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Readers And Tweeters: No Rush To Judge Patients Who Leave The ER Without OK

June 14, 2019 KFF Health News Original

Kaiser Health News gives readers a chance to comment on a recent batch of stories.

Company That Wants To Sell Medicare Advantage Plans Raises Additional $300M In Venture Capital Funding

October 17, 2018 Morning Briefing

The company, Devoted Health, was founded last year by Todd Park, a former chief technology officer for the Obama administration, and Ed Park, a former Athenahealth executive. In other health industry news: the ripple effects of Anthem’s privacy breach settlement; UnitedHealth earnings projections; and Catholic Health Initiatives’ merger with Dignity Health

Readers And Tweeters Chime In On Investigation Of Electronic Health Records

April 3, 2019 KFF Health News Original

Kaiser Health News gives readers a chance to comment on a recent batch of stories.

What You Need To Know About The Upcoming Medicare Open Enrollment Season

October 8, 2018 Morning Briefing

Open enrollment for Medicare and prescription drug plans will begin Oct. 15 for coverage in 2019 and close Dec. 7. One change this year is that seniors can try a Medicare Advantage plan for up to three months and if they don’t like it, they can switch to another Advantage plan or enroll in traditional Medicare.

Hoping To See Your Doctor Via Telemedicine? Here’s A Quick Guide.

By Steven Findlay May 9, 2018 KFF Health News Original

All private health plans, Medicare, state Medicaid programs and the VA now cover some e-visits — albeit with restrictions.

Can You Hear Me Now? Senate Bill Aims to Broaden Access To Hearing Services.

By Michelle Andrews April 10, 2018 KFF Health News Original

The measure would allow Medicare beneficiaries to visit an audiologist to get a hearing test to diagnose a hearing problem without first being referred by a physician or nurse practitioner.

From The ER To Inpatient Care — At Home

By Michelle Andrews March 6, 2018 KFF Health News Original

Some health systems are encouraging selected ill emergency department patients who are stable and don’t need intensive, round-the-clock care to opt for hospital-level care at home.

Anthem, Walmart Partner To Expand Seniors’ Access To OTC Medications

August 21, 2018 Morning Briefing

Beginning in January 2019, Anthem Medicare Advantage members will be able to use their insurance for over-the-counter drugs, first-aid and other such supplies.

A Few Pointers To Help Save Money And Avoid The Strain Of Medicare Enrollment

By Susan Jaffe October 17, 2017 KFF Health News Original

Most beneficiaries have from Oct. 15 to Dec. 7 to decide on drug coverage and whether to switch from traditional Medicare to a Medicare Advantage plan.

Nueva estrategia: hospitales internan a pacientes… en sus propias casas

By Michelle Andrews March 6, 2018 KFF Health News Original

Un enfoque común en Australia, Gran Bretaña y Canadá comienza a cobrar fuerza en el país: internar en sus propios hogares a los pacientes que no tienen condiciones de cuidado crítico.

Medicare Insurance Options ‘Complicated’ For 300,000 Minnesotans Seeking New Coverage

November 16, 2018 Morning Briefing

Traditional Medicare or Medicare Advantage? As open enrollment gets under way across the nation, many Minnesota residents are especially hard pressed to decide which insurance is better for them because their current plan is being eliminated in many parts of the state. Enrollment is down compared to last year. In other news, advocates for older citizens in North Carolina are trying to help them sort through the differences.

The Collapse Of A Hospital Empire — And Towns Left In The Wreckage

By Barbara Feder Ostrov and Lauren Weber Photos by Heidi de Marco August 20, 2019 KFF Health News Original

Jorge A. Perez and his management company, EmpowerHMS, helped run an empire of rural hospitals. Now, in a staggering implosion, 12 of them have entered bankruptcy and eight have closed their doors, leaving hundreds of residents without jobs and their communities without lifesaving emergency medical care. So, what happened?

One Of Nation’s Largest Dialysis Providers Agrees To $270M Settlement Over Medicare Advantage Fraud

October 2, 2018 Morning Briefing

The settlement cites improper medical coding by HealthCare Partners from early 2007 through the end of 2014. According to the settlement, the company, which is part of giant dialysis company DaVita Inc., submitted “unsupported” diagnostic codes that allowed the health plans to receive higher payments than they were due.

Hospitals Lure Diabetes Patients With Self-Care Courses, But Costs Can Weigh Heavily

By Julie Appleby April 26, 2018 KFF Health News Original

Self-management classes can help the tens of millions of Americans now diagnosed with Type 2 diabetes. But the education can come with a high price tag.

Health Startup Oscar Gets Vote Of Confidence To The Tune Of $375 Million From Google’s Parent Company

August 15, 2018 Morning Briefing

Oscar’s focus is on health plans and helping consumers pick out the right coverage for them. The company announced that the investment will help it expand into Medicare Advantage space in the coming years.

White House Revising Controversial Proposal On Birth Control Coverage

October 31, 2018 Morning Briefing

The Affordable Care Act requires health plans to provide preventive care at no charge, and the Obama administration included contraception services in that category. The Trump administration says employers should be allowed to opt out if they have religious or moral objections. Other administration news includes efforts to claw back overpayments to Medicare Advantage plans and the defense of the president’s plan on drug pricing.

Justice Department Asks Court To Order Anthem Testimony In Medicare Billing Case

August 22, 2018 Morning Briefing

The request is part of an investigation into Medicare Advantage risk-adjustment payments. Also in the news, a study finds that Medicare could save $925 million if generic drugs were substituted for 29 expensive combination prescriptions.

Administration To ‘Unleash’ Medicare Advantage Plans’ Bargaining Power On Some Drug Prices

August 8, 2018 Morning Briefing

As a negotiation tool, Medicare Advantage plans will now be able to require patients getting drugs in a doctor’s office or the hospital to try lower-cost medicines before moving up to more expensive ones in a process called step therapy. Insurers already had this option in Part D drug plans — which cover prescriptions such as those purchased by beneficiaries at pharmacies. But the option is now being expanded.

Telemedicina: guía para entender las citas médicas a distancia

By Steven Findlay May 9, 2018 KFF Health News Original

Algunos consideran que es la atención primaria del futuro. Otros temen que la telemedicina lesione el vínculo médico-paciente. Lo cierto es que las citas virtuales crecen día a día.

Utah Voters Approved Medicaid Expansion, But State Lawmakers Are Balking

By Erik Neumann, KUER February 8, 2019 KFF Health News Original

Political fights over health care continue to flare. In Utah, angry voters say lawmakers are disregarding their wishes by trying to limit the scope of a ballot referendum that expanded Medicaid.

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