Latest KFF Health News Stories
Judge’s Medicare Advantage Order Could Have National Impact
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.
UnitedHealthcare Dropping Hundreds Of Doctors From Medicare Advantage Plans
The insurer has been notifying members about the network changes as the Dec. 7 deadline for choosing coverage for next year quickly approaches.
Medicare Seeks To Curb Spending On Post-Hospital Care
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
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
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
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.
Nearly 1,500 Hospitals Penalized Under Medicare Program Rating Quality
The hospitals were rated on two-dozen measures, including surveys of patient satisfaction and death rates.
By State: Hospital Quality Bonuses And Penalties
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.
Interactive Chart: Bonuses And Penalties For U.S. Hospitals
This chart shows the payment adjustments for each hospital and how they compared to the bonuses and penalties from last year.
Key Senate, House Committee Chairmen Offer Plan To Fix Medicare Doctor Payments
The proposal would keep physician pay at current levels but offer them incentives for quality improvements.
Tough Medicare Decisions Await Bipartisan Budget Panel
Lawmakers have until Dec. 13 to reach agreement under legislation ending the shutdown of the government and raising the debt ceiling.
Seniors Cautioned To Pay Close Attention To Details As Enrollment Begins In Medicare Plans
Costs, coverage details of different Medicare Advantage or prescription drug plans can vary significantly, so beneficiaries should weigh their options and consider switching plans for a better deal.
Costliest 1 Percent Of Patients Account For 21 Percent Of U.S. Health Spending
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.
FAQ: Seniors On Medicare Don’t Need To Apply To The Health Law Marketplaces
The online exchanges that open Oct. 1 are not aimed at Medicare beneficiaries, but the 2010 health law does affect seniors in other ways.
Health Spending Over The Coming Decade Expected To Exceed Economic Growth
Government actuaries estimate that health care will account for 20 percent of gross domestic product by 2022.
Health On The Hill: ‘It’s A Fire Sale On The SGR’
With the Congressional Budget Office projecting a reduced cost for a long-term “doc fix,” Congress may seize the opportunity to end the annual adjustments to Medicare reimbursement rates. Mary Agnes Carey and CQ Roll Call’s Emily Ethridge discuss.
Long-Term Care Panel Releases Recommendations But Fails To Offer Plan To Help Pay For Services
The group tackles wide-ranging list of concerns, but the lack of a financing plan raises strong objections from some members.
Selling Marketplace Plans To Medicare Beneficiaries Will Be Illegal
The administration ramps up its message that seniors with Medicare coverage do not need plans from the exchanges.
No Shopping Zone: Medicare Is Not Part Of New Insurance Marketplaces
Administration officials are planning campaign to convince millions of seniors that they don’t need to sign up for the online exchanges.
Letters to the Editor is a periodic KHN feature that details readers responses to recent KHN stories.
