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Obama Administration Retreats On Private Medicare Rate Cuts

By Jay Hancock April 8, 2014 KFF Health News Original

But insurers still contest the claim that rates will rise slightly after arriving at their own calculations of the originally proposed cuts.

FTC Cracks Down On Companies Selling Phony Health Insurance

October 15, 2014 Morning Briefing

The firms sold consumers a discount card but it offered no health insurance benefits. Also in the news, a government researcher says federal officials need to monitor billing errors and overpayments to Medicare Advantage plans.

Too Little, Too Late For Many New Yorkers Seeking Hospice

By Fred Mogul, WNYC December 17, 2014 KFF Health News Original

Evidence shows hospice care can extend life and save money, but only if patients and doctors dare ask for the help. One New Yorker said hospice gave her back a normal life — at peace, pain subdued.

Medicaid’s Western Push Hits Montana

By Eric Whitney, Montana Public Radio January 6, 2015 KFF Health News Original

After sitting out the first full year of Obamacare’s Medicaid expansion, lawmakers in Montana have moved on to arguing — not about whether — but about how much federal cash to pull down.

Impact Of Medicare Advantage Cuts On Seniors Sharply Disputed

By Phil Galewitz February 23, 2014 KFF Health News Original

Experts say that costs may rise for some enrollees, but rates have been largely stable for most.

Draft Rules Would Help Protect Seniors When Medicare Advantage Plans Drop Doctors

By Susan Jaffe March 24, 2014 KFF Health News Original

The proposals by federal officials come in response to UnitedHealthcare’s efforts to cancel contracts with thousands of doctors in 10 states just weeks before seniors had to enroll in plans.

Letters To The Editor: The Health Insurance Affordability Gap; What’s Ahead For The Health Law; Doctor Burnout; Medicare Advantage Payment Rates

April 10, 2014 KFF Health News Original

Letters to the Editor is a periodic KHN feature.

Study Questions Need For Long-Term Care Insurance For Most People

November 13, 2014 Morning Briefing

The analysis by Boston College’s Center for Retirement Research found the insurance makes financial sense only for the richest 20 to 30 percent of unmarried people. Other reports look at an executive shuffle at UnitedHealth Group and the assertion by WellCare Health Plans that the government’s star rating system for Medicare Advantage plans is biased against those serving low-income people.

Methodology: How Hospital-Acquired Conditions Are Calculated

By Jordan Rau June 22, 2014 KFF Health News Original

Before assessing penalties, Medicare assesses rates of infection among patients with catheters in major veins and in the bladder and eight other patient injuries, such as blood clots, bed sores and accidental falls.

Bipartisan Group Of Senators Concerned About Medicare Advantage Cuts

By Mary Agnes Carey February 18, 2014 KFF Health News Original

Some Democrats have now joined their Republican counterparts in asking the Obama administration to moderate scheduled Medicare Advantage payment cuts for 2015. In a letter to Centers for Medicare & Medicaid Services Administrator Marilyn Tavenner, a bipartisan coalition of 40 senators urged the administration “to maintain payment levels that will allow [Medicare Advantage] beneficiaries to […]

Obama Administration Proposes 1.9% Cut In Medicare Advantage Payments

By Mary Agnes Carey February 24, 2014 KFF Health News Original

Insurers claim the cuts are deeper and are campaigning to stop them, saying they will hurt seniors.

Lawmakers Weigh Changes To Medicare

March 13, 2014 KFF Health News Original

The House this week held a hearing on payment shifts in Medicare Advantage plans and has scheduled a vote Friday on a proposal to revamp the system for paying doctors. KHN’s Mary Agnes Carey and Politico Pro’s Jennifer Haberkorn discuss the issues.

Some Dementia Can Be Treated, But My Mother Waited 10 Years For A Diagnosis

By Roni Caryn Rabin March 3, 2015 KFF Health News Original

For many physicians, normal pressure hydrocephalus, or NPH, doesn’t come to mind when they see people with cognitive and gait problems, although it is one of the few treatable causes of dementia.

For Medicare, Good News For Future, Changes In Hospice Rules

July 21, 2014 Morning Briefing

And a new report by a conservative group identifies Medicare Advantage cuts by congressional district.

Some States Angered About Lack Of Authority Over Medicare Advantage Plans

August 20, 2014 Morning Briefing

Elsewhere, Medicare officials consider offering HIV tests for all Medicare beneficiaries.

Humana, Aetna Project Lower Medicare Revenue

February 24, 2015 Morning Briefing

The insurers respond to Medicare’s announcement of a slight decline in payment rates for Advantage plans. Meanwhile, Tenet recorded higher admissions and revenue as newly insured patients sought treatment.

Q&A: Can Claims Data Crack the Health Care Cost Riddle?

By Christine Vestal, Stateline June 19, 2014 KFF Health News Original

More states are creating all-payer claims databases. Find out how they work.

Medicare Proposes Slight Cut In Payments To Advantage Plans

February 23, 2015 Morning Briefing

Officials said the rate proposal would trim payments an average of 0.95 percent for 2016 but most insurers would see a revenue increase as a result of billing for more intensive services.

Medicare May Fine Advantage Plans For Inaccurate Provider Lists

February 24, 2015 Morning Briefing

Elsewhere, a Medicare decision on “preferred pharmacy networks” is met by mostly cheers from industry officials.

Lawmakers Wrestle Over How To Fund Permanent Pay Fix For Medicare Doctors

March 19, 2015 Morning Briefing

House leaders have found about $70 billion of the $200 billion needed to permanently change a broken formula used to pay doctors who treat Medicare patients. Each party sees political advantages to finding a long-term solution.

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