Latest KFF Health News Stories
Doctor Groups Unite Against Unnecessary Tests & Procedures
This story comes from our partner ‘s Shots blog. Doctors do stuff — tests, procedures, drug regimens and operations. It’s what they’re trained to do, what they’re paid to do and often what they fear not doing. So it’s pretty significant that a broad array of medical specialty groups is issuing an expanding list of don’ts […]
Dartmouth Study Questions Widely Used Risk-Adjustment Methods
In evaluating a hospital and health plan in the increasingly expensive U.S. health care system, federal officials and researchers often first factor in an assessment of how sick their patients are. A new study, however, challenges the validity of several widely used “risk-adjustment” efforts and suggests that Medicare is overpaying some plans and facilities while […]
Waiver In Hand, Florida’s Rick Scott Backs Medicaid Expansion
Florida Gov. Rick Scott announced Wednesday that he would back expansion of the Medicaid program under the federal health law. At a hastily-called press conference, Scott, a Republican, said he supported expanding Medicaid for three years — the amount of time the federal government picks up the whole cost. “Expanding access to Medicaid services for three […]
Feds Outline What Insurers Must Cover, Down To Polyp Removal
The Obama administration on Wednesday released its final rule on essential health benefits, which sets out what benefits insurers must offer starting in 2014. Insurers must cover 10 broad categories of care, including emergency services, maternity care, hospital and doctors’ services, mental health and substance abuse care and prescription drugs. Essential benefit requirements apply mainly to […]
Hospitals Hook Up With Drugstore Giants To Lower Readmissions
Patients who leave the hospital only to have to be readmitted within a few weeks cost U.S. taxpayers more than $17 billion a year. In October, the federal government started cracking down on hospitals, penalizing them if too many of their patients bounce back. That has hospitals searching for help from the corner drug store […]
Nurse Practitioners Push To Help Care For Health Law’s Newly Insured
In a KHN interview, David Hebert, CEO of the American Association of Nurse Practitioners, says lawmakers should allow advanced practice nurses to practice more independently to make sure the nation’s 27 million newly covered will be able to get timely and quality care.
Big Firms Win Multimillion Dollar Contracts To Build Insurance Marketplaces
President Barack Obama’s health law has been criticized as a “government takeover” of health care. But private companies are building the underpinnings of the online health insurance marketplaces that are a key element of the law – and winning contracts worth hundreds of millions to do so. Deloitte Consulting, part of the Big Four accounting […]
Today Few Public Family Planning Centers Accept Insurance
Most women can expect to get contraceptives without paying out of pocket for them thanks to the federal Affordable Care Act. Women who are young or those who are poor and rely on publicly funded family planning centers for reproductive health services are covered, too. But there’s a catch. Many of the state and local health departments, […]
As Hospital Challenges Rise, Their Bond Ratings Fall
Nonprofit hospitals don’t issue stock, so you can’t track their financial health by the ups and downs of share prices. But many sell bonds, and it’s fair to say that hospital bonds haven’t fared as well recently as the Dow Jones average. Last year set a record for hospital-bond downgrades, as debt levels rose and hospitals faced the […]
Feds Increase Costs To High-Risk Pool Members
The Obama administration has increased costs for about 38,000 people enrolled in high-risk insurance pools run under the federal health law to prevent the program from running out of money. The pools, which started in 2010, will expire at the end of the year when new rules prohibiting insurers from denying coverage to people with pre-existing […]
Valentine’s Day Surprise: Senate Democrats Blast Obamacare Implementation
Senate Democrats on Thursday showed little love to the Obama administration for how it is implementing the federal health law. Testifying before the powerful Senate Finance Committee, the administration’s top regulator on new health exchanges encountered criticism from several Democrats who helped push through the 2010 federal health overhaul — among them Chairman Max Baucus of […]
San Diego Hospice Will Close As Financial Problems Grow
San Diego Hospice, one of the nation’s oldest and busiest, is closing its doors permanently in response to financial problems stemming from an investigation of its practices by Medicare. The hospice announced last week that it planned to file for bankruptcy. On Wednesday, San Diego Hospice said it would cease operating in the next 60 […]
Study: Expanding Medicaid Cheaper Than Not In Colorado
Opponents of the Medicaid expansion called for in the Affordable Care Act say states can’t afford it, even with the federal government picking up most of the tab. But a new analysis says it would actually be more expensive for Colorado to not expand Medicaid. “While Medicaid expansion is not free, the combination of federal […]
California Sets Standard Deductibles, Copays For Insurance Plans
California on Wednesday became the first state to standardize health insurance plans under the federal health law, which regulators say will make shopping for health insurance easier when new online marketplaces begin enrolling customers in the fall. The state has set specific rules governing how much insurers can charge consumers for such things as office visits, […]
The ‘Yawning’ Chart Med School Students Fear
Medical school students call this chart the “jaws of death.” The graph from the Association of American Medical Colleges displays a yawning gap between the increasing number of med school grads looking for residencies and the number of residency slots available to them. “This is the only time in the history of the U.S. that […]
Obama Calls For ‘Modest Reforms’ Of Medicare
In his State of the Union address, the president also says he is “open to additional reforms from both parties” to slow the growth of health care costs.
Health Figures Big In State Of The Union Guest List
Five of the 24 people invited to sit near First Lady Michelle Obama at Tuesday night’s State of the Union have strong health care connections. They included a governor, a business owner and a beneficiary of the health law provision that prevents health plans from denying coverage because of pre-existing conditions. Typically, invited guests at […]
Medicaid Helps Hospitals Pay For Illegal Immigrants’ Care
California gets the lion’s share of funding for a program that critics say leads to ‘anchor babies.’
Need A Price For A Hip Replacement? Good Luck With That
This story comes from our partner ‘s Shots blog. Let’s say your 62-year-old granny is feeling creaky. One of her hips has been giving her trouble, and her doctor tells her it’s time to get it replaced with an implant. There’s a catch. Grandma isn’t old enough for Medicare and she doesn’t have health insurance. She […]
Study: One-Third Of Individual Plans Exceed Law’s Out-Of-Pocket Cap
Consumers who buy their own health insurance will see the total amount they could pay out of pocket for medical care capped starting next year, but some will likely pay higher premiums as a result. That’s one conclusion that can be drawn from a new study showing more than one-third of health insurance plans currently offered to […]
