Cost and Quality

Latest KFF Health News Stories

Administration Facing Tough Sell To Doctors On Health IT

KFF Health News Original

This week, progress was made in developing the framework for the $33 billion health information technology initiative created by the stimulus bill. Dr. David Blumenthal, who heads the Office of the National Coordinator, is a key figure in the process. But he still faces one of the most difficult challenges — convincing doctors that it is in their interest to participate.

Federal Nursing Home Web Site Attracts Visitors — And Debate

KFF Health News Original

The federal Nursing Home Compare Web site has drawn millions of visitors since it posted movie-review-style ratings of nursing homes last year. Both the industry and consumer advocates are seeking changes, including the way homes’ staffing levels are assessed.

What’s An Exchange?

KFF Health News Original

While advocates say insurance exchanges would stimulate price competition and give consumers new choices, there’s also a risk these programs could undermine the employer-based health insurance system. Here are nine questions and answers about exchanges and their role in health reform.

Exchanges May Play Key Role In An Overhauled Health System

KFF Health News Original

Insurance exchanges are a critical part of proposed health system overhaul legislation. They could transform how insurance is sold. But experts warn that without the right structure and rules, exchanges could undermine the employer-based insurance system.

New Kind of Film Noir: Health Care

KFF Health News Original

While lawmakers are targeting rising costs and growing numbers of uninsured, a new crop of health care-focused documentaries offer a darker, more conspiratorial view: Powerful vested interests lusting for profits are responsible for the country’s medical malaise.

Revolving-Door Patients Illustrate Health System Flaws

KFF Health News Original

Patients who are readmitted to the hospital soon after they’re discharged cost the health care system billions of dollars a year in unnecessary spending. These “frequent fliers,” as doctors sometimes call them, illustrate the worst aspects of poorly coordinated care. Innovative programs may serve as models for fixing the problems.

The $64,000 Question: Can Health Care Be Paid For Without Breaking the Bank?

KFF Health News Original

Democrats in Congress, surprised by the high cost estimates for their health care proposals, are looking at a wide range of options for raising money and reducing costs. Some of the revenue raisers have been rejected in previous years, but now all ideas are on the table because of the big amounts needed to pay for a health care overhaul.

Boosting Home Care: An Uphill Battle

KFF Health News Original

Once a senior begins receiving long-term care services, she and her family often are in for two shocks. The first is that Medicare won’t pay beyond perhaps a few months after a hospitalization. The second is that while Medicaid, the state-federal program for the poor, may help, chances are it will only do so for nursing home residents.

Doctors Say Electronic Data-Sharing Is Saving Lives, Money

KFF Health News Original

Memphis, Tenn., is one of a growing number of areas with a successful high-tech health information exchange, which proponents say saves lives and money. But the system now faces a crucial test: what happens when the initial funding runs out?

Bartering For Health Care Rises

KFF Health News Original

When people in Floyd County, Va., visit Dr. Susan Osborne, they can pay for their medicals exam with vegetables, lessons, carpentry services as well as cash. Bartering is a way of life in the rural area, Dr. Osborne says: “It just gives people another avenue to have health care.”

Recession Drives More People to Barter For Health Care

KFF Health News Original

With many people strapped for cash, barter “exchanges” for health care is providing a temporary safety net of sorts for some workers who have lost their jobs and health coverage. And in some cases, people who have inadequate insurance are using barter to get critical services, such as dental and vision benefits.

Small Businesses Want Relief From High Health Costs–But Differ On How To Get It

KFF Health News Original

Small companies, who traditionally have been wary of government action on health care, are more receptive than in the past to legislation that would make changes in health care. But they still have fundamental disagreements over how aggressive the government should be in imposing new rules and revamping the system.

A Group of Health CEOs Wants To End Medicare Fee-For-Service Payments

KFF Health News Original

Some CEOs of America’s largest health care providers called Friday for an end to fee-for-service payments under Medicare and incentives to create administrative efficiencies to lower costs to help pay for America’s try at health care reform.

FSAs Could End Up On Chopping Block In Hunt For Health Overhaul Money

KFF Health News Original

As Congress searches for funds to pay for health legislation, flexible spending accounts, which allow consumers to use pre-tax dollars to pay for medical bills, emerge as a possible source. The result is a renewed debate over whether the accounts are a legitimate way to help people cover costs or are a tax shelter for the affluent.

New Yorker Article Sparks Strong Reaction

KFF Health News Original

Surgeon and author Atul Gawande’s recent article in The New Yorker is generating intense discussion about the cost of medicine and exerting a powerful influence over the health reform debate.