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As Medicare’s Enrollment Period Nears, Consumers Need To Assess Market Changes

October 10, 2016 Morning Briefing

Seniors who want to join a private Medicare Advantage plan or a drug plan can enroll between Oct. 15 and Dec. 7. In other news, one Massachusetts Medicare Advantage plan is trimming its roster of in-network physicians.

Connection Found Between Low-Income Communities And Fewer Hospital Stars

November 29, 2016 Morning Briefing

A study in JAMA finds that a hospital’s rating is heavily influenced by the socio-economic conditions of its community. Also, another study examines how some seniors may not understand the benefits of their Medicare Advantage plans.

Medicare Plans Score Higher Ratings And Millions In Bonuses

By Phil Galewitz March 7, 2016 KFF Health News Original

The share of Medicare Advantage members enrolled in plans with high star ratings has almost doubled since 2013, earning bonuses for private insurers who offer them.

Cigna Reports Profits Fell After Scrutiny Of Medicare Advantage Plans

November 4, 2016 Morning Briefing

Federal officials halted enrollment into the company’s Medicare Advantage plans in January because they alleged there were systemic problems that were keeping seniors from getting services and drugs. The company’s CEO also says he expects that plans on the health law’s marketplace next year will show a loss.

Medicare Temporarily Stops More Insurers From Automatically Enrolling Beneficiaries

October 25, 2016 Morning Briefing

In the “seamless conversion” process, insurers switch marketplace customers to Medicare Advantage plans as the customers reach the age of 65 and become eligible for Medicare. But advocates complain that some seniors would rather be in traditional Medicare or may not know that they have been switched. Also in Medicare news, a federal audit finds problems in payments to chiropractors, Iowa officials say two Medicare supplement companies misled potential customers and federal officials find problems with Medicare Advantage online directories.

As Childhood Diabetes Rates Rise, So Do Costs — And Families Feel The Pinch: Study

By Carmen Heredia Rodriguez June 20, 2016 KFF Health News Original

Researchers estimated that a year’s worth of care for kids with diabetes cost more than $17,000.

Three Key Senators Ask GAO To Investigate Possible Abuses Of The Orphan Drug Act

By Sarah Jane Tribble and Sydney Lupkin March 7, 2017 KFF Health News Original

Amid an uproar over high drug prices, three GOP senators are asking the Government Accountability Office to investigate whether the Orphan Drug Act is being abused.

Coinsurance Trend Means Seniors Likely To Face Higher Out-Of-Pocket Drug Costs, Report Says

By Michelle Andrews March 18, 2016 KFF Health News Original

More Medicare Part D drug plans are requiring coinsurance rather than copayments for more types of medications, making beneficiaries’ costs less predictable.

Some Medicare Advantage And Drug Plans Expected To Leave California Market

October 11, 2016 Morning Briefing

Official information will be released soon, but advocates say seniors are already getting information from insurers that suggest some will curtail offerings in certain areas of the state. Also, a jury in Florida has convicted the owner of a home health agency in a fraud case.

While Washington Fiddles, Calif. Leaders Forge Ideas For Universal Health Care

By Pauline Bartolone April 7, 2017 KFF Health News Original

But it could take years to achieve coverage for everyone — if it happens at all.

GOP Health Plan Aims To Curb Medicaid, Expand State Options

By Phil Galewitz March 22, 2017 KFF Health News Original

House Republicans’ latest plan to repeal Obamacare would give states flexibility in managing their Medicaid programs, but also some difficult decisions to make.

Sticker Shock Forces Thousands Of Cancer Patients To Skip Drugs, Skimp On Treatment

By Liz Szabo March 15, 2017 KFF Health News Original

A growing number of patients fail to fill prescriptions because the cost of cancer drugs is too high.

Cigna Profits As Medicare Softens Penalty Policy

By Phil Galewitz March 10, 2016 KFF Health News Original

A new policy preserves Cigna’s access to bonuses while the insurer fixes “widespread” failures in its Medicare plans.

Medicare Advantage Audit Uncovers Rampant Overcharging

August 29, 2016 Morning Briefing

All but two of the 37 health plans audited for 2007 were overpaid — typically several hundred thousand dollars too much.

Five Ways The GOP Health Bill Would Reverse Course From The ACA

By Julie Rovner March 8, 2017 KFF Health News Original

From Medicaid funding to paying for over-the-counter drugs, the legislation offered by House Republicans offers a far different pathway to coverage than Obamacare.

Should Federal Retirees Opt For Medicare?

By Michelle Andrews March 15, 2016 KFF Health News Original

When people retire from federal government jobs, they can keep their federal plan as primary coverage but may face penalties for late Medicare sign-ups later on.

Hospitals And Surgery Centers Play Tug-Of-War Over America’s Ailing Knees

By Christina Jewett December 21, 2016 KFF Health News Original

As Medicare considers paying for knee replacement procedures outside the hospital, doctors debate patient choice and the potential for post-operation complications.

Hospitals Ask Feds To Slow Down Proposals To Shift Away From Fee-For-Service Payments

October 6, 2016 Morning Briefing

The Department of Health and Human Services has a goal of moving 50 percent of its Medicare payments from fee for service to instead reward quality or value through alternative payment models by the end of 2018. Other Medicare news explores the cost of a proposal to change how the government pays for drugs administered in doctors’ offices and efforts by insurers to move people “seamlessly” into Medicare Advantage plans.

Dozens Of New Cancer Drugs Do Little To Improve Survival, Frustrating Patients

By Liz Szabo February 9, 2017 KFF Health News Original

The FDA has approved dozens of new cancer medications in recent years, but few offer the benefits that patients seek.

Viewpoints: President Obama On Personalized Medicine; Medicare Advantage’s Growing Pains

July 7, 2016 Morning Briefing

A selection of opinions on health care from around the country.

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