Latest KFF Health News Stories
Medicare Cuts Payment to 774 Hospitals Over Patient Complications
Renowned medical centers are among the quarter of general hospitals that will lose 1% of Medicare payments for one year because their patients have high rates of bedsores, sepsis and other preventable complications.
Montana’s Health Policy MVP Takes Her Playbook on the Road
Marilyn Bartlett, credited with saving Montana’s state employee health plan millions of dollars, is a busy consultant now, as states, counties and big businesses try to use her playbook to bring down hospital costs.
4 Vital Health Issues — Not Tied to Covid — That Congress Addressed in Massive Spending Bill
Lawmakers answered pleas from strained health facilities in rural areas, agreed to cover the cost of training more new doctors, sought to strengthen efforts to equalize mental health coverage with that of physical medicine and instructed the federal government to collect data that could be used to rein in high medical bills.
Trump’s Pardons Included Health Care Execs Behind Massive Frauds
Those walking away free were facing years in prison for crimes of “unbounded greed.”
After a Decade of Lobbying, ALS Patients Gain Faster Access to Disability Payments
In late December, then-President Donald Trump signed a law that eliminates — only for people with Lou Gehrig’s disease — the required five-month waiting period before benefits begin under the Social Security Disability Insurance program. Gaining SSDI also gives these patients immediate Medicare health coverage.
One Ambulance Ride Leads to Another When Packed Hospitals Cannot Handle Non-Covid Patients
A Kansas woman thought she’d find help at her local emergency room. What she found instead was a packed hospital and an ambulance ride to someplace else.
Illinois, primer estado en ofrecer cobertura médica a adultos mayores indocumentados
Se espera que la normativa cubra inicialmente de 4,200 a 4,600 inmigrantes mayores. Defensores esperan que Illinois inspire a otros estados.
Illinois Is First in the Nation to Extend Health Coverage to Undocumented Seniors
As the pandemic hits Latino communities especially hard, Illinois is expanding public health insurance to all low-income noncitizen seniors. Advocates hope other states follow its lead.
Many Health Plans Now Must Cover Full Cost of Expensive HIV Prevention Drugs
Most private insurance will be required to cover drugs, like Truvada, that offer protection against HIV infection, without making plan members share the cost.
Seniors Face Crushing Drug Costs as Congress Stalls on Capping Medicare Out-Of-Pockets
While many private insurers cap what members pay in health costs, Medicare does not. Democrats and Republicans in Congress have proposed annual limits ranging from $2,000 to $3,100. But there’s disagreement about how to pay for that cost cap.
KHN’s ‘What the Health?’: 2020 in Review — It Wasn’t All COVID
The coronavirus pandemic colored just about everything in 2020. But there was other health policy news that you either never heard or might have forgotten about: the Affordable Care Act going before the Supreme Court with its survival on the line; ditto for Medicaid work requirements. And a surprise ending to the “surprise bill” saga. Joanne Kenen of Politico, Anna Edney of Bloomberg News and Sarah Karlin-Smith of Pink Sheet join KHN’s Julie Rovner to discuss these issues and more.
Medicare Open Enrollment Is Complicated. Here’s How to Get Good Advice.
It’s a complex program with many options — as well as confusing rules and nuances. Here’s how to get reliable guidance.
Consejos para inscribirse bien en Medicare durante la complicada inscripción abierta
Medicare se reduce fundamentalmente a dos alternativas: la tarifa por servicio del Medicare Tradicional o el enfoque de atención administrada de Medicare Advantage.
Patients Struggle to Find Prescription Opioids After NY Tax Drives Out Suppliers
The tax was touted as a way to generate funding for treatment programs across the state. But to avoid paying, scores of manufacturers and wholesalers stopped selling opioids in New York.
Biden Plan to Lower Medicare Eligibility Age to 60 Faces Hostility From Hospitals
Hospitals, a potent political force, fear lowering the eligibility age will cost them billions of dollars in revenue because federal reimbursements are lower than private insurers’.
Fiscal general de California: los jueces deben ver que ACA es “indispensable”
Respaldado por más de 20 estados, Xavier Becerra defiende la ley contra el desafío presentado hace dos años por una coalición de funcionarios estatales republicanos.
Justices Bound to See ACA as ‘Indispensable,’ Says Californian Leading Defense
The U.S. Supreme Court will hear arguments Tuesday in a case that could overturn the Affordable Care Act. California Attorney General Xavier Becerra, who is defending the law with the backing of more than 20 other states, told California Healthline that he predicts the justices will uphold it.
Biden Wins, but His Health Agenda Dims With GOP Likely to Hold Senate
Democrats had hoped not only to defeat President Donald Trump but also to capture the Senate so they could make major policy changes, such as bolstering the Affordable Care Act and reducing the number of uninsured.
It’s Open Enrollment. Here’s What You Need to Know
For Californians who are buying their own insurance, enrollment in 2021 health plans runs through Jan. 31.
Medicare Fines Half of Hospitals for Readmitting Too Many Patients
The penalties are the ninth round of a program created as part of the Affordable Care Act’s broader effort to improve quality and lower costs. The average reduction in federal payments is 0.69%, with 613 hospitals receiving a penalty of 1% or more.