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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.

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.

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.

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.

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.

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.

From Cost Of Visit To Staff Compassion, Yelp Hospital Ratings Go Beyond ‘Gold Standard’ Survey

April 6, 2016 Morning Briefing

Yelp reviewers offer information on 12 criteria not used by Medicare in assessing hospitals. Meanwhile, in information security news, MedStar hackers took advantage of a system flaw that hospitals had been warned about since 2007 while attacks on three California hospitals expose additional vulnerabilities.

Research Roundup: Medicaid Churning; Addiction Coverage; Medicare Advantage Enrollment

July 10, 2015 Morning Briefing

Each week, KHN compiles a selection of recently released health policy studies and briefs.

Aetna’s Bid To Buy Humana Driven By Market Forces

July 8, 2015 Morning Briefing

The plan highlights the company’s efforts to exploit business opportunities related to the expansion of coverage under the Affordable Care Act and the rush of baby boomers to Medicare Advantage plans.

California To Revamp Addiction Treatment For Medicaid Recipients

By Anna Gorman December 10, 2015 KFF Health News Original

Through what’s known as a drug waiver, state officials will have new spending flexibility as they try to improve outcomes and reduce social and financial costs of people with substance abuse disorders.

More Scrutiny Coming For Medicare Advantage, Obamacare

By Fred Schulte, The Center For Public Integrity November 3, 2014 KFF Health News Original

Federal officials are planning a wide range of audits into billing and government spending on managed health care in the new fiscal year, ranging from private Medicare Advantage groups that treat millions of elderly to health plans rapidly expanding under the Affordable Care Act.

The Lowdown On Open Enrollment For Medicare Advantage And Part D

October 28, 2014 KFF Health News Original

Kaiser Health News’ Julie Rovner hosted a webinar Tuesday to provide background to reporters covering Medicare Advantage and Part D issues through open enrollment and beyond.

Rural Hospitals Team Up To Survive

By Michael Ollove, Stateline August 19, 2015 KFF Health News Original

Dozens of rural hospitals have closed in recent years, prompting others to form alliances.

State Highlights: Mass. Eligibility Review Results In Removal Of Thousands From Medicaid Program; Medicare Advantage Developments In Colo., N.C.

July 22, 2015 Morning Briefing

Health care stories are reported from Massachusetts, Colorado, North Carolina, California, Minnesota, South Carolina and Kansas.

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