Cost and Quality

Latest KFF Health News Stories

Medicare Seeks To Curb Spending On Post-Hospital Care

KFF Health News Original

One out of every six dollars Medicare spent in the traditional fee-for-service program went to nursing and therapy for patients in rehabilitation facilities, nursing homes, long-term care hospitals and in their own homes.

‘Narrow Networks’ Trigger Push-Back From State Officials

KFF Health News Original

Criticism of limited provider networks is emerging in at least a half a dozen states as consumers realize that their Affordable Care Act insurance may not include the physicians or hospitals they’ve been seeing.

For Insurers, Obama’s Proposed Cancellation ‘Fix’ Changes Health Law Calculations

KFF Health News Original

Wellpoint and other insurers face a new set of decisions as a result of the Obama administration’s proposed “fix,” which would allow them to renew individual plans that don’t include all the benefits required by the overhaul.

What Consumers Need To Know About The Obama Plan For Canceled Health Policies

KFF Health News Original

Under the president’s plan, insurers will be permitted to extend this year’s policies into next year, but it’s far from clear that insurers will want to follow through. Some state regulators may not even let them.

Oregon Shines On Medicaid, As Texas Stalls On Sign-Ups

KFF Health News Original

In Oregon, the online health marketplace isn’t working for people looking to buy individual policies. But the state has been rapidly expanding Medicaid anyway. In Texas, insurance helpers may face state regulations that would make it even harder to assist people seeking coverage.

Methodology: How Value Based Purchasing Payments Are Calculated

KFF Health News Original

The Kaiser Health News story and data on Medicare’s quality payment programs are based on data from the Centers for Medicare & Medicaid Services (CMS) containing the Hospital Value-Based Purchasing and Readmissions Reduction Program adjustment factors for individual hospitals.

By State: Hospital Quality Bonuses And Penalties

KFF Health News Original

Medicare gives hospitals bonuses and penalties based on how well they performed on 24 quality measures. This chart shows the average effect by state on hospitals’ Medicare payments during the second year of the program.