Cost and Quality

Latest KFF Health News Stories

Medicare Drug Discounts At Risk If Court Strikes Health Law

KFF Health News Original

The pharmaceutical industry agreed in the health debate to reduce brand-name drug costs by 50 percent for Medicare beneficiaries who reach the coverage gap known as the doughnut hole.

Stakes High For Consumers And Industry As Court Weighs Health Law

KFF Health News Original

If the Supreme Court strikes down part or all of the 2010 federal health law, millions of Americans – including the uninsured, young adults and the chronically ill – could be affected.

Will The Cadillac Tax Extend To Individual Plans Or The Self-Employed?

KFF Health News Original

Michelle Andrews answers a question from a reader about who will be affected by the health law’s Cadillac tax, a 40 percent excise tax on high-cost plans set to start in 2018.

Video: Ex-Medicare Administrator Says Premium Support “Is Going To Have To Happen”

KFF Health News Original

In an interview with KHN’s Marilyn Werber Serafini, former CMS administrator Thomas Scully urges both parties to take a second look at the premium support model for overhauling Medicare.

Health Insurance Cutbacks Squeeze The Insured

KFF Health News Original

Even people with insurance are paying thousands of dollars out of pocket before their insurance kicks in. And even when it does, insurance picks up less then it used to — often a lot less.

Minnesota Seeks Bridge Across ‘Affordability Gap’

KFF Health News Original

Under the 2010 health law, millions of Americans will gain access to affordable health insurance. But in Minnesota, many are concerned that an affordability gap will remain for about 100,000 low-income Minnesotans.

Higher Prices Charged By Hospitals, Other Providers, Drove Health Spending During Downturn

KFF Health News Original

A new study finds prices rose at least five times faster than overall inflation for emergency room visits, outpatient surgery and facility-based mental health and substance abuse care from 2009 to 2010.

Innovation Grants: Adding Resources To Ideas To Improve Health Care Delivery

KFF Health News Original

The Centers for Medicare & Medicaid Services recently awarded 26 innovation grants to advance ideas that are designed to add efficiency and quality to the health system while generating savings. KHN takes a look at four of these projects.

Some States Mandate Better Coverage Of Oral Cancer Drugs

KFF Health News Original

Patients complain that they can spend tens of thousands of dollars because pills are considered a pharmacy benefit by many insurers while traditional IV chemo generally has a a flat copayment and out-of-pocket costs are capped.

Medicare Spotlights Hospitals With Especially Costly Patients

KFF Health News Original

The new data, which include beneficiaries’ bills in the hospital and for 30 days afterward, are a first step toward using bonuses and penalties to encourage more efficient care.

Patients Share Of Expensive Specialty Drugs Is Rising

KFF Health News Original

Growth in spending on these prescriptions, used for complex conditions such as MS and Crohn’s disease, is far outpacing traditional drugs. Often they have no generic alternative.