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Humana Enters ‘Quiet Period’ Amid Sale Rumors

June 9, 2015 Morning Briefing

The publicly traded Medicare Advantage coverage provider announced the move in an SEC filing. The company refused to comment on merger speculation, which increased when Humana also pulled out of a large health care conference.

Feds Paid Too Much For Nearly Half Of UnitedHealth’s Medicare Advantage Patients, Audit Says

June 17, 2015 Morning Briefing

Three years of confidential negotiations between the insurer and the federal government were recently released in an audit. Elsewhere, N.J. Sen. Robert Menendez loses his bid to move his trial over corruption charges from his home state to Washington, D.C.

GOP Chairmen Offer Alternative To Health Law

By Mary Agnes Carey February 5, 2015 KFF Health News Original

Sens. Orrin Hatch and Richard Burr join with Rep. Fred Upton to renew a proposal to repeal the health law but preserve some tax credits for insurance and cuts to some Medicare providers.

HHS Pledges To Quicken Pace Toward Quality-Based Medicare Payments

By Jordan Rau January 26, 2015 KFF Health News Original

As part of their effort to improve quality while cutting costs, federal officials announced Monday that they want programs such as accountable care organizations and bundled care to account for 50 percent of traditional Medicare spending by the end of 2018.

Bets On Health Care Paying Off For Investors

June 3, 2015 Morning Briefing

Despite high prices, shares of health care companies continue to soar. Elsewhere, an investor wins an arbitration award against UBS, the feds crack down on Medicare Advantage fraud and health insurer Anthem is offering workers free college tuition to entice new employees.

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.

Grassley Urges Tighter Scrutiny Of Medicare Advantage Plans; House ‘Cures’ Bill Mark Up Delayed

May 21, 2015 Morning Briefing

In other Capitol Hill happenings, supporters of the 340B Drug Discount program urge lawmakers not to make changes in it as part of the “Cures” bill that would overhaul the FDA’s drug approval process. Meanwhile, House Speaker John Boehner, R-Ohio, gives a bleak VA progress report.

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.

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 […]

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.

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.

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.

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.

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.

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.

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