Latest KFF Health News Stories
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.
Employers Increasingly Trimming Or Cutting Disability Benefits
The same pattern that has emerged in health insurance — employers’ shifting more costs onto workers’ shoulders — is occurring in disability coverage.
HHS Pushes Federal-State Partnerships For Insurance Exchanges
The federal government is worried that dozens of states may opt out of running these insurance marketplaces and leave that job for Washington.
The Essential Benefit Package Americans Need
The real impact of reform will ultimately be measured by the health of the nation — and by that measure, few decisions are more important than what is included in the essential benefit package. How this package takes shape will determine whether health reform delivers on its promise.
Clinical Nuance Essential To Essential Benefits Package
Current “one-size-fits-all” health plans, in which beneficiaries face the same out-of-pocket payment for every doctor visit, test and prescription drug, should be be replaced by plans based on the health benefit gained in the particular clinical circumstance. By using this nuance, health plans can offer more comprehensive and effective coverage while addressing the affordability of health insurance.
Defining ‘Typical’: A Critical Step In Determining The Health Law’s Essential Benefits Package
As implementation of the 2010 health law unfolds, one of the most important questions surrounds how he essential benefits package will be determined. The answer will have a significant impact on the cost of coverage, both inside and outside the law’s insurance exchanges.
Transcript: GOP Candidates Squabble Over Health Care During Tampa Debate
Monday night’s CNN/Tea Party Express debate among the Republican presidential candidates included discussion of Medicare, the health law, costs, the individual mandate and vaccines.
Concern Is Growing That The Elderly Get Too Many Medical Tests
Critics say there is little evidence of benefit — and considerable risk — from common screening tests for colon, breast and prostate cancer, particularly in people older than 70, especially those with other serious health problems.
VA Experience Shows Patient ‘Rebound’ Hard To Counter
The Veterans Health Administration has long used approaches Medicare is pushing on all hospitals to cut unnecessary readmissions. But new data show VA hospital patients are just as likely to end up back in a hospital bed.
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.
A new study investigates why American physicians are high earners.
Back-Up Plans For The Individual Mandate?
With this key health law provision’s constitutionality in question, Kaiser Health News asked six experts what alternative policy approaches might be used in its place.
Q&A: Can I Request An Autopsy For A Loved One?
Michelle Andrews, KHN’s “Insuring Your Health” columnist, answers a question from a reader on what she can do after a doctor refused to authorize an autopsy for her mother-in-law.
Seeking To Save Money, Calif. Ending Adult Day Health Care Program
The state has said its decision to eliminate adult day health care services as a Medi-Cal benefit — essentially shuttering ADHC centers and moving beneficiaries into managed care — is a cost-saving move. But there are questions about how much money it actually will save.
Massachusetts Unions Shape Compromise For State’s Municipal Health Insurance Law
A coaltion of Massachusetts public employee unions recognized that municipal health care costs were a problem and engaged with other stakeholders in the effort to develop a solution. In the end, nobody got they wanted and that’s what a genuine compromise looks like.
These local jurisdictions, in the face of serious budget constraints, have repeatedly pushed for legal relief that would enable them to decrease the burden of public employees’ and retirees’ health benefit costs. Meanwhile, public employee unions have battled to protect what they believe their members have earned through their collective bargaining rights. In this state-policy drama, key players managed to come to a compromise that neither side loves, but both view as a solution.
Reasonable Reform Trumps In Massachusetts
Earlier this summer, Massachusetts Gov. Deval Patrick signed a new law reforming the way that cities and towns design health insurance plans for their employees. As local governments across the country continue to confront the harsh political and fiscal issues of spiraling employee and retiree health costs, the story of how this law came to be is worth examining.
SSI Program For ADHD, Other Disabled Kids Under Scrutiny
The SSI program for low-income disabled children is rapidly expanding, with the biggest increase among kids with mental, behavioral and learning disorders, including ADHD, speech delays, autism, and bipolar disorder, sparking criticism in Congress.
Readers Face Multiple Dilemmas About Insurance Coverage, Costs
“Insuring Your Health” columnist Michelle Andrews answers questions from readers, including someone wondering about coverage if you’ve been drinking, talking with your insurer about a family member’s bill and preventive colonscopies.
