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Growth In U.S. Health Spending In 2013 Is Lowest Since 1960

By Mary Agnes Carey December 3, 2014 KFF Health News Original

The report credits slower growth in spending for private health insurance, Medicare, hospitals, physicians and clinical services.

Pilot Programs To Improve Care For Elderly Or Disabled Poor Patients Stumble

December 24, 2015 Morning Briefing

The experiments — mandated by the health law — are designed to reduce spending and boost the quality of care for people who qualify for both Medicare and Medicaid, but they have failed to attract much enrollment. Also in the news, a study finds gender differences among patients taking advantage of new Medicare rules for screening colonoscopies.

Seniors’ Wait For A Medicare Appeal Is Cut In Half

By Susan Jaffe December 23, 2014 KFF Health News Original

Federal officials handle most of the requests in 2014 from beneficiaries seeking a hearing before a judge and cut into the heavy backlog. But cases from hospitals, doctors and other providers are still on hold.

Administration Announces Increased Payments To Medicare Advantage Plans

April 7, 2015 Morning Briefing

The final announcement about rates reverses a slight decrease proposed in February. Also in Medicare news, The Hill looks at a lobbying effort seeking to derail the House bill to revamp payments to doctors and the departing head of MedPAC looks back at his tenure.

Medicare Advantage Enrollment Continues To Climb Despite Insurers’ Complaints

April 13, 2015 Morning Briefing

Consumers flock to the programs because of the broad benefit packages and affordable premiums, reports Modern Healthcare. Meanwhile, Pennsylvania officials threaten action to protect Medicare Advantage enrollees caught in a spat between UPMC and Highmark and a draft rule would give Medicare providers greater flexibility to show they are using digital records.

Pressure From Industry, Lawmakers Protects Medicare Advantage Rates

April 9, 2015 Morning Briefing

The Obama administration has repeatedly backed away from proposed rate cuts as a result of the outcry from insurers and lawmakers of both parties. Nonetheless, DaVita HealthCare Partners warns investors that new risk calculation scores will hurt the company’s bottom line.

Medicare Open Enrollment Is Fast Approaching — Here’s What We Know So Far

By Michelle Andrews September 30, 2014 KFF Health News Original

Kaiser Health News consumer columnist gives readers some basic information to help them weigh their Medicare options.

Humana: DOJ Queried Many Medicare Advantage Plans, Providers

March 25, 2015 Morning Briefing

The insurer said a previously disclosed government query is part of a wider review involving many health care companies. Meanwhile Health Diagnostic Laboratory nears a settlement of a federal probe and the Supreme Court rules that a lower court made it too easy for Omnicare investors to sue the company.

Enrollment Encore

November 10, 2014 Page

KFF Health News presents five videos to help you get ready for open enrollment season. The health law’s insurance marketplaces open November 15. You can embed any of these videos for free. (details) Insurance Marketplaces Offer Options For Consumers Without Job-Based Coverage But those who fail to enroll in insurance can face penalties and the loss […]

Worries Over Deteriorating Finances Of Teaching Hospitals

April 23, 2015 Morning Briefing

The Wall Street Journal looks at how relationships between teaching hospitals and universities are fraying because of financial concerns. Medicare Advantage plans face scrutiny over allegations of overcharging and a healthcare report says consumers and providers feel the squeeze of rising health costs.

Turning 65? 9 Tips For Signing Up For Medicare

By Caroline Mayer October 7, 2014 KFF Health News Original

A consumer reporter shares what she learned when getting ready to join the federal health plan for seniors.

Some States Bristle At Lack Of Authority Over Medicare Advantage Plans

By Fred Schulte, The Center For Public Integrity August 19, 2014 KFF Health News Original

When Congress created the option for beneficiaries to join the private Medicare Advantage plans, it gave oversight to federal officials, preempting state insurance laws and procedures.

Study: American Seniors Face Health Care Gaps, Despite Medicare

By Shefali Luthra November 19, 2014 KFF Health News Original

The Commonwealth Fund finds cost barriers and limits on care for Medicare beneficiaries consistently places the U.S. low on the list of an 11-nation ranking of how older people fare in industrialized nations.

Want A Good Laugh? Head To The Hospital

By Susan Jaffe July 8, 2015 KFF Health News Original

Across the country, hospitals are offering seniors social activities and other benefits to help them stay healthy and out of the hospital, while also encouraging them to come back to visit.

Employers Offer Record $693 Annually In Wellness Incentives Per Worker

March 26, 2015 Morning Briefing

That figure is up from $430 per employee five years ago, according to a new report. Elsewhere, high-deductible plans are examined, and Cigna forms an alliance with SCAN Health Plan to provide Medicare Advantage benefits.

Medicare Tightens Non-Emergency Use Of Ambulances To Combat Fraud

By Lisa Gillespie December 1, 2014 KFF Health News Original

Advocates say many poor seniors who need dialysis and cancer treatments will have few transportation options.

California Law Will Allow Pharmacists To Prescribe Birth Control

By April Dembosky, KQED June 18, 2015 KFF Health News Original

As soon as this fall, pharmacists in California will be able to prescribe birth control. While some doctors’ groups are skeptical, lawmakers say pharmacists can fill a need for primary care providers, especially in rural areas.

Senators Ask Administration Not To Make Cuts To Medicare Advantage Plans

February 20, 2015 Morning Briefing

The letter comes as officials are nearing an announcement on rates for the program. Meanwhile, Humana announces that the Justice Department is looking into allegations that it overcharged the government in its Medicare programs.

Although Home Caregivers Are In Demand, Few Earn Minimum Wage Or Overtime

March 17, 2015 Morning Briefing

PBS NewsHour examines the difficulties faced by many of these caregivers, who can have arduous duties and struggle financially. Also, The Fiscal Times explores whether the federal government is paying too much for Medicare Advantage plans.

Report: Critical Access Hospitals Get Billions In Extra Medicare Funds

March 9, 2015 Morning Briefing

In other Medicare news, Medicare Advantage plans, as well as health policies sold in the federally run health exchange, will be required — starting next year — to provide up-to-date details about which doctors are in their plans and taking new patients.

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