Medicare

Latest KFF Health News Stories

Medicare’s Drug-Pricing Experiment Stirs Opposition

KFF Health News Original

A proposal to change the way Medicare pays for some drugs has set off intense reaction and lobbying — all tied to a common theme: How far should the government go in setting prices for prescription drugs?

Doctors’ House Calls Saving Money For Medicare

KFF Health News Original

A pilot project in which doctors provide primary care at home for very frail Medicare beneficiaries saved $25 million in 2014, and nine of the 14 practices participating earned bonuses totaling nearly $12 million.

Critics Of Medicare’s Overall Hospital Star Rating Push For Changes

KFF Health News Original

Federal officials delayed the release of the ratings after the hospital industry and members of Congress objected to the formula, saying it worked against hospitals that take the patients that are the toughest to treat.

FAQ: Medicare Lays Out Plans For Changing Doctors’ Pay

KFF Health News Original

The effort, which will replace a controversial reimbursement schedule that began in 1997, is designed to move away from paying for quantity of services and focus instead on quality.

Some Firms Save Money By Offering Employees Free Surgery

KFF Health News Original

The idea is this: Negotiate a flat price with a few hospitals to cover surgery, physical therapy and certain other post-op treatments. Companies save money and hospitals gain patients.

Medicare Delays Plans For New Star Ratings On Hospitals After Congressional Pressure

KFF Health News Original

The “overall hospital quality” rating is designed to help consumers who are sometimes confused by the variety of quality measures that the government already provides. But members of Congress had asked for the delay because of concerns that the methodology for the stars was not accurate.

At Teaching Hospitals, Aggressive Screening May Lead To Medicare Penalties

KFF Health News Original

Nearly half of academic medical centers will be penalized by the government this year for high rates of infections and other avoidable complications, but the hospitals say it shows they screen better for problems.

When Medicare Advantage Drops Doctors, Some Members Can Switch Plans

KFF Health News Original

In the past eight months, Medicare officials have quietly granted the special enrollment periods to more than 15,000 Medicare Advantage members in seven states, the District of Columbia and Puerto Rico.

Doctors Ponder Delicate Talks As Medicare Pays For End-Of-Life Counsel

KFF Health News Original

Physicians can now bill Medicare $86 for up to 30 minutes of counseling given to patients about end-of-life planning, but many doctors may need training to have those talks.