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Seniors Cautioned To Pay Close Attention To Details As Enrollment Begins In Medicare Plans

By Susan Jaffe October 15, 2013 KFF Health News Original

Costs, coverage details of different Medicare Advantage or prescription drug plans can vary significantly, so beneficiaries should weigh their options and consider switching plans for a better deal.

Medicare Advantage Cuts Pose Political Threat

April 7, 2014 Morning Briefing

The cuts to Medicare Advantage, expected to be included in planned 2015 payments to be unveiled Monday, end what proponents call a windfall to insurers. But they have drawn protests not just from insurers but from Democrats who fear the GOP will use them as political fodder in the midterm elections.

Bundled Payments Could Reduce Costs, Fraud, Experts Say

May 20, 2014 Morning Briefing

Policy experts say switching to this type of payment system could save millions of dollars over the fee-for-service approach, reports USA Today. Meanwhile, The Center For Public Integrity says that federal investigators are probing alleged overbilling by Humana’s Medicare Advantage program.

HHS Reverses Plan To Cut Medicare Advantage Rates

April 8, 2014 Morning Briefing

Administration officials announce that they will slightly boost rates paid to insurers offering the private Medicare plans. In February they had suggested cuts to the funding, but Republican and Democratic lawmakers had opposed the suggestion.

Table: Medicare Spending By State And Category

December 1, 2013 KFF Health News Original

One out of every five dollars Medicare spends goes to nursing homes, home health services or other post-acute facilities and services. The spending varies greatly between states: Louisiana spends 31 percent on post-acute services while Hawaii spends 12 percent.

First Edition: April 8, 2014

April 8, 2014 Morning Briefing

Today’s early morning highlights from the major news organizations, including the Obama administration’s announcement about Medicare Advantage rates.

Viewpoints: Generic Drug Warnings; Medicare Advantage ‘Scam’

March 27, 2014 Morning Briefing

A selection of opinions and editorials from around the country.

Humana’s Profit Shrinks On Higher Expenses

May 7, 2014 Morning Briefing

The insurer said it expects to add more customers to its Medicare Advantage and individual plan businesses. Meanwhile, a few hospitals say they are doing simple surgeries for some uninsured patients for free to keep their problems from turning into emergencies that would be more expensive to treat, and those who developed meningitis as a result of tainted products seek compensation.

Health Insurers Face An Uncertain Future

By Jim Doyle, St. Louis Post-Dispatch November 18, 2013 KFF Health News Original

Insurers battle to increase profits while adapting to health law’s new constraints.

First Edition: April 7, 2014

April 7, 2014 Morning Briefing

Today’s early morning highlights from the major news organizations, including stories about the next round of health law challenges the Obama administration faces as well as the new Medicare Advantage rates scheduled to be announced today.

Report: Adults With Serious Mental Illnesses Face 80% Unemployment

By Jenny Gold July 10, 2014 KFF Health News Original

This KHN story can be republished for free. (details) Employment rates for people with a serious mental illness are dismally low and getting worse, according to a report from the National Alliance on Mental Illness. Just 17.8 percent of people receiving public mental health services were employed in 2012 – down from 23 percent in […]

Shutdown Not Hurting Seniors’ Ability To Get Medicare Plan Information

By Susan Jaffe October 16, 2013 KFF Health News Original

The government may still be shut down — for now — and federal websites still caution visitors that information may not be up to date while the government is closed. But Medicare beneficiaries do not have to worry about getting accurate details from the plan finder website during the current open enrollment season, officials said. […]

Feds Propose Medicare Advantage Payment Cuts, Could Have Election Impact

February 23, 2014 Morning Briefing

Medicare Advantage is the managed care program, run by private insurance companies, for seniors and disabled people.

Boeing, Health Care Providers Join Forces In Bid To Curb Costs

By Lisa Stiffler, Seattle Times June 17, 2014 KFF Health News Original

The aerospace giant is teaming with accountable care organizations to save themselves money by taking the “middle men” — insurers — out of their health care equation.

Regulators Propose 1.9% Cut To Medicare Advantage Payments

February 24, 2014 Morning Briefing

Federal regulators late Friday proposed cutting payments to private Medicare plans by 1.9 percent after recent lower health care spending growth. Insurers worry the cut could be much deeper than that after health law fees and other payment changes take effect, however, and say another cut could affect benefits for seniors.

Effort To Fix SGR Formula Snagged Over Cost

March 24, 2014 Morning Briefing

Prospects are growing dim that Congress will permanently fix Medicare’s outdated payment formula this year because lawmakers have been unable to agree on a way to pay for it. Meanwhile, federal officials have drafted rules to protect seniors when Medicare Advantage plans cut doctors from their networks.

GOP Strategists Prepare To Pounce On Medicare Advantage Payment Changes

February 21, 2014 Morning Briefing

The new payment rates for private Medicare Advantage plans — expected to be announced Friday — are likely to become political fodder in the midterm elections, reports Politico. Meanwhile, congressional Republicans come out against proposed changes in the Medicare prescription drug program which they say would increase seniors’ costs.

Viewpoints: ‘Pent-Up Demand’ For Health Care; Too Early For That White House Victory Lap; The Fight Over Medicare Advantage

April 3, 2014 Morning Briefing

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

House GOP Attacks Obama On Medicare Advantage Cuts

February 14, 2014 Morning Briefing

The letter from the Republican leadership team is a sign the GOP will seize on the cuts and blame the administration, betting the issue will help the party in the midterm elections.

Research Roundup: Distance From A Transplant Center; Medicaid Prenatal Care; Metastasis Of Email; Profiting From Medicare Advantage

March 28, 2014 Morning Briefing

This week’s studies come from JAMA, JAMA Pediatrics, the Urban Institute, the Robert Wood Johnson Foundation, the Employee Benefit Research Institute and the National Bureau of Economic Research.

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