From California To The New York Island, A New Understanding Of Higher Medicare Spending
CMS analysis shows that some regions with high spending levels are below the national average if patient health and special expenses are factored in.
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Heavyweight Budget Fight: Entitlements Vs. The Deficit
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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FAQ: The Shrinking Medicare Doughnut Hole
Beginning this year, seniors who hit the coverage gap will get substantial discounts on both brand-name and generic drugs.
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Hot-Button Medicaid Bill
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.
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Text: GOP Governors Letter To Sebelius: ‘Flexibility On Exchanges’
On Monday, 21 Republican governors sent a sharply worded letter to Health and Human Services Secretary Kathleen Sebelius, asking for six specific changes that would give states more control over the health law's insurance exchanges.
By alley -
Obama’s Medicare ‘Doc Fix’ Under Fire
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
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Opinion Column
A Defense Of High-Risk Insurance Pools — From One Critic To The Others
An ironic partisan tinge has become evident in recent criticisms leveled at the health overhaul's high-risk insurance pools.
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Regulators Penalize Some Maryland Hospitals For Complication Rates
A Maryland program to curb hospital infection rates is showing signs of success, but nine hospitals still fell short last year and were penalized a total of $2.1 million.
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Some Seniors Are In For Sticker Shock On Drug Premiums
Starting this year, affluent Medicare beneficiaries will begin paying more than the standard premium for their Part D coverage.
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Governors’ Wish List For Medicaid
A sampling of Medicaid changes some state chief executives would advance if they were given more flexibility from the federal government. This issue is likely to be a hot topic this weekend as the governors convene in Washington, D.C. for their winter meeting.
By Aimee Miles and Jessica Marcy -
Insurers Sometimes Reject Neonatal Intensive Care Costs
In these specialized units for premature infants or babies with special needs, the doctors and other personnel may not be under contract with an insurer's network even though the hospital is covered.
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Opinion Column
Long-Term Care: Another Tough Subject For The Next Round Of Reform
Democrats and Republicans may spend the next two years fighting about what to jettison or retain in the new health law. If these battles are resolved, we'll be back to address another looming challenge: long-term care. It's best that this happen sooner rather than later.
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Federal Funds Allowed States To Maintain Health Care For Poor Children
Even while dealing with crippling deficits, state Medicaid and CHIP programs used stimulus funds in 2010 to keep enrollment steady for children, a new report finds.
By Aimee Miles -
Vermont Gov. Proposes Single-Payer Health Plan
Shumlin's bill would set up state-run insurance coverage, but many details
By Aimee Miles -
Justice Increases Efforts To Enforce Olmstead Ruling
Thomas Perez, assistant attorney general for civil rights at the U.S. Department of Justice, is making a "paradigm shift" in his division to focus more on care-at-home cases.
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A New Nursing Home Population: The Young
Young people ages 31 to 64 now make up 14 percent of the nursing home population, an analysis of federal data from the Department of Health and Human Services by NPR's Investigative Unit found.
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Insurer and Hospital System: Why Can’t We Be Friends?
In North Carolina's Research Triangle, two forces so often at odds -- a major health care system and the region's dominant insurer -- announced that they would work together in the interest of better, cheaper medicine.
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Assessing Cuomo’s Efforts To Cut N.Y.’s Medicaid Budget
Courtney Burke of the Rockefeller Institute talks about New York's new governor's plans to tackle the public health insurance program.
By Aimee Miles -
Nine Ways The New Health Law May Affect You in 2011
In 2011 many new provisions of the health law kick in, providing benefits for many and potential new costs for some others.
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Private Providers In Texas Fight Back Over Service Change
For years, the state paid private providers who care for people with disabilities to handle their clients' case management. But an 11th-hour change inserted into the budget last session stripped them of that responsibility, giving it instead to quasi-governmental Mental Retardation Authorities - and potentially creating a conflict of interest.