Medicare Penalizes 758 Hospitals For Safety Incidents
More than half of these hospitals were also punished last year as the government tries to leverage taxpayer money to improve the quality of care.
Medicare
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California To Revamp Addiction Treatment For Medicaid Recipients
Through what’s known as a drug waiver, state officials will have new spending flexibility as they try to improve outcomes and reduce social and financial costs of people with substance abuse disorders.
By Anna Gorman -
Mom Left Me Money, But Does Uncle Sam Get It As Repayment For My Subsidy?
KHN’s consumer columnist answers questions about the effects a change of income can have on an individual’s subsidy for insurance premiums and dental care for Medicare beneficiaries.
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End Of Medicare Bonus Program Will Cut Pay To Primary Care Doctors
A 10 percent bump in pay, a health law provision that sunsets at the end of the year, was designed to help balance the reimbursement levels between primary care providers and specialists.
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Fewer Medicare-Subsidized Drug Plans Means Less Choice For Low-Income Seniors
The number of Medicare plans that cover medications with a subsidy provided for low-income beneficiaries is declining in 2016 by 20 percent.
By Susan Jaffe -
Medicaid Denies Nearly Half Of Requests For Hepatitis C Drugs: Study
Researchers at the University of Pennsylvania found that Medicaid turned down requests for new expensive drugs to treat hepatitis C 46 percent of the time, while private insurers barred them 10 percent and Medicare 5 percent.
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Survey: Low-Income Elderly Reject Calif. Managed Care Experiment For Fear Of Change
About 47 percent opt out of California’s “dual eligibles” program serving Medicare and Medicaid patients, in part because they fear losing their doctors, a survey finds. But once enrolled in the pilot program, most stay.
By Anna Gorman -
Seniors Who Don’t Consider Switching Drug Plans May Face Steep Price Rise
For beneficiaries, staying in their current plans could prove costly so advocates urge them to check out the alternatives.
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Dementia Also Takes Toll On Unpaid Caregivers, Study Shows
The research shows 77 percent of those with dementia receive routine help with household tasks or personal care such as bathing and dressing. Only 20 percent of the 33 million people without dementia received similar help.
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Don’t Just Renew Your Medicare Plan. Shopping Around Can Save Money.
Enrollment for private Medicare Advantage and Part D drug plans begins Oct. 15 and consumer advocates urge seniors to check out prices to find the best deals.
By Susan Jaffe -
Hospital Care Unaffected By Quality Payments, GAO Finds
The Government Accountability Office found bonuses and penalties have been small, and hospital performance has been steady.
By Jordan Rau -
Insurers Find Out-Of-Network Bills As Much As 1,400 Percent Higher
Insurers' study points to the need for limits on out-of-network billing by doctors and hospitals. The American Medical Association calls the report "grossly misleading."
By Anna Gorman -
GAO: More Oversight Needed Over Medicare Advantage Provider Networks
Congressional watchdog says the government checks few health plans to ensure accurate provider listings and adequate access for seniors on Medicare Advantage.
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Poll Finds Overwhelming Support For Medicare Paying For End-Of-Life Talks
The plan to include funding in the health law for these discussions between doctors and patients was vehemently opposed by some Republicans, but 8 of 10 Americans support the practice.
By Jordan Rau -
Medicare Yet To Save Money Through Heralded Medical Payment Model
The government expected accountable care organizations to save Medicare millions by now, but the program is falling short of targets, records show. KHN also has performance data for all 353 ACOs in 2014.
By Jordan Rau and Jenny Gold -
Urgent Care
This model of care is one of the ways created by the Affordable Care Act to reduce health care costs while improving quality of care. You can also watch the accompanying video that explains ACOs.
By Jenny Gold -
Readers Ask About Concierge Medicine And Medicare; Insulin Costs And The Doughnut Hole
KHN consumer columnist Michelle Andrews answers questions about Medicare beneficiaries’ costs associated with doctors who have concierge medicine practices, insulin pumps and respite care.
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Medicare Says Doctors Should Get Paid To Discuss End-Of-Life Issues
The topic is complex and sometimes requires multiple visits, but right now doctors are paid for it only if they discuss end-of-life planning in their initial visit with a new Medicare patient.
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Study Casts Doubt On Assumptions About Hospital ‘Frequent Fliers’
New research finds that patients who repeatedly use costly hospital and emergency room services, known often as super-utilizers or frequent fliers, generally don’t seek such intense care for a lifetime but instead for a short period of time.