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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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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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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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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Obama Administration Gives Smokers A Way Out Of Higher Insurance Premiums
Consumer groups praise the rules as a way to encourage smokers to quit, but one workplace expert dismisses them as "a dumb idea."
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Aging Doctors Face Greater Scrutiny
There are no mandatory retirement ages for doctors or formal evaluations of their skills, but some hospitals are now requiring older physicians to have periodic physical and cognitive exams.
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Four NYC Hospitals Still Closed By Hurricane Sandy
Displaced patients and doctors are a challenge for some nearby hospitals and an opportunity for others, as the city's safety net tries to deal with the disruption.
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Administration Releases New Health Law Rules For Insurers, Employers
The proposed regulations deal with several key issues, such as how plans structure their health benefits, the variations on premiums based on age and requirements for wellness programs.
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Administration Expected to Release Many New Rules For Health Law Shortly
Among the highly anticipated announcements are regulations on the new state insurance exchanges, taxes for medical devices, funding for hospitals treating the uninsured and insurance coverage for contraception.
By Jordan Rau -