Latest KFF Health News Stories
Is New App From Feds Your Answer To Navigating Medicare Coverage? Yes And No
The Centers for Medicare & Medicaid Services launched this month the “What’s Covered” app, designed to provide yes-or-no answers about what services are covered under traditional Medicare. KHN took it for a test drive with real consumers.
Podcast: KHN’s ‘What The Health?’ ‘Medicare-For-All’ For Dummies
The “Medicare–for-all” debate is already in full swing, but what does that phrase even mean? Joanne Kenen of Politico, Paige Winfield Cunningham of The Washington Post and Rebecca Adams of CQ Roll Call join KHN’s Julie Rovner for a beginner’s guide to the next big health policy debate. For “extra credit,” the panelists provide their favorite health policy stories of the week, and as a special Valentine’s Day bonus, their favorite #HealthPolicyValentines.
Medicare Cuts Payments To Nursing Homes Whose Patients Keep Ending Up In Hospital
The incentive program to discourage nursing homes from discharging patients too quickly will also give bonuses to facilities with fewer rehospitalizations.
Look-Up: Medicare’s Bonuses And Penalties For Nursing Homes Near You
The federal government is issuing bonuses and penalties to skilled nursing facilities based on how often their patients are readmitted to hospitals within a month of being discharged.
Trumpeted New Medicare Advantage Benefits Will Be Hard For Seniors To Find
Federal officials are hailing the introduction of services such as transportation to medical appointments, home-delivered meals and installation of wheelchair ramps as a way to keep beneficiaries healthy and avoid costly hospitalizations. But not many plans are offering the services in 2019.
GOP’s Latest Campaign Punch On Health Care Relies On Classic Hook: Medicare
Republicans seek to turn the tables on charges that they are undermining preexisting conditions, so they’re hammering the plans championed by some Democrats to expand Medicare.
States Explore Paths To Pay Their Share For Medicaid Expansion — Using Political GPS
The state-federal health insurance program is more popular than ever. Now, states that want to expand eligibility are devising new strategies to pay for it — creating, in many red states, a significant political challenge.
Medicare For All? CMS Chief Warns Program Has Enough Problems Already
Seema Verma, who heads the Centers for Medicare & Medicaid Services, tells private insurance officials that a push by some Democrats to expand Medicare would only increase troubles the program already faces.
Doctors Give Medicare’s Proposal To Pay For Telemedicine Poor Prognosis
Federal officials are proposing that Medicare pay doctors for a 10-minute “check-in” call with beneficiaries. But many doctors already do this for free, and the plan would require a cost-sharing charge of many patients.
Medicare Advantage Plans Shift Their Financial Risk To Doctors
Some private Medicare Advantage plans are offering large physician-management companies more money upfront and control of their patients’ care, but the doctors are responsible for staying within the budget.
New Medicare Advantage Tool To Lower Drug Prices Puts Crimp In Patients’ Choices
Federal officials are allowing the private insurance plans to use “step therapy” for drugs administered by doctors. In step therapy, patients must first use cheaper drugs to see if they work before receiving more expensive options.
Pharmacy-Made Pain Creams Flagged On Fears Of Medicare Fraud And Risk
Inspector general identifies possible problems in nearly 23 percent of pharmacies that bill Medicare for blended creams, gels and lotions.
Some Doctors, Patients Balk At Medicare’s ‘Flat Fee’ Payment Proposal
The Trump administration says its plan to overhaul the way Medicare pays doctors will save physicians time and paperwork. But critics worry the changes will hurt patients’ care and doctors’ income.
Top Trump Health Official Takes Swipes At ACA, Single-Payer In Enemy Territory
After a San Francisco speech focused mostly on Medicare, Seema Verma fielded questions that underscored the administration’s differences with California on other key health care issues.
Tennessee-Based Pain Management Group To Close Clinics Amid Financial Turmoil
The CEO of Comprehensive Pain Specialists was indicted in April. Now the group is closing clinics across several states.
Medicare Takes Aim At Boomerang Hospitalizations Of Nursing Home Patients
One in 5 Medicare patients who leave the hospital for a nursing home end up back in the hospital. To discourage this, the Centers for Medicare & Medicaid Services will soon give bonuses and penalties to facilities based on their rehospitalization rates.
Look-Up: Compare Nursing Homes’ Track Records On Boomerang Hospitalizations
Use this tool to see how skilled nursing homes in the U.S. performed on two metrics of quality.
Medicare Financial Outlook Worsens
The Medicare board of trustees said the program’s hospital insurance trust fund could run out of money by 2026, three years earlier than previously forecast.
Looking For Lower Medicare Drug Costs? Ask Your Pharmacist For The Cash Price.
Sometimes a drug plan’s copayment is higher than the cash price, and under a little-known federal rule, pharmacists have to tell Medicare beneficiaries that — but only if they ask.
Podcast: KHN’s ‘What The Health?’ It’s Nerd Week
In this episode of KHN’s “What the Health?” Julie Rovner of Kaiser Health News, Sarah Kliff of Vox.com, Stephanie Armour of The Wall Street Journal and Paige Winfield Cunningham of The Washington Post discuss the Trump administration’s latest effort to revise rules for next year’s Affordable Care Act marketplaces. They also discuss state efforts to stabilize their individual markets in light of some of the changes being made at the federal level.
