Impact Of Medicare Advantage Cuts On Seniors Sharply Disputed
Experts say that costs may rise for some enrollees, but rates have been largely stable for most.
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Experts say that costs may rise for some enrollees, but rates have been largely stable for most.
The first public evaluation of how 141 networks of doctors and hospitals performed looks at five quality measures for patients with diabetes and heart disease.
But finding a way to finance the SGR replacement may be even more difficult.
If Congress finally overhauls the way Medicare pays doctors, experts say patients would see new emphasis on coordinated care and preventive services.
New requests from hospitals, doctors and other providers have been suspended for two years as officials try to get through a backlog of 357,000 cases.
Hospital executives will list adjusted charges to more accurately reflect what Miami Children's collects from insurers, so consumers can estimate their out-of-pocket costs.
Capitol Hill committees appear close to replacing the controversial physician payment system that rewards doctors for volume with one that offers incentives for quality and coordination of care.
Letters to the Editor is a periodic KHN feature.
Maryland hospitals have agreed to new spending limits and big changes in the way they are paid, creating what could be a national model.
In a state where politicians have said 'no' to the Affordable Care Act, the area around Atlanta has a growing number of health IT businesses. Some are benefiting from the law.
A new study takes the closest look yet at the relationship between Medigap coverage and Medicare spending.
The new analysis is part of the government's effort to improve the quality of care.
'This is their life. They're the boss,' says Dr. Tim Ihrig of the palliative care department at UnityPoint hospital in Fort Dodge, Iowa. 'It's an honor to be on this journey.'
Key House and Senate committees approved legislation Thursday to repeal the Sustainable Growth Rate, the formula officials use to pay doctors who treat Medicare patients. KHN's Mary Agnes Carey and Politico Pro's Jennifer Haberkorn discuss.
Consumers should not assume that facilities provide better care because they charge more, experts say.
UnitedHealthcare will appeal a federal judge's order temporarily blocking the insurer from dropping Connecticut providers, while doctors' groups in Ohio and New York look at bringing similar lawsuits.
The insurer has been notifying members about the network changes as the Dec. 7 deadline for choosing coverage for next year quickly approaches.
One out of every six dollars Medicare spent in the traditional fee-for-service program went to nursing and therapy for patients in rehabilitation facilities, nursing homes, long-term care hospitals and in their own homes.
One out of every five dollars Medicare spends goes to nursing homes, home health services or other post-acute facilities and services. The spending varies greatly between states: Louisiana spends 31 percent on post-acute services while Hawaii spends 12 percent.
More than half of all eligible seniors in Miami-Dade and Broward counties enroll in private managed care, rather than traditional Medicare, in a highly-lucrative and super-competitive marketplace for Medicare Advantage plans.
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