of health care.
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Exploring Racial, Ethnic Disparities in Cancer Care Prior Authorization Decisions
October 24th 2024On this episode of Managed Care Cast, we're talking with the author of a study published in the October 2024 issue of The American Journal of Managed Care® that explored prior authorization decisions in cancer care by race and ethnicity for commercially insured patients.
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