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Some patient advocates, as well as the nursing home industry, object to using managed care for such vulnerable patients, but health plans say they can provide quality services while holding down costs.
20 percent of Medicare patients are back in the hospital within 30 days, a trend that endangers patients and raises health costs.
The Lone Star State isn't seeking to opt out of Medicaid anymore, but it's joining other states in pressing Washington for more flexibility in running the program.
In addition to shifting nearly all Medicaid patients to HMOs and other managed care, the Senate's proposal would cap spending, require plans to bid for business and impose $100 fees on patients who abuse the emergency room.
Federal officials are walking a fine line trying to satisfy the demands of budget-strapped governors who want to cut their Medicaid programs.
The conservative group FreedomWorks recommends a system of vouchers to replace Medicare, Medicaid and provisions of the new health law.
Jackie Judd of the Kaiser Family Foundation is joined by Mary Agnes Carey of Kaiser Health News and David Nather of Politico to talk about the president's 2012 proposed budget and a House bill that would repeal a provision of the health care overhaul that small businesses find particularly onerous.
President Obama said Tuesday that he is willing to work with Republicans to help address the "huge problems" of high Medicare and Medicaid spending.
For all of those people who are furious about President Obama's budget, here's an important question: Do you have a more fiscally responsible and politically viable alternative?
As the House considers its repeal of the health law's unpopular 1099 reporting provision, the measure's premium tax credits are being eyed as a possible pay-for.
President Obama's Fiscal 2012 budget request would stop a scheduled Medicare physician payment cut for two years. Meanwhile, the House Ways and Means Committee is scheduled to consider legislation that would repeal a paperwork provision in the health law that has drawn heavy opposition from small business.
Many people do not take drugs as directed-skipping doses, taking the wrong number of pills or taking them at the wrong time of day. Poor adherence results in millions of dollars of medical expenses each year.
The president chose to submit a profoundly unserious budget. There's no entitlement reform to close the long-term fiscal gap. There's no tax reform. There are some minor cuts to marginal programs for show. But, overall, it's very much a business-as-usual budget, with a few new and expensive long-term commitments thrown in for good measure. It's like the president and his team woke up after the mid-term election with a bad case of political amnesia.
In his 2012 budget, the president proposed a two-year, $54 billion solution to stop the scheduled cuts to doctors who treat Medicare patients. The plan draws on savings from a variety of sources, including states, drug makers
Some patient advocates and nursing homes object, but health plans say they can reduce states' costs.
Text of President Obama's proposed budget for the Department of Health and Human Services.
One of the lesser-known provisions of the new health law calls for federal loans to help fund health cooperatives. Scott Armstrong, the CEO of Group Health, says that co-ops can improve patient care and contain costs.
One of the lesser-known parts of the new health law is a provision that provides federal loans to help fund health cooperatives. Advocates say these Consumer Operated and Oriented Plans, essentially insurers run by their members, encourage competition especially in the individual and small business health insurance market. Currently there are very few co-ops, but one that is considered a model of success is Group Health. It's CEO, Scott Armstrong sat down with KHN's Bara Vaida.
The nation's leaders must slog through the complexities and ideologies of the current political landscape in order to craft solutions that will shore up the American safety net and protect its weakest citizens.
Funding entitlements and a push to tame the budget deficit are fighting for the hearts and minds of lawmakers as the Obama administration readies its 2012 budget.
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