Latest KFF Health News Stories
Medicare Failed To Investigate Suspicious Infection Cases From 96 Hospitals
The HHS inspector general’s office found that Medicare should have done an in-depth review of suspicious or aberrant infection reports from scores of hospitals.
Sen. Grassley Demands Scrutiny Of Medicare Advantage Plans
The powerful chairman of the Senate Judiciary Committee wants the Centers for Medicare and Medicaid Services to explain $125 million in overcharges by insurers.
Justice Department Joins Lawsuit Alleging Massive Medicare Fraud By UnitedHealth
The Department of Justice is joining a whistleblower lawsuit in a fraud case against UnitedHealth in which damages could top $1 billion.
By Law, Hospitals Now Must Tell Medicare Patients When Care Is ‘Observation’ Only
Not being officially admitted — a status known as observation care — can have financial consequences for beneficiaries, and patients had often complained they were not informed.
Dentistry Advocates Aim To Fill Medicare Gaps
Brushing aside a political climate that favors federal cuts in health care spending, advocates for oral health are pushing to expand Medicare to provide America’s elderly with dental benefits.
Docs Bill Medicare For End-Of-Life Advice As ‘Death Panel’ Fears Reemerge
The federal program paid $16 million in the first six months of 2016 to counsel 223,000 patients about treatment preferences in their last days.
Judge Accepts Medicare’s Plan To Remedy Misunderstanding On Therapy Coverage
Many seniors are denied coverage because therapists mistakenly believe that they must be making improvements to qualify for coverage.
Medicare’s Coverage Of Therapy Services Again Is In Center Of Court Dispute
According to a settlement four years ago, Medicare was supposed to make clear to therapists that their services are covered even if beneficiaries are not improving. But that is not yet widely accepted.
21 Medicare Health Plans Warned To Fix Provider Directory Errors
Federal officials release names of insurers who ranked poorly in a recent review of their online directories’ accuracy.
Medicare Failed To Recover Up To $125 Million In Overpayments, Records Show
Medicare overpaid five insurance plans by $128 million yet only recovered $3 million, audits show.
Medicare Pays For A Kidney Transplant, But Not The Drugs To Keep It Viable
The federal government pays for kidney transplants. But the program only pays for essential anti-rejection drugs for three years. Many people can’t afford them and can end up losing the kidney.
Women Doctors May Be Better For Patients’ Health
Older patients who were treated in the hospital by women physicians were less likely to die or be readmitted to the hospital within 30 days of discharge, according to a new study.
Trump’s Pick To Run Medicare And Medicaid Has Red State Policy Chops
Seema Verma is a consultant who was Vice President-elect Mike Pence’s health policy advisor when he was governor of Indiana, playing a key role in Medicaid expansion in that state.
It’s Not Just For Kids: Medicare EpiPen Spending Up 1,100 Percent
The number of prescriptions for Medicare beneficiaries is on the rise, too.
VIDEO TRANSCRIPT: Hospital Surprise: Medicare’s Observation Care
You’re in a hospital and think you’re admitted. Maybe not. Many Medicare beneficiaries are surprised to learn that even after spending a couple of days, they are receiving observation care, which Medicare considers an outpatient service, so the seniors’ costs can be more than expected.
Hospital Surprise: Medicare’s Observation Care
You’re in a hospital and think you’re admitted. Maybe not. Many Medicare beneficiaries are surprised to learn that even after spending a couple of days, they are receiving observation care, which Medicare considers an outpatient service, so the seniors’ costs can be more than expected.
Medicare’s Readmission Penalties Hit New High
Medicare will withhold an estimated $528 million in 2017 from more than 2,500 hospitals that have too many patients returning within 30 days.
Many Well-Known Hospitals Fail To Score 5 Stars In Medicare’s New Ratings
Of the 102 hospitals that received a five-star rating, few are among the elite generally praised for great care.
Some Seniors Surprised To Be Automatically Enrolled In Medicare Advantage Plans
Concerns raised as health insurers automatically move members of their marketplace or individual plans who are eligible for Medicare.
House Panel Extends Funding For Medicare Program To Help Consumers
The decision runs counter to a Senate committee that voted to strip the $52 million appropriation for the State Health Insurance Assistance Program, which helps beneficiaries understand their Medicare coverage and helps them with billing issues.
