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Medicare Seeks To Curb Spending On Post-Hospital Care

By Jordan Rau December 1, 2013 KFF Health News Original

One out of every six dollars Medicare spent in the traditional fee-for-service program went to nursing and therapy for patients in rehabilitation facilities, nursing homes, long-term care hospitals and in their own homes.

What Obamacare Means For You

September 9, 2013 Page

We’re here to help you navigate your way around what the new health law will mean for you, your family and what health care — and insurance — will cost you. New Health Insurance MarketplacesA Very Quick GuideHow The Marketplaces Will WorkVideo Series: Shopping For CoverageTips For New Obamacare Coverage: Stay In Network, Avoid Out-Of-Pocket […]

No Shopping Zone: Medicare Is Not Part Of New Insurance Marketplaces

By Susan Jaffe August 25, 2013 KFF Health News Original

Administration officials are planning campaign to convince millions of seniors that they don’t need to sign up for the online exchanges.

Health Costs Are Still Tame, Insurer Results Show

By Jay Hancock August 1, 2013 KFF Health News Original

Some give all the credit to Obamacare. Others cite the poor economy or employers forcing workers to bear more of the cost of their medical expenses. Whatever the reason, health-cost increases stayed tame through the first half of the year, insurers say. Thursday’s report from Cigna was the last dispatch on second-quarter financial results from […]

Medicare Advantage Plans Cut Total Cardio Procedures, But Regional Variations Remain

By Jay Hancock July 9, 2013 KFF Health News Original

Call them bundled payments, medical homes, capitation or accountable care, new versions of managed care (think HMOs in the 1990s) are health care’s great cost control hope. Researchers publishing in the latest JAMA tested that idea by counting procedures in one of the biggest managed care programs of all: Medicare Advantage plans for seniors. One […]

Nearly 1,500 Hospitals Penalized Under Medicare Program Rating Quality

By Jordan Rau November 14, 2013 KFF Health News Original

The hospitals were rated on two-dozen measures, including surveys of patient satisfaction and death rates.

How Proposed Part D Changes Are Playing On Capitol Hill

March 7, 2014 KFF Health News Original

Officials at the Centers for Medicare & Medicaid Services are proposing to remove some drugs from Medicare’s prescription drug plans and limit how many plans insurers can offer. KHN’s Mary Agnes Carey and CQ Roll Call’s Emily Ethridge discuss.

Doctors Overlook Lucrative Procedures When Naming Unwise Treatments

By Jordan Rau April 14, 2014 KFF Health News Original

In the “Choosing Wisely” campaign, medical specialty societies have published lists of procedures that doctors and patients should consider skeptically. But some groups overlooked their own dubious, but profitable procedures.

Colorado’s Elusive Goal: A Complete, Useful Health Care Price List

By Eric Whitney February 19, 2014 KFF Health News Original

Making health care prices available to the public is difficult and expensive, and Colorado and several other states are in jeopardy of losing funding for their efforts unless Congress intervenes.

Viewpoints: Stop ‘Bailout’ Of Obamacare; Health Law Not To Blame For All Insurance Woes; ‘Theft’ Of Medicare Advantage Money

January 3, 2014 Morning Briefing

A selection of opinions and editorials from around the country.

Miami-Area Seniors Get ‘White-Glove’ Treatment From Private Plans

November 26, 2013 Morning Briefing

The Miami Herald reports that seniors in South Florida have benefited from the highly lucrative and super competitive world of privately managed Medicare Advantage plans.

FAQ: What You Need To Know About The New Online Marketplaces

By Julie Appleby and Mary Agnes Carey September 16, 2013 KFF Health News Original

These marketplaces open Oct. 1 and will allow individuals and small businesses to compare insurance coverage.

Patient Coordination Would Get Boost If Medicare Changes How It Pays Docs

By Tara Kulash, St. Louis Post-Dispatch February 4, 2014 KFF Health News Original

If Congress finally overhauls the way Medicare pays doctors, experts say patients would see new emphasis on coordinated care and preventive services.

Medicare Overpays Advantage Plans Billions Because Of Billing Errors: Report

June 4, 2014 Morning Briefing

An investigation by the Center for Public Integrity examines how use of a “risk score” that is supposed to help protect the private plans if they have an excess of sicker beneficiaries may have been mishandled.

Sources and Methodology: A Guide To Medicare’s Readmissions Data And KHN’s Analysis

By Jordan Rau August 2, 2013 KFF Health News Original

Kaiser Health News’ data on hospital readmissions penalties comes from the Centers for Medicare & Medicaid Services.

FAQ: How Will The Individual Mandate Work?

By Alvin Tran September 3, 2013 KFF Health News Original

The controversial health law provision that requires most individuals to get insurance is still not well understood.

UnitedHealthcare CEO: Medicare Advantage Benefit Cuts Are ‘The New Frontier’

November 6, 2013 Morning Briefing

The Tampa Bay Times looks at cuts to the provider networks in Medicare Advantage plans marketed by AARP and whether they indicate more changes are coming for the popular insurance plans for seniors.

Medicare Looks To Narrow Discrepancy On What It Spends In Different Parts Of U.S.

December 2, 2013 Morning Briefing

Medicare wants to narrow the discrepancy on what it spends on some health services in different parts of the country. In the meantime, UnitedHealthcare is dropping hundreds of doctors from its Medicare Advantage plans and the Government Accountability Office says Medicare doesn’t know how well its contractors’ anti-fraud efforts are working.

UnitedHealthcare Cuts Doctors From Medicare Advantage Plans

October 28, 2013 Morning Briefing

UnitedHealthcare is dropping 10 to 15 percent of its doctors from Medicare Advantage plans around the nation, a move that will force some seniors to find new doctors or change plans.

Drugmaker Pushes New Drug Over Cheaper Equivalent At Medicare’s Expense

December 9, 2013 Morning Briefing

The Washington Post explores the public impact of two equivalent drugs that both prevent blindness but which have very different prices. Other media report on the federal court decision in Connecticut that temporarily blocks UnitedHealthcare from dropping more than 2,000 doctors from its Medicare Advantage network in that state.

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