HHS Report Finds Medicare Advantage Plans Exaggerate Members’ Diseases To Make More Money
The study urges changes in federal policies that allow higher payments for sicker patients.
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When You Need A Breast Screening, Should You Get A 3-D Mammogram?
The newer images are more expensive, but it’s not yet clear if they are more effective in catching cancers that will kill.
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Family Crisis Or New Joy? Get Paid Time Off For It
California’s family leave program allows people to get time off to care for a new child or sick relative. The wage replacement rate rises this year.
By Emily Bazar -
Care Suffers As More Nursing Homes Feed Money Into Corporate Webs
Increasingly, owners of nursing homes outsource services to companies in which they also have financial interest or control. That allows the nursing homes to claim to be in the red while owners reap hidden profits.
By Jordan Rau -
Sign-Up Deadline Is Friday, But Some People May Get Extra Time
Although in most states the insurance marketplace deadline is Friday, some consumers might be entitled to a special enrollment period if their 2017 plan is being discontinued or they are from states designated by the federal government as hurricane disaster areas.
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Medicare Turns 50 But Big Challenges Await
Medicare provides coverage to one in six Americans, and federal officials hope to trim the increasing cost and improve how the program operates.
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Displaced Puerto Ricans Face Obstacles Getting Health Care
Many have complicated questions about whether their Medicaid or Medicare coverage can shift to their new homes. And for those seeking private insurance, using the ACA’s insurance marketplaces will likely be a new experience.
By Paula Andalo -
Are Medicare ACOs Working? Experts Disagree
Federal officials reported recently that in 2014 the accountable care organizations saved $411 million, but after the program paid bonuses to the successful groups, Medicare recorded a net loss of $2.6 million. So KHN asked a panel of experts to offer their views about the program.
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Good News, Bad News In Medicare Trustees Report
Trust fund solvent until 2030, but some seniors may see a big spike in Part B premiums.
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Middle-Class Earners Weigh Love And Money To Curb Obamacare Premiums
Ineligible for subsidies, a Tennessee woman quit her job to get an affordable health care premium. Conventional steps — such as maxing out your 401(k) contribution each year — may also do the job, financial planners say.
By Rachel Bluth -
Chasing Millions In Medicaid Dollars, Hospitals Buy Up Nursing Homes
The strategy has been used mostly in Indiana, where many county-owned hospitals purchased or leased nursing homes to take advantage of a wrinkle in Medicaid payment rules and augment federal reimbursements.
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Medicare Slow To Adopt Telemedicine Due To Cost Concerns
Less than 1 percent of beneficiaries use the technology because Congress has put tight restrictions on it.
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Medicaid Expansion Takes A Bite Out Of Medical Debt
Medical debt is down across the country. In states that expanded Medicaid under the Affordable Care Act, the reduction is sharper.
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Why One California County Went Surgery Shopping
Fed up with high hospital costs and limited competition, Santa Barbara County sends willing employees out of town for better bargains. Local governments are slowly joining private employers in aggressively seeking out the best care for the lowest price.
By Chad Terhune -
Decoding The High-Stakes Debate Over Medicare Advantage Cuts
In high-visibility ad campaigns, insurers maintain that reduced payment rates, which are expected to be announced Monday, will do real harm. What should beneficiaries expect?
By Jay Hancock -
Having Survived Court Ruling, Insurance Markets Still Face Economic Threats
Among the challenges for these online exchanges set up by the health law are attracting more customers, keeping consumers’ health costs affordable and quality high, and finding enough financing.
By Jordan Rau -
When Your Doctor Leaves Your Health Plan, You Likely Can’t Follow
KHN’s consumer columnist answers readers’ questions about options when physicians leave an insurer’s network, the lack of coverage for hearing aids and penalties linked to insurance subsidies.
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EHealth Sees Once-Thriving Business Decline Due To Health Law Exchanges
The nation’s largest online broker lost thousands of customers, but some analysts suggest that if the Supreme Court strikes down subsidies on the federal exchange, some may return to the company.
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Draft Rules Would Help Protect Seniors When Medicare Advantage Plans Drop Doctors
The proposals by federal officials come in response to UnitedHealthcare's efforts to cancel contracts with thousands of doctors in 10 states just weeks before seniors had to enroll in plans.
By Susan Jaffe -
Letters To The Editor: The Health Insurance Affordability Gap; What’s Ahead For The Health Law; Doctor Burnout; Medicare Advantage Payment Rates
Letters to the Editor is a periodic KHN feature.
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