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Trump Administration Moves To Make Health Care Costs More Transparent

By Julie Appleby July 31, 2019 KFF Health News Original

The proposed rules would require hospitals to provide far more detail about the actual prices they charge insurers for patients’ care.

Why The U.S. Remains The World’s Most Expensive Market For ‘Biologic’ Drugs

By Sarah Jane Tribble December 20, 2018 KFF Health News Original

Biologic drugs, made from living organisms, are big moneymakers partly because they have little competition from “biosimilars.” It’s a very different story in Europe.

Kamala Harris Unveils Health Plan That Would Expand Medicare But Keep Private Insurers In The Fold

July 29, 2019 Morning Briefing

Sen. Kamala Harris (D-Calif.), a 2020 presidential hopeful, splits the difference between the plans from rivals Sen. Bernie Sanders (I-Vt.) and former Vice President Joe Biden. Her plan would give consumers a choice of joining a government plan modeled on Medicare or choosing from insurance policies modeled on those in Medicare Advantage, and would be run by private insurers rather than the government. “If they want to play by our rules, they can be in the system. If not, they have to get out,” Harris said of the insurance companies. Her shifting position on whether they would be included in her health plan has brought her criticism in the past.

Wisconsin Reinstates Coverage Of Transgender Treatment For State Workers

By Emmarie Huetteman August 29, 2018 KFF Health News Original

The Group Insurance Board reversed a decision made last year to bar coverage of transgender hormone therapy and surgery for public workers.

Research Roundup: E-Prescriptions; Primary Care Physicians; And Medicare Advantage

February 21, 2019 Morning Briefing

Each week, KHN compiles a selection of recently released health policy studies and briefs.

Lethal Plans: When Seniors Turn To Suicide In Long-Term Care

By Melissa Bailey and JoNel Aleccia April 9, 2019 KFF Health News Original

In a nation where the suicide rate continues to climb, such deaths among older adults are often overlooked. A six-month investigation by KHN and PBS NewsHour finds that older Americans are quietly killing themselves in nursing homes, assisted living centers and adult care homes.

‘If You Like Your Plan, You Can Keep It.’ Biden’s Invokes Obama’s Troubled Claim.

By Jon Greenberg, PolitiFact July 30, 2019 KFF Health News Original

The health policy landscape is very different than it was when Barack Obama made this pledge as part of his pitch for the Affordable Care Act. But the words still might be risky for Democratic presidential primary hopeful Joe Biden.

Medicare Advantage Plans Cleared To Go Beyond Medical Coverage — Even Groceries

By Susan Jaffe April 3, 2018 KFF Health News Original

Under new federal rules unveiled this week, these privately run alternatives to traditional Medicare might provide air conditioners, rides to medical appointments and home-delivered meals.

Proposed Medicare Advantage Rate Hikes For 2020 Well Below What Plans Received In 2019

January 31, 2019 Morning Briefing

CMS is also giving Medicare Advantage plans more flexibility to cover benefits that will improve health for the chronically ill, thanks to the Bipartisan Budget Act of 2018.

Podcast: KHN’s ‘What The Health?’ Coming Soon: ‘Long-Term Short-Term’ Plans

August 9, 2018 KFF Health News Original

In this episode of KHN’s “What the Health?” Julie Rovner of Kaiser Health News, Anna Edney of Bloomberg News, Margot Sanger-Katz of The New York Times and Kimberly Leonard of the Washington Examiner talk about the latest Trump administration efforts to address high drug prices, what’s next for short-term health insurance plans and insider trading charges against a New York GOP congressman.

Planes de Medicare Advantage pronto servirán hasta para hacer las compras

By Susan Jaffe April 3, 2018 KFF Health News Original

Los Centros para Servicios de Medicare y Medicaid ampliaron la forma en que definen los beneficios “relacionados directamente con la salud”, que las aseguradoras pueden incluir en sus pólizas.

In Combating Surprise Bills, Lawmakers Miss Sky-High Air Ambulance Costs

By Rachel Bluth June 14, 2019 KFF Health News Original

The median cost of an air ambulance bill is more than $36,000 and seldom covered by insurance, sparking many consumer complaints. Yet none of the proposals introduced or circulating in Congress to fix surprise medical bills address these services.

Commercial, Medicare Advantage Plans Pay Mental Health Providers Significantly Lower Rates Than Traditional Medicare

February 7, 2019 Morning Briefing

Many commercial and Medicare Advantage plans use Medicare fee-for-service rates as a benchmark for most medical services, but a new study showed those rates aren’t comparable for mental health services.

Report That Finds Sharp Increase In Commercial Health Care Prices Highlights Geographical Differences In Costs

March 13, 2019 Morning Briefing

“That fact that you could be paying 2.5 times more for the same healthcare services in San Jose than in Baltimore suggests there is a lot of variation in prices across the country,” said Bill Johnson, lead author of the report. Meanwhile, Humana launches a bundled-payment model for some Medicare Advantage members.

Must-Reads Of The Week From Brianna Labuskes

By Brianna Labuskes August 10, 2018 KFF Health News Original

Newsletter editor Brianna Labuskes wades through hundreds of health articles from the week so you don’t have to.

How Genetic Tests Muddy Your Odds Of Getting A Long-Term-Care Policy

By Michelle Andrews August 7, 2018 KFF Health News Original

Federal law bars insurers from using these test results for health coverage, but they can influence whether you get a plan covering long-term care.

Trump Administration Sinks Teeth Into Paring Down Drug Prices, On 5 Key Points

By Sarah Jane Tribble August 10, 2018 KFF Health News Original

Instead of waiting for congressional action, federal regulators are looking at a series of actions to spur competition and drive down the cost of medicines.

Podcast: KHN’s ‘What The Health?’ ‘Conscience’ Rules, Rx Prices and Still More Medicare

May 9, 2019 KFF Health News Original

Joanne Kenen of Politico, Jen Haberkorn of the Los Angeles Times and Alice Miranda Ollstein of Politico join KHN’s Julie Rovner to discuss the latest news about the Trump administration’s effort to allow health care practitioners and organizations to refuse to provide care or refer patients for services that violate their conscience or religion. Also this week, the administration orders TV ads for prescription drugs to include list prices. And Tennessee wants free rein from the federal government to run its Medicaid program. Plus, Rovner interviews Joan Biskupic, author of a new book on Chief Justice John Roberts, about the behind-the-scenes negotiations that led to the 2012 ruling upholding the constitutionality of the Affordable Care Act.

A Big Hearing For ‘Medicare-For-All’ — In A Small Room

By Julie Rovner April 30, 2019 KFF Health News Original

In an unusual move, the House Rules Committee, instead of one of the panels that typically oversee health policy, held the first House hearing in a decade about converting the U.S. to a government-financed health care system.

Medicare Advantage Membership Growth Slows Even As Insurers Jockey To Get A Piece Of Predictably Lucrative Field

January 17, 2019 Morning Briefing

Despite the slower pace, though, many Advantage insurers still experienced big enrollment increases as they picked up more market share. Other industry news looks at UnitedHealth’s court loss over withholding payments to out-of-network physicians and Dr. Atul Gawande’s decision to step out of a major health care conference.

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