Latest KFF Health News Stories
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.
Hundreds Of Hospitals Struggle To Improve Patient Satisfaction
Pleasing patients has become more important to hospitals as Medicare takes consumers views into account when setting payments. Most hospitals are getting better, but others have not improved since the government started publishing ratings six years ago.
Government To Grade Nursing Homes On Tougher Scale
Nursing homes now will be graded on their use of anti-psychotic drugs and will have to do more to get top ratings on the federal website Nursing Home Compare.
Disruptions Mount As Illinois Shifts Medicaid Patients To Managed Care
Medicaid managed care enrollees in Illinois are reporting difficulties seeing their doctors and getting prescriptions filled, which a state Medicaid official attributes to the speed and scope of the changes.
HHS Pledges To Quicken Pace Toward Quality-Based Medicare Payments
As part of their effort to improve quality while cutting costs, federal officials announced Monday that they want programs such as accountable care organizations and bundled care to account for 50 percent of traditional Medicare spending by the end of 2018.
How California Can Improve Oversight of Home Caregivers
In California, hundreds of thousands of low-income elderly and disabled people receive daily care in their homes from their children, spouses, relatives and others. And, through a program called In-Home Supportive Services, the state pays many of those caregivers about $10 an hour to do the job.
New ACO Rules Would Delay Penalties An Extra Three Years
The government’s proposed rule addresses many concerns of accountable care organizations.
Medicare Proposes Coverage Of Low-Dose CT Scans To Detect Lung Cancer
Beneficiaries who have a 30-year, pack-a-day smoking history would be eligible for this screening test.
ALS Patients Win Fight Over Medicare Reimbursement For Speech Devices
Medicare announced Thursday it would continue covering devices that patients themselves can upgrade.
More Scrutiny Coming For Medicare Advantage, Obamacare
Federal officials are planning a wide range of audits into billing and government spending on managed health care in the new fiscal year, ranging from private Medicare Advantage groups that treat millions of elderly to health plans rapidly expanding under the Affordable Care Act.
The Lowdown On Open Enrollment For Medicare Advantage And Part D
Kaiser Health News’ Julie Rovner hosted a webinar Tuesday to provide background to reporters covering Medicare Advantage and Part D issues through open enrollment and beyond.
Many Medicare Outpatients Pay More At Rural Hospitals, Federal Report Says
An investigation by the HHS inspector general says beneficiaries getting the treatments at “critical access” hospitals pay between two and six times more than those at other hospitals.
Medicare Fines 2,610 Hospitals In Third Round Of Readmission Penalties
Although fewer patients are now returning to the hospital within a month, the fines reached a record level this year.
A Guide To Medicare’s Readmissions Penalties And Data
The methodology behind KHN’s analysis of the third year of the Medicare penalty program.
Medicare Open Enrollment Is Fast Approaching — Here’s What We Know So Far
Kaiser Health News consumer columnist gives readers some basic information to help them weigh their Medicare options.
Draft Rules Would Help Protect Seniors When Medicare Advantage Plans Drop Doctors
The proposals by federal officials come in response to UnitedHealthcare’s efforts to cancel contracts with thousands of doctors in 10 states just weeks before seniors had to enroll in plans.
Lawmakers Weigh Changes To Medicare
The House this week held a hearing on payment shifts in Medicare Advantage plans and has scheduled a vote Friday on a proposal to revamp the system for paying doctors. KHN’s Mary Agnes Carey and Politico Pro’s Jennifer Haberkorn discuss the issues.
How Proposed Part D Changes Are Playing On Capitol Hill
Officials at the Centers for Medicare & Medicaid Services are proposing to remove some drugs from Medicare’s prescription drug plans and limit how many plans insurers can offer. KHN’s Mary Agnes Carey and CQ Roll Call’s Emily Ethridge discuss.
Impact Of Medicare Advantage Cuts On Seniors Sharply Disputed
Experts say that costs may rise for some enrollees, but rates have been largely stable for most.
Congress Moves Closer To Changing How Medicare Pays Doctors
Key House and Senate committees approved legislation Thursday to repeal the Sustainable Growth Rate, the formula officials use to pay doctors who treat Medicare patients. KHN’s Mary Agnes Carey and Politico Pro’s Jennifer Haberkorn discuss.
