Latest KFF Health News Stories
A Few Pointers To Help Save Money And Avoid The Strain Of Medicare Enrollment
Most beneficiaries have from Oct. 15 to Dec. 7 to decide on drug coverage and whether to switch from traditional Medicare to a Medicare Advantage plan.
Quiz: How Well Are You Paying Attention?
To strengthen your core knowledge of health care policy, it helps to be a regular reader of Kaiser Health News. Here’s a pop quiz to gauge what you have learned.
Whistleblowers: United Healthcare Hid Complaints About Medicare Advantage
A Wisconsin lawsuit alleges United Healthcare downplayed abusive sales tactics to avoid losing government bonuses.
Fraud And Billing Mistakes Cost Medicare — And Taxpayers — Tens Of Billions Last Year
At a hearing Wednesday, federal health officials pointed to billing errors, fraud and overcharges that led Medicare to overpay by staggering sums.
Nursing Homes Move Into The Insurance Business
Although proponents say the policies offered by nursing homes are more attuned to patients, some report frustrations when trying to dispute care decisions.
As Seniors Get Sicker, They’re More Likely To Drop Medicare Advantage Plans
Medicare Advantage plans offer good value and aim to keep patients healthy but sicker people are far more likely to quit because they can’t get the care they need.
Two Medicare Advantage Insurers Settle Whistleblower Lawsuit For $32 Million
Freedom Health and Optimum HealthCare agreed to settle a lawsuit alleging they overbilled Medicare.
UnitedHealth Doctored Medicare Records, Overbilled U.S. By $1 Billion, Feds Claim
The company, which is the nation’s largest Medicare Advantage operator, denies wrongdoing and argues that the Justice Department “fundamentally misunderstands” how Medicare Advantage works.
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.
Gobierno se une a demanda en contra de UnitedHealth que alega fraude masivo al Medicare
El Departamento de Justicia se ha unido a la demanda de un denunciante de California que acusa al gigante de seguros UnitedHealth Group de fraude en sus populares planes de salud de Medicare Advantage.
Uncertain Fate Of Health Law Giving Health Industry Heartburn
The effect of “repeal and replace” could have greatest consequences for hospitals. They accepted lower federal funding under the law because their uncompensated care was expected to fall as more people became insured.
A Consumer’s Guide To Medicare’s New Rules On Doctor Pay
Federal officials have released final regulations for the new program, which will reward physicians for providing high quality, efficient care.
Medicare Bars New ‘Seamless Conversion’ Efforts For Some Seniors
Some insurers have been allowed to move customers on the health law’s marketplaces into their Medicare Advantage plans when they become eligible for Medicare, but seniors complain they didn’t always know it was happening.
How To Enroll In Medicare And Avoid Costly Mistakes
Enrolling in Medicare is confusing and mind-boggling if you don’t act at the right time and avoid costly mistakes.
For Seniors, Teeth Need Care — But Insurance Coverage Is Rare
Traditional Medicare does not cover most dental needs and the private Medicare Advantage plans often have limited coverage, leaving most seniors struggling to pay for dental care out of pocket.
Feds Find Doctor Listings Often Wrong In Medicare Advantage Directories
The federal government’s first in-depth review reveals errors such as wrong addresses and incorrect phone numbers riddle many directories used by Medicare Advantage beneficiaries.
Cardiac Rehab Improves Health, But Cost And Access Issues Complicate Success
Research shows exercise-based cardiac rehab programs help heart patients heal faster and live longer. But fewer than a third take part. Time and cost are the main barriers, doctors and patients say.
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.
California Insurance Commissioner Weighs In Against Aetna-Humana Deal
Commissioner says $37 billion deal would stifle market competition, raise health insurance rates and reduce access to care.
