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4 New Ways You Can Avoid Fines For Not Having Health Insurance

By Michelle Andrews April 24, 2018 KFF Health News Original

Among changes by the Trump administration, new rules protect consumers living in areas with only one marketplace plan as well as those who oppose abortion and can’t find a plan that doesn’t cover the procedure.

Refusing To Work For Medicaid May Not Translate To Subsidies For ACA Plan

By Michelle Andrews February 27, 2018 KFF Health News Original

In states that are instituting work requirements for Medicaid coverage, refusing to get a job will not likely make you eligible for subsidies to buy a marketplace plan.

Don’t Get Tripped Up By The IRS Tweak To Health Savings Accounts

By Michelle Andrews April 3, 2018 KFF Health News Original

A new federal calculation reduces by $50 the amount a family can put aside in 2018 in these accounts to pay medical bills. Anyone who has already funded the account at a higher level will need to adjust or deal with the tax consequences next year.

Some Tips To Help Decide Whether Popular Medicare Advantage Plans Are Right For You

October 19, 2017 Morning Briefing

These private insurance plan take the place of traditional Medicare and vary in coverage and cost.

Medicare Advantage Plans’ Star Ratings Shows Little Change In Quality Over Past Year

October 12, 2017 Morning Briefing

Although the number of these plans earning four stars or better have fallen slightly, more beneficiaries are signing up for the higher performing plans.

21 Medicare Health Plans Warned To Fix Provider Directory Errors

By Phil Galewitz and Susan Jaffe January 18, 2017 KFF Health News Original

Federal officials release names of insurers who ranked poorly in a recent review of their online directories’ accuracy.

Drug Coverage Denied By Medicare? How Seniors Can Fight Back

By Judith Graham May 4, 2017 KFF Health News Original

Senior citizens have to be patient and keep close records to appeal when Medicare plans refuse to cover their medicines.

Idaho And Utah Seniors Paying Highest Average Premiums For Medicare Drug Plans

October 6, 2017 Morning Briefing

The average premium for beneficiaries in that region is more than $10 higher than the national average. In other Medicare news, a new study finds that beneficiaries using Medicare Advantage plans typically have access to less than half of the doctors in their community, and a congressional advisory group urges the repeal of a key provision in the bipartisan law that is revamping Medicare payments to doctors.

Parsing Health Policies And Politics: Examining The Alexander-Murray Obamacare ‘Fix’; Why Does It Have To Be So Difficult?

October 19, 2017 Morning Briefing

Opinion writers offer a variety of takes on the deal announced this week by Sen. Lamar Alexander (R-Tenn.) and Sen. Patty Murray (D-Wash.) as well as what it can and cannot accomplish. They also take a tough inventory of the politics in play and examine other health policy issues, such as Medicare Advantage networks and the status of the Children’s Health Insurance Program reauthorization.

Research Roundup: Value-Based Payment; ACOs; And Medicare Advantage

August 4, 2017 Morning Briefing

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

¿Medicare se niega a pagar su medicamento? Cómo pelear esta decisión

By Judith Graham May 4, 2017 KFF Health News Original

¿Qué hacer si el plan del Medicare no autoriza el suministro de un medicamento? Pasos a seguir para conseguirla.

Medicare Failed To Recover Up To $125 Million In Overpayments, Records Show

By Fred Schulte January 6, 2017 KFF Health News Original

Medicare overpaid five insurance plans by $128 million yet only recovered $3 million, audits show.

When You Need A Breast Screening, Should You Get A 3-D Mammogram?

By Michelle Andrews January 16, 2018 KFF Health News Original

The newer images are more expensive, but it’s not yet clear if they are more effective in catching cancers that will kill.

Medicare Rejects Several Requests From Insurers For Changes In Proposed Advantage Plan Rules

August 28, 2017 Morning Briefing

Insurers sought some relief on the proposals, which are now being evaluated by the Office of Management and Budget. Meanwhile, CBS News offers some tips for consumers thinking about purchasing a Medicare Advantage plan when open enrollment begins in October.

Feds Find Doctor Listings Often Wrong In Medicare Advantage Directories

By Phil Galewitz October 24, 2016 KFF Health News Original

The federal government’s first in-depth review reveals errors such as wrong addresses and incorrect phone numbers riddle many directories used by Medicare Advantage beneficiaries.

Exodus By Puerto Rican Medical Students Deepens Island’s Doctor Drain

By Carmen Heredia Rodriguez May 1, 2017 KFF Health News Original

Interest in medical schools is high in Puerto Rico, but many students look to the U.S. mainland for residencies because of higher pay and the commonwealth’s declining economy. The migration of young talent is both a symptom and an exacerbation of the island’s medical woes.

Medicare Bars New ‘Seamless Conversion’ Efforts For Some Seniors

By Susan Jaffe October 28, 2016 KFF Health News Original

Some insurers have been allowed to move customers on the health law’s marketplaces into their Medicare Advantage plans when they become eligible for Medicare, but seniors complain they didn’t always know it was happening.

Marketing Sanctions Lifted Off Cigna

June 19, 2017 Morning Briefing

The federal sanctions barred the company from marketing and selling its Medicare Advantage policies to new beneficiaries.

For Seniors, Teeth Need Care — But Insurance Coverage Is Rare

By Michelle Andrews October 25, 2016 KFF Health News Original

Traditional Medicare does not cover most dental needs and the private Medicare Advantage plans often have limited coverage, leaving most seniors struggling to pay for dental care out of pocket.

HHS Pick Price Made ‘Brazen’ Stock Trades While His Committee Was Under Scrutiny

By Marisa Taylor and Christina Jewett February 7, 2017 KFF Health News Original

With federal investigators bearing down on his committee, Rep. Tom Price, R-Ga., who is line to be secretary of the Department of Health and Human Services, showed little restraint in investing in health companies.

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