Medicare

Latest KFF Health News Stories

Medicare To Test New Payment Approaches For Some Prescription Medications

KFF Health News Original

Regulators unveiled a two-part plan that will change payments and test ways in which the Medicare Part B program can change the incentives that some policy experts say encourage doctors to choose higher-cost medications.

Medicare Plans Score Higher Ratings And Millions In Bonuses

KFF Health News Original

The share of Medicare Advantage members enrolled in plans with high star ratings has almost doubled since 2013, earning bonuses for private insurers who offer them.

Insurers And Medicare Agree On Measures Tracking Doctors’ Quality

KFF Health News Original

The first set of measures focus on seven types of care, including for hearts and cancer. The metrics will be integrated into formulas that determine physicians’ pay.

Some Dialysis Patients Give Medicare Failing Grade On Ambulance Trial

KFF Health News Original

A Medicare trial aimed at averting billing fraud and waste in nonemergency ambulance service in eight states is drawing complaints from patients’ families and ambulance companies.

Buying Supplemental Insurance Can Be Hard For Younger Medicare Beneficiaries

KFF Health News Original

Congress left it to states to determine whether private Medigap plans are sold to the more than 9 million disabled people younger than 65 who qualify for Medicare. The result: rules vary across the country.

Surprise! Here’s Another Bill For That ‘Paramedic Response’

KFF Health News Original

California cities increasingly are billing patients for paramedic services that they say were not covered by insurers. One 85-year-old woman took on city hall.

Baby Boomers Set Another Trend: More Golden Years In Poorer Health

KFF Health News Original

Medicare faces sharp cost increases as more baby boomers reach 65, and their life expectancies grow, as well as their chronic conditions, say researchers at the University of Southern California.

758 Hospitals Penalized For Patient Safety In 2016: Data Table

KFF Health News Original

Medicare is lowering its 2016 payments by 1 percent for 758 hospitals with high rates of potentially avoidable infections and complications such as blood clots, bed sores and falls. This is the second year of the Hospital-Acquired Conditions Reduction Program, which was mandated by the federal health law to reduce patient injuries. Below are the […]

California To Revamp Addiction Treatment For Medicaid Recipients

KFF Health News Original

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.

Mom Left Me Money, But Does Uncle Sam Get It As Repayment For My Subsidy?

KFF Health News Original

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.

End Of Medicare Bonus Program Will Cut Pay To Primary Care Doctors

KFF Health News Original

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.