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Dentistry Advocates Aim To Fill Medicare Gaps

By Phil Galewitz March 6, 2017 KFF Health News Original

Brushing aside a political climate that favors federal cuts in health care spending, advocates for oral health are pushing to expand Medicare to provide America’s elderly with dental benefits.

How To Enroll In Medicare And Avoid Costly Mistakes

By Judith Graham October 27, 2016 KFF Health News Original

Enrolling in Medicare is confusing and mind-boggling if you don’t act at the right time and avoid costly mistakes.

Medicaid Expansion Takes A Bite Out Of Medical Debt

By Alex Smith, KCUR November 17, 2017 KFF Health News Original

Medical debt is down across the country. In states that expanded Medicaid under the Affordable Care Act, the reduction is sharper.

How Pharma Companies Build An Impenetrable Fortress Of Patents To Keep Generic Competition At Bay

May 17, 2018 Morning Briefing

“One of the barriers to competition that concerns me the most is when companies game the system by taking advantage of certain rules and laws,” FDA Commissioner Scott Gottlieb has said. “They exploit loopholes in our system to delay generic entry. In these ways, they extend a drug’s monopoly beyond what Congress intended.” Meanwhile, despite any Medicare drug changes being a long shot, the pharmaceutical industry is worried.

Judge Allows UnitedHealthcare Suit To Move Forward On Medicare Advance Overpayments

April 4, 2017 Morning Briefing

U.S. District Judge Rosemary Collyer said the federal government’s legal obligations on Medicare Advantage insurers are subject to judicial review, Modern Healthcare reports. Also, the government announced it was slightly increasing the rate it pays Medicare Advantage insurers in 2018.

Uncertain Fate Of Health Law Giving Health Industry Heartburn

By Julie Rovner and Chad Terhune November 21, 2016 KFF Health News Original

The effect of “repeal and replace” could have greatest consequences for hospitals. They accepted lower federal funding under the law because their uncompensated care was expected to fall as more people became insured.

Grupo lucha para que el Medicare cubra atención dental completa

By Phil Galewitz March 6, 2017 KFF Health News Original

Un grupo formado por miembros de la industria de la salud oral, médicos y ex funcionarios federales, se unieron con una meta que también es un desafío de salud pública: lograr que el Medicare cubra ampliamente servicios de salud dental.

Doctors Ask Medicare To Lift ‘Significant Administrative Burden’ By Standardizing Rules

April 26, 2017 Morning Briefing

Physicians want the government to synchronize policies for Medicare Advantage, Medicare fee-for-service and accountable care organizations. Also, Medicare next year will start issuing cards without Social Security numbers.

Some Seniors Surprised To Be Automatically Enrolled In Medicare Advantage Plans

By Susan Jaffe July 27, 2016 KFF Health News Original

Concerns raised as health insurers automatically move members of their marketplace or individual plans who are eligible for Medicare.

UnitedHealth To Shutter Experiment Of No-Cost-Sharing Plans For Primary And Behavioral Care

May 19, 2017 Morning Briefing

Modern Healthcare reports that Harken Health, a UnitedHealth subsidiary, will close in Chicago and Atlanta. In more news on the insurer, KHN reports that UnitedHealth faces allegations that it overcharged the federal government by more than $1 billion through its Medicare Advantage plans.

What Would A Public Insurance Option Look Like?

By Pauline Bartolone October 26, 2016 KFF Health News Original

UCLA health policy expert Gerald Kominski says a “public option” health plan would look a lot like private insurance, and politics will determine whether it would happen on a state or national level.

Why One California County Went Surgery Shopping

By Chad Terhune Photos by Heidi de Marco September 1, 2017 KFF Health News Original

Fed up with high hospital costs and limited competition, Santa Barbara County sends willing employees out of town for better bargains. Local governments are slowly joining private employers in aggressively seeking out the best care for the lowest price.

Slowing Down Hospital Discharge Requires Fast Action

By Judith Graham December 1, 2016 KFF Health News Original

Seniors who feel they’re being rushed out of the hospital can file an appeal to halt the process but they need to act fast.

A Consumer’s Guide To Medicare’s New Rules On Doctor Pay

By Steven Findlay November 17, 2016 KFF Health News Original

Federal officials have released final regulations for the new program, which will reward physicians for providing high quality, efficient care.

Federal Officials To Adjust Hospitals’ Penalties For High Readmissions Of Some Patients

April 19, 2017 Morning Briefing

The new formula will provide some relief to hospitals that have large numbers of “dual eligible” patients, or those that are covered by both Medicare and Medicaid, because they tend to be poorer and sicker than the general population. Also, Iowa Sen. Chuck Grassley is pushing federal officials to get tougher with Medicare Advantage plans.

Former Insurance Executive Details How Companies ‘Rigged’ Medicare Payments

May 16, 2017 Morning Briefing

In an interview with The New York Times, former UnitedHealthcare official Benjamin Poehling talks about his allegations that Medicare Advantage plans would list patients as very sick to get better federal payments. In other Medicare news, some groups representing health care providers are asking federal officials to give more consideration to the process of removing Social Security numbers from Medicare ID cards and John Oliver uses his show to skewer a dialysis provider.

Medicare Advantage Enrollees Have A Short Window To Switch Out Of The Plan

January 6, 2017 Morning Briefing

People who signed up for the private Medicare Advantage option can switch back to original Medicare until Feb. 14. Also, government documents show that the federal government didn’t recover millions of dollars in overcharges by Medicare Advantage plans.

Follow The Money: Drugmakers Deploy Political Cash As Prices And Anger Mount

By Jay Hancock and Elizabeth Lucas and Sydney Lupkin July 24, 2017 KFF Health News Original

Embattled opioid seller Mallinckrodt is one of many pharmaceutical companies boosting political contributions and lobbying on Capitol Hill.

Government Unveils Proposed Raise In Its Payments To Medicare Advantage Plans

February 2, 2017 Morning Briefing

The Centers for Medicare & Medicaid Services suggested an increase of 0.25 percent in pay to the private insurance plans that are an alternative to traditional Medicare. That is less than last year’s increase but generally in line with what analysts expected.

Cardiac Rehab Improves Health, But Cost And Access Issues Complicate Success

By Julie Appleby Photos by Francis Ying August 31, 2016 KFF Health News Original

Research shows exercise-based cardiac rehab programs help heart patients heal faster and live longer. But fewer than a third take part. Time and cost are the main barriers, doctors and patients say.

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