Medicare

Latest KFF Health News Stories

Consumers Will Pay More Out Of Pocket Next Year For Specialty Drugs

KFF Health News Original

More insurers selling Affordable Care Act plans will charge consumers higher rates for medicines that treat multiple sclerosis, hepatitis C and other serious illnesses, Avalere studies say.

Former HHS Official Calls For ‘Smarter’ Networks That Deliver Cost-Effective Care

KFF Health News Original

Gary Cohen, a former deputy administrator for the Centers for Medicare & Medicaid Services, says the challenge for regulators and insurers is to create networks that not only save money but also deliver better patient outcomes.

Study: American Seniors Face Health Care Gaps, Despite Medicare

KFF Health News Original

The Commonwealth Fund finds cost barriers and limits on care for Medicare beneficiaries consistently places the U.S. low on the list of an 11-nation ranking of how older people fare in industrialized nations.

What To Know About Medicare’s Enrollment Period

KFF Health News Original

Though not a part of the health law’s open enrollment period, Medicare’s enrollment period runs during some of the same time period. Changes to Medicare advantage and the so-called Medicare prescription drug “doughnut hole” are taking center stage.

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.

Medicare Changes Could Limit Patient Access To ALS Communication Tools

KFF Health News Original

Patient advocates say that, because of an official coverage reminder “the door is closing” for ALS patients who depend on Medicare to get speech-generation devices.

The Lowdown On Open Enrollment For Medicare Advantage And Part D

KFF Health News Original

Kaiser Health News’ Julie Rovner hosted a webinar Tuesday to provide background to reporters covering Medicare Advantage and Part D issues through open enrollment and beyond.

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.

Many Medicare Outpatients Pay More At Rural Hospitals, Federal Report Says

KFF Health News Original

An investigation by the HHS inspector general says beneficiaries getting the treatments at “critical access” hospitals pay between two and six times more than those at other hospitals.