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Actavis To Acquire Allergan — Purchase Price: $66B

November 18, 2014 Morning Briefing

By inking what’s being described as one of the year’s biggest deals, Actavis will be — based on sales — one of the world’s largest drug makers.

Some States Bristle At Lack Of Authority Over Medicare Advantage Plans

By Fred Schulte, The Center For Public Integrity August 19, 2014 KFF Health News Original

When Congress created the option for beneficiaries to join the private Medicare Advantage plans, it gave oversight to federal officials, preempting state insurance laws and procedures.

Some Colorado Doctors May Be Overcharging Medicare For Routine Visits

By Eric Whitney May 22, 2014 KFF Health News Original

An analysis of newly available data may reveal fraud. But experts caution that the raw data alone could also make physicians who are doing nothing wrong look bad.

Consumers Get $10B In Subsidies For Health Coverage, Study Finds

By Jenny Gold March 27, 2014 KFF Health News Original

Americans have already qualified for about $10 billion in tax credits to help them purchase private health insurance this year through the Affordable Care Act, according to a study from the Kaiser Family Foundation. (KHN is an editorially independent program of the foundation.) That’s an average of $2,890 for each of the 3.5 million people […]

Chemo Costs In U.S. Driven Higher By Shift To Hospital Outpatient Facilities

By Roni Caryn Rabin May 6, 2014 KFF Health News Original

The price of cancer drugs has doubled in the past decade, with the average brand-name cancer drug in the U.S. costing $10,000 for a month’s supply, up from $5,000 in 2003, according to a new report by IMS Institute for Healthcare Informatics, a health information, services and technology company. And those are just average prices; […]

California Doctors Among Those Charging Medicare The Most For Office Visits

By Lisa Pickoff-White and Lisa Aliferis and April Dembosky May 21, 2014 KFF Health News Original

Billing data show that some doctors charge the government much more than their peers in the same specialty by deeming almost all office visits “complex.”

Teresa Martinez: Waiting For Medi-Cal

By Heidi de Marco April 21, 2014 KFF Health News Original

Teresa Martinez, 62, from East Los Angeles makes $10,000 a year working as a hairdresser in a Koreatown salon. With her modest income she is likely to be eligible for health coverage under the Affordable Care Act’s Medi-Cal expansion.

Cancer Care Giant Faces Medicare Billing Probe

November 14, 2014 Morning Briefing

The Justice Department is investigating whether 21st Century Oncology “knowingly billed for services that were not medically necessary,” reports The Wall Street Journal. Other stories look at the government’s withdrawal of a rule regarding the 340B drug discount program, double-digit increases in the prices hospitals pay for technology and the increase in plans covering gender reassignment surgery.

Study: Healthcare.Gov Costs Top $2B

September 25, 2014 Morning Briefing

The finding by a Bloomberg Government analysis exceeds the cost estimates provided by the Obama administration. Meanwhile, an administration official says efforts are “continuing, step by step” to improve the health insurance website, but also steers clear of specific pledges.

Medicare Premium Holds Steady In 2015

October 10, 2014 Morning Briefing

The premium that most older people pay for outpatient, or “Part B,” care will stay the same in 2015 — $104.90 a month, while cost-sharing for hospital and skilled nursing stays will increase slightly, the government announced.

GOP To-Do List: Fix Health Law’s Medical Device Tax, Refine Work Hours Provision

November 7, 2014 Morning Briefing

Flush with the power of the majority, congressional Republicans plan to have a vote to repeal Obamacare, although the president has vowed to veto that. The “plan B” strategy will then be to undo some of the overhaul’s most unpopular provisions. News outlets also report on how congressional committees may deal with the Affordable Care Act and other health policy.

State Highlights: Mass. Gets $41B Deal With CMS; Huge Nursing Home Complaint Backlog In Calif.

November 3, 2014 Morning Briefing

A selection of health policy stories from California, Ohio, Massaschusetts, Oklahoma, Arizona and Kentucky.

FAQ: High Court’s Hobby Lobby Ruling Cuts Into Contraceptive Mandate

By Mary Agnes Carey June 30, 2014 KFF Health News Original

The court says closely held corporations may be exempted from the health law’s mandate that employer health plans cover certain types of contraception at no cost to the employee.

What’s At Stake For Birth Control In Upcoming SCOTUS Decision

By Julie Rovner June 13, 2014 KFF Health News Original

Many health plans could be affected by the coming high court ruling on cases challenging the mandate to provide specific types of contraception.

CBO Reports That Health Law Provision Called ‘Bailout’ By GOP Will Raise $8B

By Mary Agnes Carey February 5, 2014 KFF Health News Original

New findings from the Congressional Budget Office may make it harder for Republicans to portray a provision in the health law designed to limit insurers’ losses and gains as a “bailout” for the industry. The House Oversight and Government Reform panel is scheduled to have a hearing Wednesday examining the law’s “risk corridors,” which limit […]

Justices To Weigh Contraceptive Mandate Against Religious Freedom Claims

By Stuart Taylor Jr. March 20, 2014 KFF Health News Original

Two businesses are challenging the health law’s birth control coverage requirement on religious freedom grounds.

Obama Signs $16.3B Overhaul Of Vets’ Health Care System

August 8, 2014 Morning Briefing

Military veterans who have been suffering long waiting times for medical care or live significant distances from VA facilities should be able to turn to private doctors almost immediately as a result of this law, which President Barack Obama signed Thursday. The measure also provides funding to hire new health care professionals. Already, though, some say that recruiting physicians to come into the system will present a challenge.

Can Congress Put An End To Annual Medicare Payment Ritual?

By Susan Jaffe March 17, 2014 KFF Health News Original

This story comes from our partner ‘s Shots blog. Congress is still searching for money to avoid a 24 percent cut in pay for doctors who treat Medicare patients. But seniors are already paying their share of the cost in premiums, as if the pay cut — scheduled to kick in on April 1 — […]

How Will Hepatitis C Drug Affect Health Care Spending?

June 24, 2014 Morning Briefing

Elsewhere, pharmaceutical companies are upset over new rules for a drug discount program — known as 340B.

State Highlights: New York Faces $1.3B Medicaid Payback Problem

July 30, 2014 Morning Briefing

A selection of health policy stories from California, North Carolina, Iowa, Massachusetts and Illinois.

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