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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.

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.

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.

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.

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.

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 […]

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.

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.

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.

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.

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.

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.

Taking A Closer Look At Medicare Advantage Money, Lobbying

June 11, 2014 Morning Briefing

The Center for Public Integrity looks at Medicare Advantage plans — the money surrounding them including for reimbursement and what they spend on lobbying Congress.

Bill Would Bar Medicare Advantage Plans From Dropping Doctors Mid-Year

June 27, 2014 Morning Briefing

The proposal, introduced by Democrats in the House and Senate, would require insurers to finalize their doctor networks 60 days before autumn enrollment begins.

Seniors In Traditional Medicare Are Moving To Private Advantage Plans, Study Finds

January 6, 2015 Morning Briefing

Also in the news is another examination of the reduction in appeals waits for Medicare beneficiaries.

UnitedHealthcare Dropping Hundreds Of Doctors From Medicare Advantage Plans

By Susan Jaffe December 1, 2013 KFF Health News Original

The insurer has been notifying members about the network changes as the Dec. 7 deadline for choosing coverage for next year quickly approaches.

Viewpoints: Overlooked Costs For Insurers; Medicaid Disparities; Dropping Doctors From Medicare Advantage

June 24, 2014 Morning Briefing

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

HHS Identifies — But Doesn’t Recover — Overpayments To Medicare Advantage Plans

June 9, 2014 Morning Briefing

Medicare auditors found the government overpaid the plans hundreds of millions of dollars but in 2013 opted to scrap such reviews, the Center for Public Integrity writes. Meanwhile, Modern Healthcare looks at Medicare’s difficult job in dealing with safety failures.

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