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Democratic Candidates Debate ‘Single-Payer,’ But What Does That Mean?

By Julie Rovner January 22, 2016 KFF Health News Original

The phrase often used for government-run health care means different things to different people. Here are five points to help explain the Democrats’ policy clash.

Medicare Releases Details From Review Of Advantage Plan Directories’ Accuracy

January 19, 2017 Morning Briefing

The Centers for Medicare & Medicaid Services, which earlier had given a summary that showed overall problems, provides names of companies that fared badly in the survey and other details.

When Drug Reviewers Leave The FDA, They Often Work For Pharma

By Sydney Lupkin September 27, 2016 KFF Health News Original

Researchers examine the Food and Drug Administration’s “revolving door” regarding employees who worked on cancer and hematology drugs.

Cigna CEO David Cordani: ACA Marketplace Is Still In ‘Version 1.0’

By Julie Appleby December 7, 2015 KFF Health News Original

In a recent interview, Cordani discussed the evolution of exchange health plans as well the proposed merger between Cigna and Anthem.

Seniors Who Don’t Consider Switching Drug Plans May Face Steep Price Rise

By Michelle Andrews October 20, 2015 KFF Health News Original

For beneficiaries, staying in their current plans could prove costly so advocates urge them to check out the alternatives.

Watchdog Report Sharply Criticizes Fed’s Efforts To Recoup Medicare Advantage Overcharges

May 10, 2016 Morning Briefing

The Government Accountability Office said that the Centers for Medicare & Medicaid Services has spent about $117 million on Medicare Advantage overbilling audits, but so far has recouped just $14 million. Meanwhile, some Democrats are speaking up for the Medicare Part B change in the face of intense criticism. Also, fee-for-service payments are published and health systems offset Medicare losses.

Final Medicare Advantage Rates Involve Variety Of Compromises

April 8, 2016 Morning Briefing

Analysts say the new rates don’t represent a loss or a gain for industry — but rather a mixed bag.

Study: Brand-Name Drugs’ High Copays Soak Medicare Part D Patients

By Rachel Bluth July 6, 2016 KFF Health News Original

A study in Health Affairs finds Medicare Part D beneficiaries were charged copays averaging 10.5 times more for Crestor and Nexium than generic drugs would have cost them.

Final Rule Provides Slight Increase In Medicare Advantage Payments

April 5, 2016 Morning Briefing

The payment amount decision, which came after heavy lobbying, was a bit lower than the administration initially suggested. On another part of the rule, however, the administration delayed efforts to cut payments to employer-sponsored Medicare Advantage plans.

Venture Capital Firms, Former UnitedHealthcare CEO Set Up New Insurance Company

April 7, 2016 Morning Briefing

The startup is planning to compete in the health law’s insurance marketplaces and eventually Medicare Advantage. Also, officials have announced increases in premiums for federal workers’ long-term care insurance.

Fewer Medicare-Subsidized Drug Plans Means Less Choice For Low-Income Seniors

By Susan Jaffe November 23, 2015 KFF Health News Original

The number of Medicare plans that cover medications with a subsidy provided for low-income beneficiaries is declining in 2016 by 20 percent.

Viewpoints: Research Rules Could Block Cancer ‘Moonshot’; Medicare Advantage’s ‘Disadvantage’ For Sicker Patients

April 5, 2016 Morning Briefing

A selection of opinions from around the country.

Medicare Payment Lobbying War Heats Up As More Voices Join The Fight

March 18, 2016 Morning Briefing

The campaigns center around a proposed 1.35 percent boost to Medicare Advantage. Kaiser Health News looks at how the Obama administration is trying to borrow ideas from the private sector with its Medicare plan, Medicare beneficiaries could face higher out-of-pocket drug costs as a result of the trend toward coinsurance rather than co-payments, and Rep. Pat Tiberi, R-Ohio, is urging his fellow lawmakers to consider changes to the Medicare Advantage program.

Health Systems Dipping Into The Business Of Selling Insurance

By Michelle Andrews November 10, 2015 KFF Health News Original

These plans, which still are a minority in the marketplaces, can help drive consumers to use the system’s hospitals and doctors, but some also offer competitive prices.

Colon Cancer Screening: Five Things To Know

By Julie Appleby June 24, 2016 KFF Health News Original

The U.S Preventive Services Task Force recently expanded the list of approved colorectal cancer screening tests. Here’s a primer on these various tests and how they might be covered now and in the future by health insurance.

Catastrophic Insurance Could Help With Long-Term Care Expenses: Studies

By Michelle Andrews July 1, 2016 KFF Health News Original

Urban Institute researchers examine how such a plan could work and whether it would be better to make payments when people first need care or after they have used up much of their own money instead.

Viewpoints: Medicare Advantage And The Bigger Issue Of Entitlements; Little Sisters Of The Poor At The Supreme Court

March 21, 2016 Morning Briefing

A selection of opinions from around the country.

Federal Officials Propose Small Rise In Medicare Advantage Rates

February 22, 2016 Morning Briefing

The Centers for Medicare and Medicaid Services has proposed an average 1.35 percent increase in the rate the government pays private Medicare Advantage plans for 2017.

As Medicare Stifles PSA Testing Penalties, It Signals Interest In Reviving The Issue Later

March 29, 2016 Morning Briefing

The Center for Medicare & Medicaid Services says in its statement that it will continue to solicit input “to determine whether a restructured, appropriate-use PSA measure should be developed.” Also, a look at new efforts by the agency to make sure beneficiaries in Medicare Advantage plans can keep their doctors.

Readers Ask About Concierge Medicine And Medicare; Insulin Costs And The Doughnut Hole

By Michelle Andrews September 8, 2015 KFF Health News Original

KHN consumer columnist Michelle Andrews answers questions about Medicare beneficiaries’ costs associated with doctors who have concierge medicine practices, insulin pumps and respite care.

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