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The House this week held a hearing on payment shifts in Medicare Advantage plans and has scheduled a vote Friday on a proposal to revamp the system for paying doctors. KHN's Mary Agnes Carey and Politico Pro's Jennifer Haberkorn discuss the issues.
Officials at the Centers for Medicare & Medicaid Services are proposing to remove some drugs from Medicare's prescription drug plans and limit how many plans insurers can offer. KHN's Mary Agnes Carey and CQ Roll Call's Emily Ethridge discuss.
Nursing home oversight may be moving toward more effective ways to detect poor care.
Among the elements of the proposal that consumers might notice are changes in what drugs will be "protected" so that they are more readily available to seniors, how many plans are offered and what pharmacies will be offering the best deals.
Officials say proposed alterations would help seniors and save money but some patient groups and the drug industry are raising concerns.
Insurers claim the cuts are deeper and are campaigning to stop them, saying they will hurt seniors.
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.
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