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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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 -
Medicare Records Provide Tantalizing New Details Of Payments To Doctors
But physicians and database experts caution that the information can be easily misconstrued or misunderstood.
By Jordan Rau -
New Kaiser Permanente Med School Part Of A Growing Trend
Twenty new schools opened in the past decade; but some doubt whether so many new doctors are needed.
By Julie Rovner -
Medicaid To Fund More Addiction Treatment
Some Medicaid plans will now get federal funding for 15 days of inpatient treatment. But Pennsylvania fears the new rule will close a loophole the state has been using to pay for longer stints.
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Report: Home Care Workers Need Better Job Protections
Stricter oversight is required to ensure employers comply with labor standards, says worker advocacy group.
By Anna Gorman -
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In Miami, Medicare Comes With White-Glove Treatment
More than half of all eligible seniors in Miami-Dade and Broward counties enroll in private managed care, rather than traditional Medicare, in a highly-lucrative and super-competitive marketplace for Medicare Advantage plans.
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Survey: Low-Income Elderly Reject Calif. Managed Care Experiment For Fear Of Change
About 47 percent opt out of California’s “dual eligibles” program serving Medicare and Medicaid patients, in part because they fear losing their doctors, a survey finds. But once enrolled in the pilot program, most stay.
By Anna Gorman -
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California To Revamp Addiction Treatment For Medicaid Recipients
Through what’s known as a drug waiver, state officials will have new spending flexibility as they try to improve outcomes and reduce social and financial costs of people with substance abuse disorders.
By Anna Gorman -
Table: Medicare Spending By State And Category
One out of every five dollars Medicare spends goes to nursing homes, home health services or other post-acute facilities and services. The spending varies greatly between states: Louisiana spends 31 percent on post-acute services while Hawaii spends 12 percent.
By alley -
Health Insurers Face An Uncertain Future
Insurers battle to increase profits while adapting to health law's new constraints.
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How One Home Health Agency Earned Five Stars
In North Carolina, Brookdale Home Health Charlotte was one of just two agencies out of the state’s 172 to earn the maximum five stars from the federal government.
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Rural Hospitals Team Up To Survive
Dozens of rural hospitals have closed in recent years, prompting others to form alliances.
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Seniors Cautioned To Pay Close Attention To Details As Enrollment Begins In Medicare Plans
Costs, coverage details of different Medicare Advantage or prescription drug plans can vary significantly, so beneficiaries should weigh their options and consider switching plans for a better deal.
By Susan Jaffe -
A Third Of Ga. Pediatricians Join Together To Form Network To Improve Care
The new physician-led network will allow pediatricians to improve care for Georgia children by sharing best practice standards and expand their billing options for insurance, advocates say.