Medicare

Latest KFF Health News Stories

How Palliative Care Helps: One Iowa Family’s Journey

KFF Health News Original

‘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.’

Congress Moves Closer To Changing How Medicare Pays Doctors

KFF Health News Original

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.

Judge’s Medicare Advantage Order Could Have National Impact

KFF Health News Original

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.

Medicare Seeks To Curb Spending On Post-Hospital Care

KFF Health News Original

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.

Table: Medicare Spending By State And Category

KFF Health News Original

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.

In Miami, Medicare Comes With White-Glove Treatment

KFF Health News Original

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.

Methodology: How Value Based Purchasing Payments Are Calculated

KFF Health News Original

The Kaiser Health News story and data on Medicare’s quality payment programs are based on data from the Centers for Medicare & Medicaid Services (CMS) containing the Hospital Value-Based Purchasing and Readmissions Reduction Program adjustment factors for individual hospitals.

By State: Hospital Quality Bonuses And Penalties

KFF Health News Original

Medicare gives hospitals bonuses and penalties based on how well they performed on 24 quality measures. This chart shows the average effect by state on hospitals’ Medicare payments during the second year of the program.

Costliest 1 Percent Of Patients Account For 21 Percent Of U.S. Health Spending

KFF Health News Original

Most of these patients have multiple chronic illnesses and all too often they wind up in emergency rooms because they have enormous difficulty navigating the increasingly fragmented, complicated and inflexible health-care system.