Phil Galewitz

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pgalewitz@kff.org
@philgalewitz

Obamacare Back At The High Court — With Billions For Insurers On The Line

KFF Health News Original

The case revolves around a health law provision designed to help insurers recover some losses because they had an unusually high number of sick and expensive customers. Insurers complain that when Republican lawmakers discontinued funding the program, it was like “Lucy Van Pelt pulling the football away from Charlie Brown.”

Tenn. Block Grant Experiment Would Boost Federal Funding, State Medicaid Chief Says

KFF Health News Original

In a Q&A with Kaiser Health News, Tennessee Medicaid Director Gabe Roberts says state officials are requesting a modified block grant from federal officials because it would save money and allow the state to keep some of that savings.

Walmart To Give Workers Financial Incentives To Use Higher-Quality Doctors

KFF Health News Original

The program, which will roll out next year in three parts of the country, seeks to encourage workers on the company’s health plan to choose doctors that have been identified as providing “appropriate, effective and cost-efficient care.”

Millions Of Diabetes Patients Are Missing Out On Medicare’s Nutrition Help

KFF Health News Original

Health experts say the little-used benefit represents a lost opportunity for older adults to improve their health — and for the program to save money by preventing costly complications from diabetes and chronic kidney disease.

To Save Money, American Patients And Surgeons Meet In Cancun

KFF Health News Original

The patient is from Mississippi. The surgeon is from Wisconsin. They meet in a Mexican resort for knee replacement surgery. Because the care costs so much less than in the U.S, the patient’s health plan pays her $5,000.