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Good News, Bad News In Medicare Trustees Report

By Phil Galewitz July 23, 2015 KFF Health News Original

Trust fund solvent until 2030, but some seniors may see a big spike in Part B premiums.

‘Ill-Conceived,’ ‘Devastating’: Comments Flood In Over Medicare Part B Plan, And They Are Not Glowing

May 5, 2016 Morning Briefing

The Centers for Medicare & Medicaid Services proposes dropping payment from 6 percent to 2.5 percent of a drug’s average sales while adding a flat payment of $16.80 per drug a day. The deadline for comments is May 9, and most of the 600 the agency has received have been negative.

Senate Set To Move On $1.1B For Zika Funding; House Introduces $622M Bill

May 17, 2016 Morning Briefing

Senators are expected to move today on a bipartisan plan to allocate $1.1 billion for the federal government’s response to the Zika virus outbreak, down from the $1.9 billion requested by the Obama administration. A measure unveiled this week by House Republicans cuts the funding further to $622 million.

Federal Medicaid Officials Extend $3.1B Texas Hospital Funding Temporarily

May 3, 2016 Morning Briefing

The money had been scheduled to end because states had the opportunity to expand Medicaid, which would provide relief to hospitals. Texas opted not to expand the program.

‘Though Not Perfect, It Is Fair’: Court Upholds $1B NFL Concussion Settlement

April 19, 2016 Morning Briefing

The appellants can still ask a larger panel of judges at the Third Circuit to hear their appeal, or they can solicit the Supreme Court, but legal experts say both would be a long shot.

House Panel Advances Bill That Revises Medicare Hospital Payments

May 25, 2016 Morning Briefing

The legislation would roll back some of the cost-cutting changes made in payments to hospital outpatient departments. It’s not clear yet whether the bill has enough support to make it through Congress. Also in Medicare news, another committee examines the government’s efforts to eliminate waste and a look at one aspect of the administration’s proposal to change payments for Part B drugs.

Gilead Eyes Cancer Therapy Acquisition Targets

May 9, 2016 Morning Briefing

In other pharmaceutical news, NPR reports on professional test subjects: “We are selling our bodies, most definitely,” one says. Meanwhile, a cancer medicine improves vision for some with wet age-related macular degeneration and House Democrats back the Obama administration Medicare Part B drug plan.

California AG Under Fire After Raid Over Planned Parenthood Fetal Tissue Videos

April 8, 2016 Morning Briefing

Susan B. Anthony List is calling for the resignation of Attorney General Kamala Harris, who is running for retiring Sen. Barbara Boxer’s seat, after investigators seized videos and other property belonging to David Daleiden.

Answering Your Questions On The ‘Cadillac Tax’

September 2, 2015 KFF Health News Original

The excise tax will be levied on health insurance plans costing more than $10,200 for an individual or $27,500 for a family. Any value over those thresholds will be taxed at 40 percent, and that’s likely to affect consumers’ benefits, share of health care costs or their coverage entirely.

Readers Ask About Concierge Medicine And Medicare; Insulin Costs And The Doughnut Hole

By Michelle Andrews September 8, 2015 KFF Health News Original

KHN consumer columnist Michelle Andrews answers questions about Medicare beneficiaries’ costs associated with doctors who have concierge medicine practices, insulin pumps and respite care.

Watchdog Report Sharply Criticizes Fed’s Efforts To Recoup Medicare Advantage Overcharges

May 10, 2016 Morning Briefing

The Government Accountability Office said that the Centers for Medicare & Medicaid Services has spent about $117 million on Medicare Advantage overbilling audits, but so far has recouped just $14 million. Meanwhile, some Democrats are speaking up for the Medicare Part B change in the face of intense criticism. Also, fee-for-service payments are published and health systems offset Medicare losses.

Patients Want To Price-Shop For Care, But Online Tools Unreliable

By Elana Gordon, WHYY November 30, 2015 KFF Health News Original

A tough diagnosis and a high-deductible insurance plan motivated one couple to shop carefully for care. But they hit a snag — inaccurate prices on online calculators. Who can comparison shop if the price tags are wrong?

A Med School Teaches Science And Data Mining

By Julie Rovner October 30, 2015 KFF Health News Original

At NYU medical school, students learn to access huge troves of data to become doctors who understand the health care system, and individual ailments, better.

Pfizer-Allergan $150B Merger Thrown Into Doubt After Treasury Imposes New Rules On Tax Inversions

April 5, 2016 Morning Briefing

The move, which was more aggressive than expected, is aimed at companies that are attempting to move their tax addresses out of the U.S. to shift profits to low-tax countries using a maneuver known as earnings stripping. “They’ve addressed literally every benefit that one attempted to gain from an inversion and shut them all down systematically,” says Robert Willens, a New York-based tax analyst.

In Caring For Sickest Infants, Doctors Tap Parents For Tough Calls

By Jenny Gold November 17, 2015 KFF Health News Original

Doctors were once unquestioned authorities on how aggressively to treat the sickest and most premature babies. Now, they increasingly include parents in these wrenching choices.

It’s Never Too Soon To Plan Your ‘Driving Retirement’

By John Daley, Colorado Public Radio November 9, 2015 KFF Health News Original

Experts say families should re-think how seniors give up the car keys. Planning transportation options way ahead of time can avoid often painful conversations and confrontations.

Buyer Beware: A Mammogram’s Price Can Vary By Nearly $1,000, Study Finds

By Jordan Rau October 7, 2015 KFF Health News Original

Researchers looked at women’s health services around the country and found stark disparities between cities but also within health care markets.

Why Don’t We Have Mental Health Parity?

August 27, 2015 KFF Health News Original

The law says insurance companies must pay for mental health benefits the same as they do everything else. Addiction as much as diabetes. Depression as much as cancer. But around the country, consumers are taking their insurers to court saying the companies are refusing to pay up. The insurance providers say mental health is complicated, […]

Tax Group: Pfizer Would Avoid $35B In Taxes Through Merger

February 26, 2016 Morning Briefing

The Americans for Tax Fairness slammed the drugmaker in a new report that says Pfizer structured its deal with Ireland-based Allergan so that it could move its address out of the country, thus avoiding $35 billion in taxes.

‘Paying For Drugs To Go In The Trash’: How Americans Waste $3B On Medications A Year

March 2, 2016 Morning Briefing

The U.S. has taken a one-size-fits all approach when it comes to packaging for expensive high-tech drugs, which has led to extraordinary waste, a new study finds.

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