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Bundled Payments Work, Study Finds, But HHS Nominee No Fan

By Rachel Bluth January 3, 2017 KFF Health News Original

A study found that Medicare’s bundled payments model for joint replacement could save the government billions of dollars without harming patient care.

Merger May Revitalize California’s Flagging Effort To Pool Medical Records

By Chad Terhune January 10, 2017 KFF Health News Original

An Obama administration veteran will take the helm of Cal INDEX as it combines with the Inland Empire Health Information Exchange, creating a database covering nearly 17 million patients.

Feds Find Doctor Listings Often Wrong In Medicare Advantage Directories

By Phil Galewitz October 24, 2016 KFF Health News Original

The federal government’s first in-depth review reveals errors such as wrong addresses and incorrect phone numbers riddle many directories used by Medicare Advantage beneficiaries.

In House Majority Leader’s Calif. District, Many Depend On Health Law He Wants To Scrap

By Pauline Bartolone and Emily Bazar December 5, 2016 KFF Health News Original

Some of Rep. Kevin McCarthy’s constituents fear his vow to repeal Obamacare now and replace it later could rob them of coverage.

In Puerto Rico, The Joy Of Pregnancy Is Tempered By Fear Of Zika

By Carmen Heredia Rodriguez January 9, 2017 KFF Health News Original

Because of the fears about devastating birth defects, carrying a child to term can be daunting for women in the commonwealth.

Interstate Health Insurance Sales Has A Tryout In Georgia But No Takers

By Andy Miller, Georgia Health News December 8, 2016 KFF Health News Original

In 2011 the state, seeking to attract lower-cost insurance, enacted a law letting insurers sell any policy that they offer in other states, but no health insurer has taken advantage of it.

GOP Vows To Defund Planned Parenthood. Reality Makes That Hard.

By Julie Rovner January 17, 2017 KFF Health News Original

Ending federal support of the group that helps supply women’s reproductive health care could complicate health law overhaul efforts.

Insurers Find Out-Of-Network Bills As Much As 1,400 Percent Higher

By Anna Gorman October 1, 2015 KFF Health News Original

Insurers’ study points to the need for limits on out-of-network billing by doctors and hospitals. The American Medical Association calls the report “grossly misleading.”

California’s Community Clinics, Big ACA Beneficiaries, Worry About Their Future

By Eryn Brown January 23, 2017 KFF Health News Original

A flow of Medi-Cal expansion dollars — and patients — has fueled significant growth, making clinics in California one of the linchpins of primary care under Obamacare.

What Would A Public Insurance Option Look Like?

By Pauline Bartolone October 26, 2016 KFF Health News Original

UCLA health policy expert Gerald Kominski says a “public option” health plan would look a lot like private insurance, and politics will determine whether it would happen on a state or national level.

Marketplace Insurers, Already Under Fire For Limited Networks, Double Down To Cut Costs

September 1, 2016 Morning Briefing

A McKinsey & Co. analysis of regulatory filings for 18 states and the District of Columbia found that only about 25 percent of the plans offered on those exchanges would be preferred-provider organizations or similar options that generally give consumers the ability to choose from larger selections of doctors and hospitals and include out-of-network coverage, The Wall Street Journal reports. Other health law news includes a look at a statement about insurance costs by the White House press secretary and previews of Minnesota health plan rates.

Blue Shield, California’s Biggest Obamacare Insurer, Vows It’s Not ‘Running For The Hills’

By Chad Terhune November 17, 2016 KFF Health News Original

The company’s CEO also dismisses Trump’s notion of selling insurance plans across state lines, calling it ‘perplexing.’

Providers, Insurers Play Blame Game Over Patients’ Surprise Medical Bills

July 11, 2016 Morning Briefing

Physicians groups say the problem is insurance coverage gaps while insurers counter that more doctors are rejecting in-network rates, then charging out-of-network fees that are many times higher. In other news, The Fiscal Times offers tips to contain high medical costs, and adult children are being held financially responsible for their parents’ nursing home bills.

When Looking For A Nursing Home, You May Get Little Help From Your Hospital

By Jordan Rau December 20, 2016 KFF Health News Original

Hospitals rarely help patients find the best nursing home. When they do advise, hospitals sometimes push their own facilities.

Top Hospitals Likely Are Available On A Marketplace Plan, Study Finds

By Michelle Andrews February 12, 2016 KFF Health News Original

Many of the hospitals can be found in network on at least one plan, but fewer are participating in more than that, according to the analysis.

In West Baltimore, Scarce Pharmacies Leave Health Care Gaps

By Shefali Luthra and Jeremy Snow April 25, 2016 KFF Health News Original

CVS rebuilt a store destroyed by protesters after Freddie Gray’s death last year, but a shortage of quality pharmacies means low-income residents still have unmet needs.

When It Comes To Health Costs, Price Transparency Tools Not The Panacea Some May Have Hoped

June 17, 2016 Morning Briefing

The power of big data to help shoppers make sophisticated health care decisions is being questioned. Meanwhile, rising health care costs have supported underlying inflation, and out-of-network bills are contributing to New Jersey’s health care costs that are among the highest in the nation.

Drug Prices, Not The Health Law, Top Voters’ Health Priorities For 2017

By Julie Rovner October 27, 2016 KFF Health News Original

Majorities of Democrats, Republicans and independents support making sure high-cost drugs for chronic conditions are affordable.

Caring For A Loved One At Home Can Have A Steep Learning Curve

By Taunya English, WHYY December 12, 2016 KFF Health News Original

People caring for someone at home often have zero training. Many learn on the fly, and some states are passing laws to make sure caregivers get at least basic instruction in home care.

Obamacare ‘Replacement’ Might Look Familiar

By Jay Hancock and Shefali Luthra November 9, 2016 KFF Health News Original

Republicans want to jettison the health law, but some features are already hardwired into the system.

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