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Showing 901-920 of 1,604 results for "medicare advantage"

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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.

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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.

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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.

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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.

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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 […]

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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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Viewpoints: ‘Entitlement Meltdown;’ Improving Medicare Advantage; ‘Sloppy Work Habits’ At CDC

July 22, 2014 Morning Briefing

A selection of editorials and opinions on health care from around the country.

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One-Quarter Of ACOs Save Enough Money To Earn Bonuses

By Jordan Rau September 16, 2014 KFF Health News Original

About a quarter of the 243 groups of hospitals and doctors that banded together as accountable care organizations under the Affordable Care Act saved Medicare enough money to earn bonuses, the Centers for Medicare & Medicaid Services announced Tuesday. Those 64 ACOs earned a combined $445 million in bonuses, the agency said. Medicare saved $372 […]

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Medicare Benefits From Immigrants, Study Says

August 7, 2014 Morning Briefing

A study by the Partnership for a New American Economy concluded that immigrants make a substantial contribution to the Medicare Hospital Insurance Trust Fund — putting more into the system than they take out. Also in the news, the Center for Public Integrity examines how Medicare Advantage plans may routinely overbill the health insurance program for older Americans.

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Judge’s Medicare Advantage Order Could Have National Impact

By Susan Jaffe December 6, 2013 KFF Health News Original

UnitedHealthcare will appeal a federal judge’s order temporarily blocking the insurer from dropping Connecticut providers, while doctors’ groups in Ohio and New York look at bringing similar lawsuits.

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Medicare Records Provide Tantalizing New Details Of Payments To Doctors

By Jordan Rau April 9, 2014 KFF Health News Original

But physicians and database experts caution that the information can be easily misconstrued or misunderstood.

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Co-op Health Insurance Plans See Early Success

By Eric Whitney April 2, 2014 KFF Health News Original

Montana’s health insurance co-op is encouraged by its strong enrollment and plans to expand into Idaho next year. But some caution that it will be difficult for co-ops to grow beyond a niche player.

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Special Enrollment Periods Could Help Medicare Advantage Members With Dropped Doctors

June 30, 2014 Morning Briefing

In the meantime, for-profit hospices are scrutinized for how they bill Medicare.

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