Phil Galewitz

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pgalewitz@kff.org
@philgalewitz

Tulsa Hospital Gives Medicare Patients Cash Back For Surgery

KFF Health News Original

At Hillcrest Medical Center, which is testing a “bundled” Medicare payment system, some seniors get paid up to $1,157 for having surgery. The pilot program aims to save money and improve care by paying doctors and hospitals a lump sum and rewards the patients with part of the savings.

Generic Drug Makers Say ‘No’ To Health Reform Tab

KFF Health News Original

Makers of generic drugs say it’s unfair to make them pay $460 million to help fund health care overhaul legislation. They warn consumer prices could rise if Congress approves the 10 years of increased Medicaid discounts included in the bill passed by the Senate Finance Committee Tuesday.

Health Bills In Congress Won’t Fix Doctor Shortage

KFF Health News Original

Even as Congress moves to expand health insurance coverage to millions of Americans, it’s doing little to ensure there will be enough primary care doctors to meet the expected surge in demand for treatment. One prediction: the shortage of family doctors will reach 40,000 by 2019, as medical schools send about half the needed number of graduates into primary care medicine.

The Evolution Of Medicare Advantage Plans

KFF Health News Original

The roots of Medicare Advantage plans go back to the late 1970s, when health planners believed they could improve care while saving money. Now, health care reformers say the plans are too costly.

Democrats Target Federal Subsidies for Medicare’s Private Plans

KFF Health News Original

Part of the effort to cut health spending aims at Medicare Advantage programs, which often offer benefits that go beyond traditional Medicare. But Obama says they are unfair and inefficient.

For Major Health Industry Players, Reform’s Positives Outweigh Negatives

KFF Health News Original

As congressional legislation takes shape, most of the major health care players – hospitals, doctors, nursing homes, health insurers and pharmaceutical companies – are likely to benefit over the long term.

Will Emphasis on Prevention Bring Health Costs Down?

KFF Health News Original

Obama and congressional leaders hope to reduce health care spending by promoting prevention to catch disease early. But some insurance and health officials say such efforts-although laudable-may not cut overall health costs.

“Free-Rider” Penalty For Employers Draws Ire From Advocates, Yawns From Business

KFF Health News Original

Unions and advocates for low-income workers are criticizing a possible Senate Finance Committee move to drop an employer mandate in favor of a “free-rider” penalty. The provision would require companies to pay for part of the subsidies for uninsured workers to buy health insurance on the proposed exchanges. Business lobbyists say it’s better than a straight mandate.

Hospitals Divided Over Proposal For Medicare Payment Czar

KFF Health News Original

Powerful hospital trade associations are opposing President Obama’s plan for an independent commission to determine how much Medicare pays doctors and hospitals. But certain “model” hospital systems – such as CHRISTUS Health – are breaking ranks and supporting the idea.

Poll Shows Growing Anxiety About Health Overhaul

KFF Health News Original

Public support for an overhaul the U.S. health care system has slipped somewhat, according to a new poll. But a majority of Americans still believe that “it is more important than ever to take on health care reform now.”

Local Hospitals and Doctors Join Forces to Improve Health Care, Restrain Costs

KFF Health News Original

Even as an overhaul of the nation’s health care system gets bogged down in Congress, hospitals, doctors and administrators from around the country talk about how they have changed the way they operate to bolster health care in their home towns.

‘Model’ Health Systems Press Case For Medicare Fix In Reform

KFF Health News Original

When talking about his vision for the U.S. health care system, President Barack Obama points to places like the Mayo Clinic in Minnesota and Intermountain Healthcare in Utah, which are known for providing high-quality, low-cost care.

Highly Praised Health Systems Say Medicare Payment Practices Need Overhaul

KFF Health News Original

Integrated health systems have won kudos for their performances from President Obama. But officials at the health systems say the health overhaul bills being debated in Congress don’t reward them or encourage others to imitate them. They want lawmakers to move more aggressively to change the Medicare payment system to prod hospitals and doctors to provide better, less expensive care.

Hospitals, After Agreeing to Cuts, Push Ahead With a Full Agenda

KFF Health News Original

Hospital officials today agreed to federal-payment cuts to help pay for a health care overhaul. They hope their concessions will build good will with the Obama administration and Democratic lawmakers. They’re pressing for action on a host of other issues, including Medicaid reimbursements and funding for graduate medical education.