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Latest KFF Health News Stories

California Audit Finds Backlog Of 11,000 Nursing Home Investigations

KFF Health News Original

California’s public health department has failed to adequately manage investigations of nursing homes statewide, resulting in a backlog of more than 11,000 complaints, according to an audit released Thursday.

Disabled Vt. Senior Wins Medicare Coverage After 2nd Lawsuit

KFF Health News Original

On Wednesday, Medicare officials agreed to pay for Glenda Jimmo’s home health care, reversing an earlier denial that said she didn’t qualify for coverage because she was not improving.

Disabled Vt. Senior Who Led Class Action Suit Sues Medicare — Again

KFF Health News Original

The landmark settlement was supposed to be a victory for Medicare beneficiaries with chronic conditions and disabilities who had been denied coverage for skilled care because they didn’t meet “the improvement standard” — meaning they were unlikely to improve. But when Glenda Jimmo was denied coverage this spring for that same reason, her lawyers filed a second lawsuit.

Calif. Governor Vetoes Bill To Protect Assets From Medi-Cal

KFF Health News Original

This story is part of a partnership that includes Capital Public Radio, NPR and Kaiser Health News. It can be republished for free. (details) With the stroke of a pen, Gov. Jerry Brown rejected an effort to protect the estates of Medicaid beneficiaries in California, the San Jose Mercury News reported Friday. The bill, which […]

How To Fix Medicare? Ask The Public

KFF Health News Original

This KHN story can be republished for free. (details) Washington is full of ideas to overhaul Medicare. Some would increase the program’s eligibility age, others would charge higher-income beneficiaries more for their coverage. There’s movement to link payment to the quality — rather than the quantity — of care delivered. Marge Ginsburg decided to ask ordinary […]

One-Quarter Of ACOs Save Enough Money To Earn Bonuses

KFF Health News Original

About a quarter of the 243 groups of hospitals and doctors that banded together as accountable care organizations under the Affordable Care Act saved Medicare enough money to earn bonuses, the Centers for Medicare & Medicaid Services announced Tuesday. Those 64 ACOs earned a combined $445 million in bonuses, the agency said. Medicare saved $372 […]

CBO Projects Lower Medicare and Medicaid Costs

KFF Health News Original

Reduced costs for medical services and labor have trimmed the 10-year projected cost of Medicare and Medicaid by $89 billion, the Congressional Budget Office said Wednesday. Medicare spending is projected to drop by $49 billion — or less than 1 percent — from 2015 and 2024, while Medicaid spending is expected to drop by $40 […]

First Look At Medicare Quality Incentive Program Finds Little Benefit

KFF Health News Original

One of Medicare’s attempts to improve medical quality –by rewarding or penalizing hospitals — did not lead to improvements in the first nine months of the program, a study has found. The quality program, known as Hospital Value-Based Purchasing, is a pillar of the federal health law’s campaign to use the government’s financial muscle to […]

Advocacy Groups Say Medicare Should Negotiate With Drugmakers

KFF Health News Original

Medicare could save billions if Congress overcame its reluctance to anger the drug industry and allowed the program to demand rebates or negotiate prices, Rep. Henry Waxman, D-Calif., said Wednesday. He added that’s something polls show many Americans support. Expensive new blockbuster drugs, such as a $1,000-a-pill hepatitis C treatment called Sovaldi, highlight the need to […]