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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.

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.

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 […]

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.

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.

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.

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.

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.

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.

HHS Report Finds Medicare Advantage Plans Exaggerate Members’ Diseases To Make More Money

By Fred Schulte, The Center For Public Integrity August 7, 2014 KFF Health News Original

The study urges changes in federal policies that allow higher payments for sicker patients.

Disabled Vt. Senior Who Led Class Action Suit Sues Medicare — Again

By Susan Jaffe October 27, 2014 KFF Health News Original

The landmark settlement was supposed to be a victory for Medicare beneficiaries with chronic conditions and disabilities who had been denied coverage for skilled care because they didn’t meet “the improvement standard” — meaning they were unlikely to improve. But when Glenda Jimmo was denied coverage this spring for that same reason, her lawyers filed a second lawsuit.

A Guide To Medicare’s Readmissions Penalties And Data

By Jordan Rau October 2, 2014 KFF Health News Original

The methodology behind KHN’s analysis of the third year of the Medicare penalty program.

15 States Extend Health Law’s Higher Medicaid Payments To Doctors

By Michael Ollove, Stateline April 17, 2015 KFF Health News Original

The health law temporarily paid doctors more to handle the expected influx of patients when states expanded their Medicaid programs and some states are continuing that program because they find it has helped attract providers to the program.

‘The Health Care System Falls Apart When You’re A Complex Patient’

By Lisa Gillespie October 1, 2014 KFF Health News Original

Jeffrey Brenner, a 2013 MacArthur Fellow and executive director of the Camden Coalition of Healthcare Providers, is betting that coordinated care for “super utilizer” patients will reduce health costs.

UnitedHealth, Humana Remain Medicare Advantage’s Major Players

December 18, 2014 Morning Briefing

The latest government data indicate that these insurers have more Medicare Advantage members than any others, and those numbers are likely to get even bigger when Medicare’s current open enrollment period closes.

Obamacare Ruling Could Kill Coverage For 413,000 In Georgia

By Misty Williams, Atlanta Journal-Constitution June 17, 2015 KFF Health News Original

No tax credit means no health insurance at all for tens of thousands of Georgians.

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