Lisa Gillespie

Enroll America Pushes Ahead To Second Enrollment Period

KFF Health News Original

Enroll America convened a national conference this week in Washington to review the strategies that proved successful during the inaugural Affordable Care Act open enrollment period and  to  gear up for the next one, which will start Nov. 15. Organizers also want to ensure that the navigators and organizations working toward enrollment maintain their energy […]

PhRMA, Advocates: Specialty Drug Costs For Patients Too High

KFF Health News Original

Here’s the next salvo in the back and forth between insurers and the drug industry over drug prices: the Pharmaceutical Research and Manufacturers of America are pushing the Department of Health and Human Services to take action to protect consumers who have gained insurance via the health law’s online marketplaces from high, out-of-pocket costs for specialty drugs. Specialty drugs are most often […]

RAND: Medicare Should Weigh Cost In Coverage Decisions

KFF Health News Original

The agency that oversees the Medicare program should be able to consider the cost effectiveness of drugs and medical devices when making coverage determinations, according to a new report by the RAND Corporation. But study authors acknowledge that this recommendation — a significant change from current practice in which the Centers for Medicare & Medicaid Services is barred from […]

Incomplete Face-To-Face Doctor Exams Put Home Health Agencies In Tight Spot

KFF Health News Original

Medicare is paying billions of dollars to home-health providers without adequate documentation of patients’ needs by doctors, according to a new report by the Department of Health and Human Services Office of Inspector General. The cost of caring for homebound patients is rising, and the government is trying to get a better grip on spending by […]

State Exchange Directors Offer Enrollment Snapshots

KFF Health News Original

This post was corrected and updated at 4:50 pm, April 11. The Obama administration is touting the success of the health law’s open enrollment, which signed up  at least 7.5 million Americans for health coverage through the online insurance marketplaces. But the experience varied according to states and Families USA brought together five state exchange […]

Alzheimer’s Disease Support Model Could Save Minn. Millions

KFF Health News Original

As states eye strategies to control the costs of caring for Alzheimer’s patients, a New York model is drawing interest, and findings from a study of Minnesota’s effort to replicate it shows it could lead to significant savings and improved services. The New York University Caregiver Intervention (NYUCI) program offers caregivers six sessions of individual […]