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Younger Seniors Amass More End-Of-Life Care Than Oldest Americans, Study Finds

By Rachel Bluth July 14, 2016 KFF Health News Original

A Kaiser Family Foundation analysis sheds new light on a widely-held belief about the costs of end-of-life care.

FAQ: Hospital Observation Care Can Be Costly For Medicare Patients

By Susan Jaffe August 29, 2016 KFF Health News Original

A guide to help Medicare patients receiving observation care.

As Court Action Continues, DOJ, Aetna Spar Over Insurer’s Reasons For Cutting Back Participation In Obamacare Exchanges

December 13, 2016 Morning Briefing

During the antitrust trial regarding the proposed merger between Aetna and Humana, this issue — and Aetna’s role in the Medicare Advantage market — emerge as key elements in the legal arguments.

Traditional Medicare Not Enough To Combat Monopoly From Aetna-Humana, Feds Argue

December 6, 2016 Morning Briefing

The trial over the companies’ merger kicked off on Monday, with both sides presenting their arguments on how the deal would affect the Medicare Advantage marketplace.

Aetna To Argue Traditional Medicare Will Give Consumers Options Regardless Of Merger

December 5, 2016 Morning Briefing

The company, which is defending its $37 billion deal with Humana, insists that it won’t create a monopoly when it comes to Medicare Advantage plans.

Medical Providers Try Uber, Lyft For Patients With Few Transportation Options

By Zhai Yun Tan August 17, 2016 KFF Health News Original

Some hospitals and other medical providers are experimenting with ride-hailing services to help patients without access to cars get to their appointments.

When Medicare Advantage Drops Doctors, Some Members Can Switch Plans

By Susan Jaffe March 29, 2016 KFF Health News Original

In the past eight months, Medicare officials have quietly granted the special enrollment periods to more than 15,000 Medicare Advantage members in seven states, the District of Columbia and Puerto Rico.

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.

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.

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 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.

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.

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.

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.

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.

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.

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.

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.

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