{
  "author": {
    "name": "Susan Jaffe",
    "webUrl": "/author/profile/susan-jaffe/",
    "description": "",
    "imageLarge": "https://secure.gravatar.com/avatar/f16d6fc2845f417ea0e93a3f2b6cd37d?s=136&d=mm&r=g",
    "estimate": 8,
    "social": [],
    "articles": [
      {
        "uri": "/2023/10/09/feds-rein-in-use-of-predictive-software-that-limits-care-for-medicare-advantage-patients/",
        "title": "Denied by AI: Medicare Advantage's 'predictive' software cuts off care, say feds",
        "byline": "Susan Jaffe",
        "kicker": "News",
        "prettyDate": "October 09, 2023",
        "timeToRead": "8 minute",
        "image": {
          "uri": "https://images.benefitspro.com/contrib/content/uploads/sites/412/2023/10/Nursing-home-Article-202310061222.jpg",
          "width": "620",
          "height": "372"
        },
        "authors": [
          {
            "webUrl": "/author/profile/susan-jaffe/",
            "name": "Susan Jaffe"
          }
        ],
        "kickerNode": [
          {
            "uri": "/news/",
            "sectionName": "News"
          }
        ],
        "summary": "In January, new federal rules will pose restrictions on how Medicare Advantage plans use algorithm tools that match patients with similar diagnoses and characteristics to make some coverage decisions.",
        "body": null
      },
      {
        "uri": "/2023/05/22/a-covid-test-medicare-scam-may-be-a-trial-run-for-further-fraud/",
        "title": "'I didn't order it': Free COVID test scam targets people on Medicare",
        "byline": "Susan Jaffe",
        "kicker": "News",
        "prettyDate": "May 22, 2023",
        "timeToRead": "6 minute",
        "image": {
          "uri": "https://images.benefitspro.com/contrib/content/uploads/sites/412/2023/01/08.-COVID-19-Test-Article-202301221643.jpg",
          "width": "621",
          "height": "372"
        },
        "authors": [
          {
            "webUrl": "/author/profile/susan-jaffe/",
            "name": "Susan Jaffe"
          }
        ],
        "kickerNode": [
          {
            "uri": "/news/",
            "sectionName": "News"
          }
        ],
        "summary": "The U.S. Department of Health and Human Services  has received complaints from around the country about unsolicited tests being billed to Medicare. Could this be a trial run for further fraud?",
        "body": null
      },
      {
        "uri": "/2022/10/19/medicare-evaluates-limited-benefit-expansion-as-congress-fails-to-add-dental-care/",
        "title": "Medicare evaluates limited benefit expansion as Congress fails to add dental care",
        "byline": "Susan Jaffe",
        "kicker": "News",
        "prettyDate": "October 19, 2022",
        "timeToRead": "6 minute",
        "image": {
          "uri": "https://images.benefitspro.com/contrib/content/uploads/sites/412/2019/02/DentalGeneric.jpg",
          "width": "616",
          "height": "372"
        },
        "authors": [
          {
            "webUrl": "/author/profile/susan-jaffe/",
            "name": "Susan Jaffe"
          }
        ],
        "kickerNode": [
          {
            "uri": "/news/",
            "sectionName": "News"
          }
        ],
        "summary": "The proposed changes would be particularly important for patients undergoing treatments that weaken the immune system, giving any dental infections the opportunity to spread.",
        "body": null
      },
      {
        "uri": "/2022/05/04/medicare-drug-plan-prices-can-come-with-wild-fluctuation/",
        "title": "Medicare drug plan prices can come with wild fluctuation",
        "byline": "Susan Jaffe, Kaiser Health News",
        "kicker": "News",
        "prettyDate": "May 04, 2022",
        "timeToRead": "7 minute",
        "image": {
          "uri": "https://images.benefitspro.com/contrib/content/uploads/sites/412/2021/10/pill-money-investing-investments-health-pharma.jpg",
          "width": "616",
          "height": "411"
        },
        "authors": [
          {
            "webUrl": "/author/profile/susan-jaffe-kaiser-health-news/",
            "name": "Susan Jaffe, Kaiser Health News"
          }
        ],
        "kickerNode": [
          {
            "uri": "/news/",
            "sectionName": "News"
          }
