Medicare Advantage Riding High As New Insurers Flock To Sell To Seniors
The private health plans that are an alternative to government-run Medicare continue to grow despite the Affordable Care Act’s cuts of billions of dollars in funding.
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Doctors Give Medicare’s Proposal To Pay For Telemedicine Poor Prognosis
Federal officials are proposing that Medicare pay doctors for a 10-minute “check-in” call with beneficiaries. But many doctors already do this for free, and the plan would require a cost-sharing charge of many patients.
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Medicare Advantage Plans Shift Their Financial Risk To Doctors
Some private Medicare Advantage plans are offering large physician-management companies more money upfront and control of their patients’ care, but the doctors are responsible for staying within the budget.
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In Trump’s First Year, Nation’s Uninsured Rate Unchanged
The Census Bureau reports that the nation’s uninsurance rate was 8.8 percent in 2017 but notes that the rate did increase in 14 states.
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Medicaid Covers Foster Kids, But Daunting Health Needs Still Slip Through The Cracks
Nearly all children in the foster care system are covered by Medicaid. Yet, foster parents still struggle to meet the extraordinary health needs of their children. To solve this, some states are experimenting with a coordinated approach to care — with mixed results.
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Marketplace Subsidies May Be Option In 2020 For Plans That Skirt Obamacare
The new guidance allows states to ask for waivers from provisions in the Affordable Care Act governing not only subsidies, but also the benefits insurers must offer in all their plans.
By Phil Galewitz and Julie Appleby -
5 Ways Nixing The Affordable Care Act Could Upend The Entire Health System
There could be a long legal struggle ahead over the decision by a judge in Texas to invalidate the federal health law. But if his decision stands, it would have long-lasting effects on health care from insurance coverage to Medicare payments to privacy protections.
By Julie Rovner -
Hospitals Battle For Control Over Fast-Growing Heart-Valve Procedure
Medicare limits payments for valve replacement via a catheter to hospitals with large numbers of heart procedures. But smaller facilities are crying foul.
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Obamacare Premiums Dip For First Time. Some Call It A Correction.
The Trump administration announces that the average price for insurance offered to people buying their own coverage on federal exchanges is going down.
By Phil Galewitz and Julie Appleby -
Medicare To Overhaul ACOs But Critics Fear Less Participation
The moves could lead to a dramatic decrease in hospitals and doctors participating in the program, industry officials said.
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In Florida, Midterm Elections Hold Faint Hope For Medicaid Expansion
Republicans’ overwhelming majorities in the state legislature make pursuing a policy that could benefit 660,000 uninsured adults a “long shot,” political analysts say.
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Outrageous Or Overblown? HHS Announces Another Round Of ACA Navigator Funding Cuts
Advocates of the sweeping health law view this move by the Trump administration as its most recent act of sabotage. But not everyone views it as a mortal blow.
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Despite U.S. Court’s Ruling, Medicaid Work Requirements Advance In Other States
It’s not yet clear what impact the decision on Kentucky’s mandate will have on other state programs.
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Judge Blocks Kentucky Medicaid Work Requirement
The program’s rollout was scheduled to begin Sunday.
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As Medicaid Costs Soar, States Try A New Approach
New programs, known as ACOs, reward hospitals and physician groups that hold down costs by keeping enrollees healthy. The health care providers are asked to address social issues — such as homelessness, lack of transportation and poor nutrition — that can cause and exacerbate health problems.
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5 Things To Know About Medicaid Work Requirements
The key issues in play when a U.S. District Court takes up a legal challenge to Kentucky’s Medicaid work requirement on Friday.
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Medicare Financial Outlook Worsens
The Medicare board of trustees said the program's hospital insurance trust fund could run out of money by 2026, three years earlier than previously forecast.
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Verma Unveils State Medicaid Scorecard But Refuses To Judge Efforts
Seema Verma, who heads the Centers for Medicare & Medicaid Services, refused to discuss the findings in any detail or comment on any individual states performing poorly or exceptionally.
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Readers And Tweeters: Are Millennials Killing The Primary Care Doctor?
Kaiser Health News gives readers a chance to comment on a recent batch of stories.
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Readers And Tweeters Slice And Dice Precision Medicine, Step Therapy
Kaiser Health News gives readers a chance to comment on a recent batch of stories.