Medicare

Latest KFF Health News Stories

Medicaid Denies Nearly Half Of Requests For Hepatitis C Drugs: Study

KFF Health News Original

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.

Survey: Low-Income Elderly Reject Calif. Managed Care Experiment For Fear Of Change

KFF Health News Original

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.

Dementia Also Takes Toll On Unpaid Caregivers, Study Shows

KFF Health News Original

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.

Insurers Find Out-Of-Network Bills As Much As 1,400 Percent Higher

KFF Health News Original

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.”

GAO: More Oversight Needed Over Medicare Advantage Provider Networks

KFF Health News Original

Congressional watchdog says the government checks few health plans to ensure accurate provider listings and adequate access for seniors on Medicare Advantage.

Poll Finds Overwhelming Support For Medicare Paying For End-Of-Life Talks

KFF Health News Original

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.

Medicare Yet To Save Money Through Heralded Medical Payment Model

KFF Health News Original

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.

Readers Ask About Concierge Medicine And Medicare; Insulin Costs And The Doughnut Hole

KFF Health News Original

KHN consumer columnist Michelle Andrews answers questions about Medicare beneficiaries’ costs associated with doctors who have concierge medicine practices, insulin pumps and respite care.

Study Casts Doubt On Assumptions About Hospital ‘Frequent Fliers’

KFF Health News Original

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.

Meet The California Family That Has Made Health Policy Its Business

KFF Health News Original

On Medicare’s 50th birthday, two brothers who helped get it off the ground tell their stories. A younger member of the Lee family is at the helm of Covered California, the state insurance exchange.