Morning Breakouts

Latest KFF Health News Stories

Medicare Policy Preserves Cigna Bonuses As Insurer Fixes Plan Failures

Morning Briefing

Despite sanctions against Cigna for its mismanaged Medicare Advantage plans, a quietly announced revision in Medicare policy will allow the insurer to keep hundreds of millions of dollars in bonus payments. The change by the Centers for Medicare & Medicaid Services drove up both Cigna and Anthem stocks.

Key House Republican Seeks New Rules On Reclaiming Health Law Subsidy Overpayments

Morning Briefing

The proposal by Rep. Kevin Brady, R-Texas, is part of his effort to get an annual budget. In addition, Republicans are questioning the administration overpayments to insurers. Also on Capitol Hill, Senate Republicans are raising questions about how the insurance co-ops were regulated.

Virginia Senate OKs Direct Primary Care Agreements

Morning Briefing

Supporters say the law would help keep costs down and avoid insurer lawsuits while opponents say such plans should be regulated to protect consumers. Meanwhile in Georgia, lawmakers consider a bill that would require providers to keep up-to-date lists of network doctors.

In Ala. Medicaid Spending Debate, House Panel Raises Budget But It’s Still Short Of Goal

Morning Briefing

Medicaid officials say they need an extra $100 million to move the system to a managed care model. Also, South Carolina officials announce they are weighing efforts to cut Medicaid spending on behavioral health issues, and an Iowa Medicaid official defends plans by the new managed care firms there to set up wellness clinics.

New Pediatric Guidelines Focus On Poverty’s Detrimental Effect On Kids’ Health

Morning Briefing

Among other problems, poverty can impair immune function, contribute to psychiatric disorders and foster cardiovascular disease, so the American Academy of Pediatrics is encouraging doctors to start screening children for it during routine visits.

Price Tag For Breakthrough Cancer Drug Jumps Nearly $100K Since It Hit Market

Morning Briefing

When Gleevec came out in 2001, a year’s supply cost $26,400. Now it costs more than $120,000. The Washington Post looks at why it happened and what it demonstrates about the market. Meanwhile, Sen. Lamar Alexander says that drug pricing could be a part of a medical innovation bill that the Senate HELP Committee is working on.

Critics Of Medicare Drug Proposal Say It Focuses On Money, And Not Patients’ Health

Morning Briefing

The Obama administration on Wednesday released a plan for a new way to reimburse doctors for prescription drugs under Medicare, which is already drawing backlash from manufacturers and health care providers. However, Centers for Medicare & Medicaid Services Acting Administrator Andy Slavitt defended the proposal, saying, “There is nothing that we propose to do, or should do, in any way, that prevents a patient from getting a prescription medicine that they need.”

Utah Lawmakers Approve Modest Medicaid Expansion

Morning Briefing

The compromise bill would provide Medicaid coverage for 16,000 of the state’s poorest residents. Democrats had tried to get the program expanded to 105,000 people. Also, New Hampshire’s House approves reauthorizing that state’s Medicaid expansion plan, and Montana gets more enrollees than expected.

Health Law Has Sparked Interest In Christian Health Care Sharing Ministries

Morning Briefing

The ministries, which require members to share colleagues’ major medical costs, have seen a surge in growth following the implementation of the federal health law since it exempts members from the requirement to have health insurance. Also in health law news, a new Senate report looks at the failed state health co-operatives, news outlets report on the difficulties Minnesota’s marketplace has had in getting out tax forms and a consumer guide helps answer tax questions on the health law.