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Fix For VA Health Snarls Veterans And Doctors In New Bureaucracy

By Quil Lawrence, NPR News and Eric Whitney, Montana Public Radio and Michael Tomsic, WFAE May 16, 2016 KFF Health News Original

A program that was supposed to help veterans see doctors closer to home more quickly is not fulfilling its promise.

Urban Medicare Beneficiaries May See More Drug Savings This Year

By Michelle Andrews February 19, 2016 KFF Health News Original

The Centers for Medicare & Medicaid Services says access to special, lower-cost pharmacies has improved for Medicare beneficiaries in urban areas.

Most N.Y. Marketplace Plans Lack Any Coverage For Out-Of-Network Care

By Michelle Andrews March 17, 2015 KFF Health News Original

Except for a few insurers in Albany and the western part of the state, all the policies sold in the individual market are HMOs that will not pay anything toward routine expenses from doctors or hospitals not in their networks.

Zooming In On Millennials

By Anna Gorman May 10, 2016 KFF Health News Original

Zoom, a medical group and insurer, is targeting millennials in Oregon and Washington with quick, accessible care as well as fitness, yoga and cooking classes.

Pregnant Women Dumped By Covered California Into Medi-Cal, Without Notice Or Consent

By Emily Bazar May 3, 2016 KFF Health News Original

The problem won’t be fixed until September, though the state’s congressional delegation calls for quick action.

Study Finds Almost Half Of Health Law Plans Offer Very Limited Physician Networks

By Michelle Andrews June 26, 2015 KFF Health News Original

More than 40 percent of the plans included less than a quarter of the doctors in the area, University of Pennsylvania researchers found.

Medi-Cal Expands To Immigrant Children. Here’s How It Works.

By Emily Bazar April 4, 2016 KFF Health News Original

New law applies state’s low-income health care program to children in the U.S. illegally.

Boston’s Heroin Users Will Soon Get A Safer Place To Be High

By Martha Bebinger, WBUR March 3, 2016 KFF Health News Original

A nonprofit group in Boston working with homeless people will convert a conference room and provide medical supervision for people after they have taken heroin.

Medicare Plans Score Higher Ratings And Millions In Bonuses

By Phil Galewitz March 7, 2016 KFF Health News Original

The share of Medicare Advantage members enrolled in plans with high star ratings has almost doubled since 2013, earning bonuses for private insurers who offer them.

Head Of California Exchange Scolds UnitedHealth For Blaming Woes On Obamacare

By Chad Terhune February 3, 2016 KFF Health News Original

Peter Lee, executive director of Covered California, says the giant insurer’s complaints about ACA exchanges are “total spin and unanchored in reality.”

N.H., Calif. Seek To Help Consumers Get Details On Health Care Prices

By Jordan Rau March 9, 2016 KFF Health News Original

New Hampshire is expanding its website that lists the cost of specific medical procedures to include dental treatments and 65 prescription drugs. California is expanding its report cards on large medical groups to include cost of medical services by an average patient.

UNOS To Implement New Technology To Make Organ Donation More Seamless

June 14, 2016 Morning Briefing

The United Network for Organ Sharing will roll out a new platform that will be used in the operating room to accurately label, package and track organs, as well as create a comprehensive data exchange interface. In other health IT news, though the ease of telemedicine might be tempting, a good old fashioned doctor’s visit is sometimes what’s actually needed.

A Voter’s Guide To The Health Law

By Julie Rovner February 5, 2016 KFF Health News Original

Candidates — on both sides — are bending the facts about the Affordable Care Act.

Short-Term Health Plans: The Pros And Cons

By Emily Bazar February 1, 2016 KFF Health News Original

Columnist Emily Bazar answers a consumer’s question: “You could get one of these plans, pay the uninsured tax penalty and still pay less.”

Health Plans’ Coverage Of Some Drugs Can Be A Source Of Consumer Confusion

By Julie Appleby December 21, 2015 KFF Health News Original

Some medicines, particularly intravenous treatments, are not listed in plans’ pharmacy benefit section and, therefore, it’s difficult to confirm coverage specifics.

Insurers Evaluate New Expensive Cholesterol Drugs For Possible Preferred Designation Deals

August 31, 2015 Morning Briefing

Meanwhile, Modern Healthcare and NBC report on surprise out-of-network charges and balance billing while The Fiscal Times writes about 2016 Medicare premium jumps.

Blue Shield Top Choice On California Exchange

By Chad Terhune February 10, 2016 KFF Health News Original

Anthem sign-ups are trailing, and UnitedHealth and newcomer Oscar are playing a minor role in coverage thus far, according to unofficial reports.

Fueled By Health Law, ‘Concierge Medicine’ Reaches New Markets

By Shefali Luthra January 14, 2016 KFF Health News Original

Doctors, insurers and others are kick-starting experiments to broaden access to direct primary care, a service long associated with only wealthy Americans.

Three Hospitals Hope To Spark A Reduction In Surgeries By Inexperienced Doctors

By Sandra G. Boodman April 27, 2016 KFF Health News Original

The prestigious facilities are seeking to improve patient safety by getting surgeons and hospitals to pledge to meet minimum thresholds for 10 high-risk procedures.

In Freddie Gray’s Neighborhood, The Best Medical Care Is Close But Elusive

By Jay Hancock February 16, 2016 KFF Health News Original

Last year’s Baltimore unrest highlighted deep distrust between police and poor African-Americans. Dozens of interviews and little-seen data show a similar gap between that community and the city’s renowned health system.

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