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By Peter Frost and Marcia Frellick, Chicago Tribune April 29, 2014 KFF Health News Original

Hundreds of thousands of Medicaid recipients are being shifted into some kind of managed care this year as part of a sweeping overhaul.

Hispanic Outreach Group Slow To Enroll Uninsured In Miami-Dade

By Patricia Borns, Miami Herald and Daniel Chang March 17, 2014 KFF Health News Original

A Washington-based group won a $646,000 grant to sign up Miami-Dade Hispanics for Obamacare, but its lack of local ties and a slow start has hindered its success.

Medicare Data Show Wide Differences In ACOs’ Patient Care

By Jordan Rau February 21, 2014 KFF Health News Original

The first public evaluation of how 141 networks of doctors and hospitals performed looks at five quality measures for patients with diabetes and heart disease.

Readers Ask About Whether Some Practices By Doctors, Insurers Are Acceptable

By Michelle Andrews February 25, 2014 KFF Health News Original

KHN’s consumer columnist responds to questions about whether doctors can request to keep a patient’s credit card on file, if a woman can sign up for insurance after becoming pregnant and whether an insurer can keep a young man off his parent’s policy.

California Doctors Among Those Charging Medicare The Most For Office Visits

By Lisa Pickoff-White and Lisa Aliferis and April Dembosky May 21, 2014 KFF Health News Original

Billing data show that some doctors charge the government much more than their peers in the same specialty by deeming almost all office visits “complex.”

Impact Of Medicare Advantage Cuts On Seniors Sharply Disputed

By Phil Galewitz February 23, 2014 KFF Health News Original

Experts say that costs may rise for some enrollees, but rates have been largely stable for most.

ACOs Saving Some Money, But Medicare Is Short On Details

By Jenny Gold January 31, 2014 KFF Health News Original

Accountable care organizations are saving some money, though what exactly that means is still unclear. The Centers for Medicare and Medicaid Services announced Thursday that overall, provider groups involved in Medicare ACO programs saved a total of $380 million in the first year. Sounds like a lot of money, but CMS declined to explain which […]

Progress, Challenges As Medicaid Rolls Swell in Wash.

By Lisa Stiffler, The Seattle Times April 18, 2014 KFF Health News Original

One of the most successful initiatives in the Affordable Care Act has been the effort to sign up patients to be covered by Medicaid under an expanded program. Now comes the hard part: facing up to challenges brought on by having so many more people in the program.

Decoding The High-Stakes Debate Over Medicare Advantage Cuts

By Jay Hancock April 7, 2014 KFF Health News Original

In high-visibility ad campaigns, insurers maintain that reduced payment rates, which are expected to be announced Monday, will do real harm. What should beneficiaries expect?

Community Health Centers May Provide Services For Those Who Remain Uninsured

By Michelle Andrews April 1, 2014 KFF Health News Original

People who chose to not enroll under the health law or could not afford coverage have limited options for care.

3 Million And Counting: Final Push Underway To Enroll Californians In Health Plans

By Anna Gorman March 27, 2014 KFF Health News Original

But some residents remain unconvinced they need coverage, and others say they can’t afford it even with financial help.

Corbett’s Final Medicaid Expansion Plan: Gentler, But Still An Outlier

By Amy Worden and Don Sapatkin, The Philadelphia Inquirer February 20, 2014 KFF Health News Original

The plan by Pennsylvania Gov. Tom Corbett would use federal money to buy private insurance for newly eligible Medicaid enrollees and require work searches or job training.

Despite Health Law’s Protections, Many Consumers May Be ‘Underinsured’

By Michelle Andrews December 31, 2013 KFF Health News Original

Experts say that potential trouble spots for out-of-pocket spending include prescription drugs; specialist care, including that provided by academic medical centers; and services such as physical therapy.

Medicare Officials Back Away From Changes To Prescription Drug Plan

By Mary Agnes Carey March 10, 2014 KFF Health News Original

Facing heavy bipartisan opposition on Capitol Hill as well as from patient groups, businesses, insurers and others, the Centers for Medicare & Medicaid Services said Monday it did not plan to move ahead “at this time” with several proposed changes to the Medicare prescription drug program. The draft regulation, which had been released in January, would have wide-ranging […]

State Snapshots Of Obamacare Enrollment Numbers

By KFF Health News Editors January 16, 2014 KFF Health News Original

Enrollment in the health law’s marketplaces surged in December, and the administration’s report on the numbers made headlines on Monday — but the national story isn’t the whole story. Health care is delivered in 50 different state markets, and each state is implementing the health law with varying degrees of success and failure, enthusiasm and […]

What Happens Next On The Health Law?

By Phil Galewitz and Mary Agnes Carey and Julie Appleby March 31, 2014 KFF Health News Original

As the first open enrollment period draws to a close, here are seven things to watch for clues about what the health law’s future might hold.

Former HHS Head Offers His Take On Health Law’s Problems

By Julie Appleby January 8, 2014 KFF Health News Original

Former Health And Human Services Secretary Michael Leavitt says officials could learn from similar, albeit smaller, problems he and his staff had implementing the Medicare Prescription Drug Program in 2006, and that he doubts the Obama administration will meet its goals for enrollment in the health law’s insurance marketplaces.

Mass. Patients Can ‘Shop’ For Health Care — At Least In Theory

By Martha Bebinger, WBUR February 26, 2014 KFF Health News Original

Part of the state’s health care cost control law requires hospitals and doctors tell patients how much things cost, if they ask.

Marketplace Plans’ Networks Are Very Small, Study Finds

By Julie Appleby December 12, 2013 KFF Health News Original

To keep premium prices down for individuals and small businesses buying coverage through new online marketplaces, insurers have created smaller networks of hospitals. But consumers and policy experts have wondered, just how small? Turns out, many are very small. “About two-thirds of hospital networks on the exchanges are narrow or ultra-narrow,” said Paul Mango, a director at the consulting […]

Millions Of Lower-Income People Expected To Shift Between Exchanges And Medicaid

By Jenni Bergal January 6, 2014 KFF Health News Original

“Churning” may cause gaps in coverage and require switching doctors and hospitals.

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