Cost and Quality

Latest KFF Health News Stories

Finance Bill’s Fine Print May Cause Sticker Shock For Some Consumers

KFF Health News Original

Legislation seeks to limit the amount low-and middle-income people will pay for health insurance. But a shift in the way their share of the premium is calculated in the second year of the program may make it more expensive.

Health Care Pools: Let Youth Jump, Or Push Them?

KFF Health News Original

In drafting national standards on how health insurers should be able to use age to set premium rates, congressional committees agree that older people should pay more. But they differ widely on just how much. Ultimately, it comes down to how many young adults get into the pool.

Tulsa Hospital Gives Medicare Patients Cash Back For Surgery

KFF Health News Original

At Hillcrest Medical Center, which is testing a “bundled” Medicare payment system, some seniors get paid up to $1,157 for having surgery. The pilot program aims to save money and improve care by paying doctors and hospitals a lump sum and rewards the patients with part of the savings.

Democrats Push To End Insurers’ Antitrust Exemption

KFF Health News Original

The relationship between the Democrats and health insurers has turned ugly since the industry began to spurn the health care makeover it once supported. Now, some members of Congress Democrats want to strip the industry’s exemption from federal antitrust laws.

Opponents Try To Undo Health Bill Deals

KFF Health News Original

While top members of the House and Senate are struggling to put together health care overhaul bills on Capitol Hill, elsewhere in Washington, patient advocates and other groups are trying to take apart some of the deals already cut with top health care industry groups.

Attacking Dartmouth Atlas Is Off-Target

KFF Health News Original

Trying to discredit the Dartmouth data is a distraction from the real work that’s needed to understand and remedy the extraordinary amount of money spent on care that does not appear to make a difference in health.

Drug Coupons Hide True Costs Of Medicines From Consumers

KFF Health News Original

Pharmaceutical companies have found a way around higher insurance copays for brand-name drugs. They offer coupon cards so patients don’t have to pay more. But insurance companies say that if everyone uses the cards to get pricier name-brand drugs, premiums will rise. This story comes from our partner NPR News

Selling Sickness: How Drug Ads Changed Health Care

KFF Health News Original

Prescription drug spending is the third most expensive cost in the U.S. health care system. The average American gets 12 prescriptions a year, and this number only seems to grow larger. We examine what drove the increase in prescription drug consumption in America. This story comes from our partner NPR News

A Forgotten Health Debate: Funding Long-term Care

KFF Health News Original

Donna Taylor’s father planned ahead – he had insurance and savings to pay for health coverage when he retired. But when he got sick and couldn’t walk, he found he did not have enough coverage to pay for care for himself and his disabled wife.

Why Are Health Costs So High? The System Pushes Doctors To Give Unnecessary Care

KFF Health News Original

In the mid-1970s, an unconventional researcher named Jack Wennberg discovered an unusually high rate of hysterectomies in Lewiston, Maine. That was just one of a series of studies that led to a very surprising conclusion about health care: a large portion of the medical care Americans get is unnecessary.

Buying Insurance On The Individual Market

KFF Health News Original

Freelance writer Cindy Richards buys insurance on the ‘individual market’ – from a broker – to cover herself and her son and daughter. Her husband had to buy a policy separately. Between them, they pay $500 a month in premium costs and have a yearly deductible of over $10,000. She believes it’s “too difficult” to get health insurance in America.

‘Facility Fees’ Are Surprise Cost For Many Patients

KFF Health News Original

Facility fees, charged to patients who get treatment in hospital-owned outpatient clinics, are used defray to hospital overhead, pay salaries and meet stringent standards, hospital officials say. Critics say the fees are a way to increase the cost of care when patients can least afford it.