Consumer Groups Fear Patients Could Be Hit With Large Out-Of-Pocket Costs
The Obama administration's decision to delay the health law provision setting a maximum payment cap for some plans spurs complaints from several dozen organizations.
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Hospitals Press States To Expand Medicaid
With billions at stake, hospitals are lobbying hard for Medicaid expansion in Columbus, Tallahassee and other state capitals where state legislators oppose the extension of the program.
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Insurers’ Efforts To Delay Health Law Compliance Could Affect Premiums, Benefits For Millions
By moving up renewal dates on plans sold directly to consumers, insurers could delay meeting law's requirements for up to a year.
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FAQ On The Latest Study: Obamacare’s Impact On Insurance Claim Costs
The Society of Actuaries is predicting that because of the health law, on average, insurers will have to pay 32 percent more for claims by 2017. What does that mean for consumers?
By Jay Hancock -
Slow Progress On Efforts To Pay Docs, Hospitals For ‘Value,’ Not Volume
Consortium of large employers says that only 10.9 percent of employers' health spending is based on value-based payment.
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Medicaid Transformation Watched Closely In Florida
The federal government gave the green light to Florida to put its long-term-care Medicaid patients into managed care. The big question now is: Will it work?
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Companies Steering Workers To Lower Priced Medical Care
Businesses want employees to be more sensitive to the cost of medical care, but consumer advocates worry that decisions will be based on price, not quality.
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Hospitals Crack Down On Tirades By Angry Doctors
For many years, hospitals were reluctant to address physicians who berated nurses, threw scalpels or demeaned co-workers. But increasingly such actions bring discipline.
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Despite Incentives, Doctors’ Offices Lag On Digital Records
A recent study found that the health care industry isn't benefiting from computer networks that have transformed other fields. But the federal coordinator for health IT says there has been a lot of progress that will result in better care and cost savings in the future.
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Out Of Network ER Visits Won’t Cost More Under New Health Law
The health overhaul prohibits new insurance plans from charging higher copayments or coinsurance amounts for out-of-network emergency services or from imposing other coverage limitations that wouldn't apply to in-network care.
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Florida Gets Green Light For Medicaid Managed Care
Medicaid-eligible seniors who need long-term care likely will start enrolling later this year in HMOs and another type of health plan known as a "provider service network." The long-term care changes are the first phase of a controversial proposal to shift Medicaid beneficiaries statewide into managed care.
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As ‘Bodega Clinicas’ Fill Void, Officials Are Torn on Embracing Them
The storefront doctor's offices serve a vast number of uninsured Latino residents, in a kind of parallel, cash-only health system. But officials have little information on the quality of health care the clinicas provide, and whether they might be able to help fill persistent and profound gaps in Los Angeles' strained safety net.
By Sarah Varney -
Huge Experiment Aims To Save On Care For Poorest, Sickest Patients
An effort in California to move Medicaid patients into managed care has national significance as federal officials roll out a similar but larger program for as many as 2 million people who qualify for both Medicaid and Medicare.
By Sarah Varney and Mary Agnes Carey -
Health Plans Gear Up To Sell Directly To Consumers
Insurers develop new business strategies as the health law upends old models.
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Stuart Altman’s Huge Challenge: Bring Down Mass. Health Costs
The health economist and former presidential adviser is leading a board overseeing the state's cost-control law.
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