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By Sarah Varney March 10, 2016 KFF Health News Original

More than 50 shuttered rural hospitals mean a loss of jobs and other commerce for municipalities and uncertain care for residents.

When Your Doctor Leaves Your Health Plan, You Likely Can’t Follow

By Michelle Andrews June 2, 2015 KFF Health News Original

KHN’s consumer columnist answers readers’ questions about options when physicians leave an insurer’s network, the lack of coverage for hearing aids and penalties linked to insurance subsidies.

Having Survived Court Ruling, Insurance Markets Still Face Economic Threats

By Jordan Rau June 25, 2015 KFF Health News Original

Among the challenges for these online exchanges set up by the health law are attracting more customers, keeping consumers’ health costs affordable and quality high, and finding enough financing.

Seniors Switch To Traditional Medicare Plans When More Serious Conditions Hit, Study Shows

October 7, 2015 Morning Briefing

In other Medicare news, the Pennsylvania Supreme Court hears the University of Pittsburgh Medical Center’s appeal regarding in-network rates. Also, open enrollment begins Oct. 15, the GAO wants tougher Medicare Advantage oversight and beneficiaries face hurdles to getting hearing aids.

Auditor Find Issues With Medicare Payments To Nursing Homes, Oversight Of Advantage Plans

October 1, 2015 Morning Briefing

In different reports, the HHS inspector general says Medicare could save billions of dollars by closer monitoring of nursing home services that may not be necessary and questioned if federal officials are making sure that the private Medicare Advantage plans offer adequate networks of doctors and other health care providers.

Pelosi Says Boehner Is Stalling Efforts To Avert Medicare Premium Increase

October 8, 2015 Morning Briefing

The increase for next year could be as much as 50 percent for some beneficiaries. In other Medicare news, Sen. Sherrod Brown reintroduces a bill that would bar Medicare Advantage plans from dropping doctors from their networks during the plan year, and a pilot project designed to save money produces mixed results.

Report Finds Lack Of Competition Among Medicare Advantage Plans

August 25, 2015 Morning Briefing

The study by the Commonwealth Fund finds that in 97 percent of markets a small number of insurers dominate, which could raise concerns about some high-level insurance company mergers. Also in industry news, health analytics company Inovalon is acquiring the consulting firm Avalere Health and two large kidney-care providers plan consolidations.

Medicare To Offer Help To Some Seniors When Advantage Plans Drop Doctors

By Susan Jaffe December 22, 2014 KFF Health News Original

In 2015, some seniors enrolled in Medicare Advantage plans will be allowed to switch if they lose their doctors.

Report: Home Care Workers Need Better Job Protections

By Anna Gorman December 21, 2015 KFF Health News Original

Stricter oversight is required to ensure employers comply with labor standards, says worker advocacy group.

Medicaid To Fund More Addiction Treatment

By Ben Allen, WITF January 7, 2016 KFF Health News Original

Some Medicaid plans will now get federal funding for 15 days of inpatient treatment. But Pennsylvania fears the new rule will close a loophole the state has been using to pay for longer stints.

Study Disputes Perception That New Beneficiaries Are Fueling Medicare Advantage Growth

By Michelle Andrews January 16, 2015 KFF Health News Original

The majority of people choosing the private plans for Medicare coverage were switching out of the traditional program, research in the journal Health Affairs finds.

Obama Administration’s Revamp Of Two-Midnight Rule Receives Mixed Feedback From Health Industry

September 2, 2015 Morning Briefing

In other developments from the Centers for Medicare and Medicaid Services, a pilot program will test value-based insurance under Medicare Advantage while the Chicago Tribune reports on the impact of the agency’s obscure “hold-harmless rule” on Medicare beneficiaries’ Social Security checks.

Viewpoints: Downside Of Privatizing Medicaid; Medicare Advantage Stars And Poor Seniors

August 11, 2015 Morning Briefing

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

Medicare’s Test Of New Insurance Program May Influence Commercial Insurer Plans

September 8, 2015 Morning Briefing

The study involves the Medicare Advantage program, and officials hope it will lower out-of-pocket costs for chronically ill patients who seek high-value services and providers. Also in news about Medicare pilot projects, an Iowa insurer reports that the accountable care organizations there saved money.

Texas Whistleblower Says Medicare Advantage Plans Overstate Home Visit Charges

August 12, 2015 Morning Briefing

Also in news related to Medicare, MedPAC argues for tightening dialysis subsidy rules.

Insurance Merger Raising Questions In Ill. About Consolidation Of Medicare Advantage Market

July 22, 2015 Morning Briefing

Humana and Aetna are the second- and third-largest Medicare Advantage companies in the state. Also in the news, Novartis reports flat sales in its eye-care business.

Medicaid Insurer Centene To Purchase Health Net

July 6, 2015 Morning Briefing

The deal will allow Centene to expand its Medicaid managed care business and also move into the Medicare Advantage market.

Survey: Low-Income Elderly Reject Calif. Managed Care Experiment For Fear Of Change

By Anna Gorman October 27, 2015 KFF Health News Original

About 47 percent opt out of California’s “dual eligibles” program serving Medicare and Medicaid patients, in part because they fear losing their doctors, a survey finds. But once enrolled in the pilot program, most stay.

Aetna To Buy Rival Humana As Insurance Market Consolidates

July 6, 2015 Morning Briefing

The merger increases Aetna’s share of Medicare Advantage customers. Meanwhile, Bloomberg reports that Cigna’s tie-up with Anthem could be next.

Only 251 Hospitals Score Five Stars In Medicare’s New Ratings

By Jordan Rau April 16, 2015 KFF Health News Original

The ratings, posted on Medicare’s website Thursday, rank hospitals based on patient reviews.

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