Second Guessing Medicare’s Star Rating System
Supporters say the bonus system is improving care for millions of seniors, but critics say it can be a clumsy measure of value and rewards mediocrity.
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Despu
The law contains a number of provisions that are changing the rules of health care for consumers.
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Doctors And Insurers Are Key To Fighting Obesity
IOM report says physicians need to be more rigorous in dealing with patients' weight, and insurers should reverse stingy reimbursement policies and help develop evidence-based programs that can help curb the epidemic.
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New Group To Set Priorities for Medical Effectiveness Research
Congress is betting more than $3 billion over the next decade that "comparative effectiveness" research can transform medical care by helping determine the best approach to a particular illness.
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Chasing The Stars, Insurers Improve Quality — And Revenue
Only a handful of Medicare Advantage plans win five stars for quality. But the bonuses attached to the federal rating system are reshaping the competitive landscape for insurers.
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Oregon Wants To Grade Its ACOs
Oregon's Gov. John Kitzhaber, a Democrat and a physician, is pushing for a way for the state's health plans to coordinate care better for patients.
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Health Insurers Deny Coverage To Many Who Apply For Individual Policies
Data from a federal website show that denial rates routinely exceed 20 percent and often are much higher.
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Costs Of Employer Insurance Plans Surge in 2011
An annual survey has found that the average cost of a family health insurance plan rose 9 percent this year - triple the growth rate seen in 2010. KHN's Julie Appleby filed this story.
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Head Of Major HMO Sees Openings For Accountable Care Organizations-The KHN Interview
Kaiser Permanente's George Halvorson says that despite the complexity of ACO regs, some versions have the potential to save money and improve care.
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Trends To Watch For Curbing Health Costs
Industry mergers, doctor-hospital cooperation, new payment models are among the changes identified by six health care experts.
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Many On-The-Job Clinics Offer Primary Care
These workplace centers are increasingly expanding beyond job injuries to offer on-site preventive tests and screenings and health coaching.
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Opinion Column
ACO Debacle Exposes Obamacare’s Fatal Conceit (Guest Opinion)
Obamacare's number-one idea for improving health care quality and reducing costs is to promote something called "accountable care organizations" in Medicare is sinking like a stone because it is premised on the notion that government experts can direct the market better than consumers.
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Managed Care Enters The Exam Room As Insurers Buy Doctor Groups
Large health insurers are trying to curb rising costs by gaining control over those who provide care: doctors.
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Blue Shield Of California Sets Profit Cap Other Insurers May Not Imitate
Blue Shield of California's decision to cap profits at 2 percent was widely applauded, but other health insurers aren't likely to follow suit.