Latest KFF Health News Stories
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.
When Medicare Advantage Drops Doctors, Some Members Can Switch Plans
In the past eight months, Medicare officials have quietly granted the special enrollment periods to more than 15,000 Medicare Advantage members in seven states, the District of Columbia and Puerto Rico.
Coinsurance Trend Means Seniors Likely To Face Higher Out-Of-Pocket Drug Costs, Report Says
More Medicare Part D drug plans are requiring coinsurance rather than copayments for more types of medications, making beneficiaries’ costs less predictable.
Should Federal Retirees Opt For Medicare?
When people retire from federal government jobs, they can keep their federal plan as primary coverage but may face penalties for late Medicare sign-ups later on.
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 Plans Score Higher Ratings And Millions In Bonuses
The share of Medicare Advantage members enrolled in plans with high star ratings has almost doubled since 2013, earning bonuses for private insurers who offer them.
