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The Dramatic Difference: What A Hospital Charges Vs. What Medicare Pays

By Annie Feidt, Alaska Public Radio Network May 13, 2013 KFF Health News Original

For the first time, the federal government has publicly shared what hospitals bill Medicare for the 100 most common diagnoses and treatments. The information shows hospitals across the country — and across Alaska — bill dramatically different prices for the same things. Hospital veteran Rick Davis, the CEO of Central Peninsula General Hospital in Soldotna, […]

Bipartisan Center Offers Plan To Reduce Health Spending

By Mary Agnes Carey April 19, 2013 KFF Health News Original

Medicare beneficiaries would have access to better coordinated medical care and the current Medicare physician payment formula would be scrapped as part of a health care cost containment plan the Bipartisan Policy Center unveiled Thursday. The plan offers more than 50 recommendations that would cut the federal deficit by about $560 billion over the next […]

California Insurance Exchange Rates: Not Too High, Not Too Low

By Sarah Varney May 24, 2013 KFF Health News Original

On Thursday, the state cleared 13 health plans to offer insurance in its Obamacare online marketplace – at prices that are lower than expected.

New Health Exchanges Unlikely to End Insurance Monopolies in Some States

By Christine Vestal, Stateline April 25, 2013 KFF Health News Original

In states with a dominant insurance carrier, competition and lower prices envisioned by the health insurance exchanges that open in 2014 may be slow to arrive.

Consumer Groups Fear Patients Could Be Hit With Large Out-Of-Pocket Costs

By Julie Appleby April 9, 2013 KFF Health News Original

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.

Health Law’s Medicaid Expansion And Online Marketplaces Offer Veterans New Care Options

By Michelle Andrews May 7, 2013 KFF Health News Original

Many former service members have access to health care through the VA, private insurance or other government programs, such as Medicare and Tricare. But having so many choices can also lead to fragmented care.

Will Consumers Sign On For Health Law’s Co-Ops?

By Roni Caryn Rabin June 2, 2013 KFF Health News Original

Created by the health law to boost competition among insurers, co-ops in 24 states emphasize primary care and treating consumers as partners, but can they compete with the big guys?

Tenet Shows Hospitals Will Cut Prices For Exchange Patients — But Only So Much

By Jay Hancock February 28, 2013 KFF Health News Original

How much will hospitals reduce prices in an effort to win what are expected to be millions of newly insured patients under the Affordable Care Act? A little, not a lot, if deals disclosed this week by Tenet Healthcare are any indication. The Dallas-based hospital chain told analysts that its first contracts to treat patients buying policies in the ACA’s online marketplaces […]

Hospitals Press States To Expand Medicaid

By Michael Ollove, Stateline April 17, 2013 KFF Health News Original

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.

Medicaid Transformation Watched Closely In Florida

By Lynn Hatter, WFSU February 8, 2013 KFF Health News Original

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?

Insurers’ Efforts To Delay Health Law Compliance Could Affect Premiums, Benefits For Millions

By Julie Appleby April 5, 2013 KFF Health News Original

By moving up renewal dates on plans sold directly to consumers, insurers could delay meeting law’s requirements for up to a year.

FAQ On The Latest Study: Obamacare’s Impact On Insurance Claim Costs

By Jay Hancock March 28, 2013 KFF Health News Original

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?

Slow Progress On Efforts To Pay Docs, Hospitals For ‘Value,’ Not Volume

By Russ Mitchell March 26, 2013 KFF Health News Original

Consortium of large employers says that only 10.9 percent of employers’ health spending is based on value-based payment.

Feds Outline What Insurers Must Cover, Down To Polyp Removal

By Julie Appleby February 20, 2013 KFF Health News Original

The Obama administration on Wednesday released its final rule on essential health benefits, which sets out what benefits insurers must offer starting in 2014. Insurers must cover 10 broad categories of care, including emergency services, maternity care, hospital and doctors’ services, mental health and substance abuse care and prescription drugs. Essential benefit requirements apply mainly to […]

Hospital Consolidation Dance Heats Up In NYC

By Jenny Gold February 28, 2013 KFF Health News Original

The health care game of musical chairs is picking up speed in New York City, one of the most competitive markets in the country. The Mount Sinai Medical Center and Continuum Health Partners announced Thursday that their boards of trustees have reached a tentative agreement on a possible merger. The announcement comes less than nine months after Continuum, which […]

Out-Of Network Care Is Expensive But A Couple Of New Options Help

By Michelle Andrews April 16, 2012 KFF Health News Original

Seeking care from hospitals and doctors who haven’t agreed to negotiated rates with your insurer is costly but consumers can get help from a new database on pricing. The health law is also easing some out-of-network emergency expenses.

Survey: Employers Expect 7 Percent Growth In Cost Of Health Benefits

By Matthew Fleming August 6, 2012 KFF Health News Original

As employers brace to absorb cost increases in employee health benefits, many are also experimenting with new ways to control these expenses, according to a new survey from the National Business Group on Health, a non-profit association of 342 large employers. The survey’s findings, which were released today, are based on the responses of 82 […]

Shingles Vaccinations Not Covered For Some Medicare Beneficiaries

By Michelle Andrews September 10, 2012 KFF Health News Original

Answers to readers’ questions about how seniors can qualify for coverage for the inoculations, whether parents are required to keep young adults on their plan and getting pregnancy care for dependents.

Health Insurers See Big Opportunities In Health Law’s Medicaid Expansion

By Phil Galewitz March 8, 2013 KFF Health News Original

Medicaid managed care plans prepare for as many as 10 million new members in 2014– and billions in additional revenue.

Despite Incentives, Doctors’ Offices Lag On Digital Records

By Eric Whitney, Colorado Public Radio January 22, 2013 KFF Health News Original

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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