You’re Being Observed In The Hospital? Patients With Private Insurance Better Off Than Seniors
Among the most significant difference is that patient with their own insurance don't face the same danger of losing nursing home coverage.
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Health Care Spending Forecast To Increase Modestly In Next Decade
Federal actuaries say the economic rebound and increasing number of people with insurance will push up spending.
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Study: Brand-Name Drugs’ High Copays Soak Medicare Part D Patients
A study in Health Affairs finds Medicare Part D beneficiaries were charged copays averaging 10.5 times more for Crestor and Nexium than generic drugs would have cost them.
By Rachel Bluth -
Must A Divorced Dad Cover Adult Kids; Will Medicare Pay For Infusion Therapy
KHN's consumer columnist Michelle Andrews explores a divorced mother's efforts to get her ex-husband to keep their sons on his plan, one senior's problems getting Medicare to cover his antibiotic infusion at home and what earnings one reader will have to count when applying for premium subsidies.
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Colon Cancer Screening: Five Things To Know
The U.S Preventive Services Task Force recently expanded the list of approved colorectal cancer screening tests. Here’s a primer on these various tests and how they might be covered now and in the future by health insurance.
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Catastrophic Insurance Could Help With Long-Term Care Expenses: Studies
Urban Institute researchers examine how such a plan could work and whether it would be better to make payments when people first need care or after they have used up much of their own money instead.
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Medicaid, Private Insurers Begin To Lift Curbs On Pricey Hepatitis C Drugs
Over the past few months, Massachusetts, Florida, New York, Delaware and Washington have lifted restrictions on the expensive medications, and private insurers around the country are also making the changes.
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Medicare Testing Payment Options That Could End Observation Care Penalties
The pilot projects underway at hospitals eliminate the requirement that seniors must be admitted for three days before they qualify for nursing home coverage.
By Susan Jaffe -
Feds Urge State Medicaid Programs To Encourage Long-Acting Contraceptives
Medicaid spends billions on unintended pregnancies, and federal officials say better use of long-acting contraceptives, such as IUDs, offer advantages for women and are cost-effective.
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Methodology: How Hospital-Acquired Conditions Are Calculated
Before assessing penalties, Medicare assesses rates of infection among patients with catheters in major veins and in the bladder and eight other patient injuries, such as blood clots, bed sores and accidental falls.
By Jordan Rau -
Obama Administration Retreats On Private Medicare Rate Cuts
But insurers still contest the claim that rates will rise slightly after arriving at their own calculations of the originally proposed cuts.
By Jay Hancock -
For Hospitals, Prestige Leads To Profits
A new study explores why the most profitable U.S. hospitals are who they are.
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Q&A: Can Claims Data Crack the Health Care Cost Riddle?
More states are creating all-payer claims databases. Find out how they work.
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How Medicare Drug Plans Hope To Follow Private Sector Lead
The proposal that Medicare made this month to better control prescription drug costs involves testing strategies used with some success in the private sector.
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Lawmakers Weigh Changes To Medicare
The House this week held a hearing on payment shifts in Medicare Advantage plans and has scheduled a vote Friday on a proposal to revamp the system for paying doctors. KHN's Mary Agnes Carey and Politico Pro's Jennifer Haberkorn discuss the issues.
By alley -
Some Dialysis Patients Give Medicare Failing Grade On Ambulance Trial
A Medicare trial aimed at averting billing fraud and waste in nonemergency ambulance service in eight states is drawing complaints from patients’ families and ambulance companies.
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Hospital Closures Rattle Small Towns
More than 50 shuttered rural hospitals mean a loss of jobs and other commerce for municipalities and uncertain care for residents.
By Sarah Varney -
Co-op Health Insurance Plans See Early Success
Montana's health insurance co-op is encouraged by its strong enrollment and plans to expand into Idaho next year. But some caution that it will be difficult for co-ops to grow beyond a niche player.
By Eric Whitney