Latest KFF Health News Stories
Advisory Panel Targets Rising Medicare Drug Costs In Its Latest Report To Congress
The Medicare Payment Advisory Commission outlined a package of changes to Medicare’s drug program that could save billions of dollars.
Medicare’s Efforts To Curb Backlog Of Appeals Not Sufficient, GAO Reports
Investigators from the GAO call for HHS to improve oversight of the Medicare appeals process and streamline it to make sure repetitive claims are handled more efficiently.
Medicare Delays Plans For New Star Ratings On Hospitals After Congressional Pressure
The “overall hospital quality” rating is designed to help consumers who are sometimes confused by the variety of quality measures that the government already provides. But members of Congress had asked for the delay because of concerns that the methodology for the stars was not accurate.
At Teaching Hospitals, Aggressive Screening May Lead To Medicare Penalties
Nearly half of academic medical centers will be penalized by the government this year for high rates of infections and other avoidable complications, but the hospitals say it shows they screen better for problems.
Medicare Proposes Expansion Of Counseling Program For People At Risk Of Diabetes
A study finds that the program, developed by the YMCA, helped beneficiaries improve their diets, get more exercise and lose weight.
Cigna Profits As Medicare Softens Penalty Policy
A new policy preserves Cigna’s access to bonuses while the insurer fixes “widespread” failures in its Medicare plans.
Medicare To Test New Payment Approaches For Some Prescription Medications
Regulators unveiled a two-part plan that will change payments and test ways in which the Medicare Part B program can change the incentives that some policy experts say encourage doctors to choose higher-cost medications.
Medicare Penalizes 758 Hospitals For Safety Incidents
More than half of these hospitals were also punished last year as the government tries to leverage taxpayer money to improve the quality of care.
758 Hospitals Penalized For Patient Safety In 2016: Data Table
Medicare is lowering its 2016 payments by 1 percent for 758 hospitals with high rates of potentially avoidable infections and complications such as blood clots, bed sores and falls. This is the second year of the Hospital-Acquired Conditions Reduction Program, which was mandated by the federal health law to reduce patient injuries. Below are the […]
Insurers Find Out-Of-Network Bills As Much As 1,400 Percent Higher
Insurers’ study points to the need for limits on out-of-network billing by doctors and hospitals. The American Medical Association calls the report “grossly misleading.”
GAO: More Oversight Needed Over Medicare Advantage Provider Networks
Congressional watchdog says the government checks few health plans to ensure accurate provider listings and adequate access for seniors on Medicare Advantage.
Medicare Says Doctors Should Get Paid To Discuss End-Of-Life Issues
The topic is complex and sometimes requires multiple visits, but right now doctors are paid for it only if they discuss end-of-life planning in their initial visit with a new Medicare patient.
Half Of Nation’s Hospitals Fail Again To Escape Medicare’s Readmission Penalties
The fines, in their fourth year, are assessed on hospitals that have patients frequently return and will cost nearly 2,600 hospitals $420 million in total.
Meet The California Family That Has Made Health Policy Its Business
On Medicare’s 50th birthday, two brothers who helped get it off the ground tell their stories. A younger member of the Lee family is at the helm of Covered California, the state insurance exchange.
Congress Overwhelmingly Approves Bill Bolstering Medicare Patients’ Hospital Rights
Medicare patients must be told when they’re in “observation” status but not admitted in a hospital, under legislation expected to be signed into law by the president.
Medicare Turns 50 But Big Challenges Await
Medicare provides coverage to one in six Americans, and federal officials hope to trim the increasing cost and improve how the program operates.
Good News, Bad News In Medicare Trustees Report
Trust fund solvent until 2030, but some seniors may see a big spike in Part B premiums.
Medicare Itemizes Its $103 Billion Drug Bill
Federal officials release data showing prescription histories of hundreds of thousands of doctors and identifying the most common and costly drugs.
A Look Back As Congress Repeals Medicare ‘Doc Fix’ Law
KHN’s Julie Rovner reflects on the constant battle over what Medicare pays doctors — a fight that ended this week as President Obama signed into law an overhaul that repeals the old method and institutes new provisions to pay doctors based on the quality of care they give.
Health On The Hill: No Senate ‘Doc Fix’ Vote Before Recess. Will Break Hurt Chances?
After a decade of short term fixes, the House passed legislation to replace Medicare’s troubled Sustainable Growth Rate, or SGR, and replace it with an alternative doctor payment formula. Kaiser Health News’ Mary Agnes Carey and Politico Pro’s Jennifer Haberkorn discuss what’s next for the bill when the Senate returns from recess next month.
