Medicare

Latest KFF Health News Stories

More Scrutiny Coming For Medicare Advantage, Obamacare

KFF Health News Original

Federal officials are planning a wide range of audits into billing and government spending on managed health care in the new fiscal year, ranging from private Medicare Advantage groups that treat millions of elderly to health plans rapidly expanding under the Affordable Care Act.

Disabled Vt. Senior Wins Medicare Coverage After 2nd Lawsuit

KFF Health News Original

On Wednesday, Medicare officials agreed to pay for Glenda Jimmo’s home health care, reversing an earlier denial that said she didn’t qualify for coverage because she was not improving.

Disabled Vt. Senior Who Led Class Action Suit Sues Medicare — Again

KFF Health News Original

The landmark settlement was supposed to be a victory for Medicare beneficiaries with chronic conditions and disabilities who had been denied coverage for skilled care because they didn’t meet “the improvement standard” — meaning they were unlikely to improve. But when Glenda Jimmo was denied coverage this spring for that same reason, her lawyers filed a second lawsuit.

Readmissions Penalties By State: Year 3

KFF Health News Original

Medicare evaluated the readmission rates of the nation’s hospitals in determining the third year of penalties in the Hospital Readmissions Reduction Program. This table lists the average impact on hospitals in each state.