        ],
        "summary": "As early as three weeks after Medicare's drug plan enrollment period ends, insurance plans can change what they charge for drugs.",
        "body": null
      },
      {
        "uri": "/2022/03/03/more-employers-shifting-retirees-to-private-medicare-advantage-plans/",
        "title": "More employers shifting retirees to private Medicare Advantage plans",
        "byline": "Susan Jaffe, Kaiser Health News",
        "kicker": "Market Insights",
        "prettyDate": "March 03, 2022",
        "timeToRead": "8 minute",
        "image": {
          "uri": "https://images.benefitspro.com/contrib/content/uploads/sites/412/2018/06/medicare-advantage-istock78069033small-crop-600x33.jpg",
          "width": "600",
          "height": "338"
        },
        "authors": [
          {
            "webUrl": "/author/profile/susan-jaffe-kaiser-health-news/",
            "name": "Susan Jaffe, Kaiser Health News"
          }
        ],
        "kickerNode": [
          {
            "uri": "/market-insights/",
            "sectionName": "Market Insights"
          }
        ],
        "summary": "The number of beneficiaries in employer-sponsored Medicare Advantage plans has gone from 1.6 million in 2008 to more than 5 million.",
        "body": null
      },
      {
        "uri": "/2018/09/19/new-medicare-advantage-tool-will-lower-prices-but/",
        "title": "New Medicare Advantage tool will lower prices, but also limit choice",
        "byline": "Susan Jaffe",
        "kicker": "News",
        "prettyDate": "September 19, 2018",
        "timeToRead": "6 minute",
        "image": {
          "uri": "https://images.benefitspro.com/contrib/content/uploads/sites/412/2018/04/Drugs.jpg",
          "width": "600",
          "height": "400"
        },
        "authors": [
          {
            "webUrl": "/author/profile/susan-jaffe/",
            "name": "Susan Jaffe"
          }
        ],
        "kickerNode": [
          {
            "uri": "/news/",
            "sectionName": "News"
          }
        ],
        "summary": "Under the new rules, private Medicare insurance plans could require patients to try cheaper drugs before moving on to more expensive options.",
        "body": null
      },
      {
        "uri": "/2018/04/04/medicare-advantage-coverage-for-groceries/",
        "title": "Medicare Advantage coverage for groceries?",
        "byline": "Susan Jaffe, Kaiser Health News",
        "kicker": "News",
        "prettyDate": "April 04, 2018",
        "timeToRead": "6 minute",
        "image": {
          "uri": "https://images.benefitspro.com/contrib/content/uploads/sites/412/2018/04/04Wellness.jpg",
          "width": "616",
          "height": "372"
        },
        "authors": [
          {
            "webUrl": "/author/profile/susan-jaffe-kaiser-health-news/",
            "name": "Susan Jaffe, Kaiser Health News"
          }
        ],
        "kickerNode": [
          {
            "uri": "/news/",
            "sectionName": "News"
          }
        ],
        "summary": "The Centers for Medicare & Medicaid Services (CMS) has expanded how it defines the \"primarily health-related\" benefits that insurers are allowed to include in their Medicare Advantage policies.",
        "body": null
      },
      {
        "uri": "/2018/03/15/patients-welcome-change-in-medicare-therapy-caps/",
        "title": "Patients welcome change in Medicare therapy caps",
        "byline": "Susan Jaffe, Kaiser Health News",
        "kicker": "News",
        "prettyDate": "March 15, 2018",
        "timeToRead": "6 minute",
        "image": {
          "uri": "https://images.benefitspro.com/contrib/content/uploads/sites/412/2018/03/PhysTherapy.jpg",
          "width": "600",
          "height": "400"
        },
        "authors": [
          {
            "webUrl": "/author/profile/susan-jaffe-kaiser-health-news/",
            "name": "Susan Jaffe, Kaiser Health News"
          }
        ],
        "kickerNode": [
          {
            "uri": "/news/",
            "sectionName": "News"
          }
        ],
        "summary": "The federal budget agreement Congress approved last month removes annual caps on how much Medicare pays for physical, occupational or speech therapy,",
        "body": null
      }
    ]
  }
}