Latest KFF Health News Stories
Medicare Studying Plans To Pay Nursing Homes Based On Quality
The 2010 health law directs the health program for seniors to create an incentive pay program for nursing homes.
Romney’s Choice Of Ryan Is Key To Politics Of Medicare Debate
KHN’s Mary Agnes Carey and Marilyn Werber Serafini discuss how Medicare reforms could figure into November’s presidential election now that presumptive GOP presidential candidate Mitt Romney has chosen Rep. Paul Ryan, R-Wis., to be his running mate.
Medicare To Penalize 2,217 Hospitals For Excess Readmissions
Too many patients are returning to the hospital soon after being discharged, a costly problem the government is tackling.
FAQ: How Paul Ryan Proposes To Change Medicare
The Republican-controlled House, along party lines, twice approved Ryan’s proposals to overhaul the popular program by giving beneficiaries a set amount of money every year to buy coverage from competing health plans. That is a fundamental shift from today’s program, where the federal government must help pay for every doctor visit and medical service that an individual uses.
Medicare Seeks To Cut Number Of Seniors Denied Nursing Home Coverage After Hospital Stays
The government is testing new hospital payment rules to see if fewer beneficiaries will be classified as observation patients, which can be a costly designation for seniors.
Hospitals’ Readmissions Rates Not Budging
Medicare data show little improvement in curbing the number of beneficiaries who are readmitted despite threats of financial penalties to hospitals.
What’s At Stake For Medicare Beneficiaries In Supreme Court Decision
If the Supreme Court strikes down the health law, 49 million Medicare beneficiaries could lose a variety of benefits that have already kicked in.
N.Y. Insurance Co. Exec: ‘Life Will Go On,’ Expensively, Without Individual Mandate
If the Supreme Court strikes down the health law, New York would be in a somewhat unique position, according to David Abernethy, a senior vice president of EmblemHealth.
Oregon’s DeMars: SCOTUS Decision Won’t Change State’s Reform Plans
Even if the Supreme Court overturns the law, Chris DeMars, a senior program officer at Oregon’s Northwest Health Foundation, expects the state to move forward with insurance exchanges and an effort to coordinate care.
AdvaMed’s Nexon: Expect More Health Cost Reduction Pressure
David Nexon, a top health care adviser to the late Sen. Ted Kennedy, says that no matter what, tremendous pressure to reduce spending will continue to push lawmakers to find ways to control health care costs.
Medicare Drug Discounts At Risk If Court Strikes Health Law
The pharmaceutical industry agreed in the health debate to reduce brand-name drug costs by 50 percent for Medicare beneficiaries who reach the coverage gap known as the doughnut hole.
Kaiser Permanente’s Ross: There’s No Effective Substitute For The Mandate
Murray Ross, a vice president in the part of the company that sells health plans, says the law’s individual mandate is needed to attract healthier participants, which balances risks and costs.
Medicaid Association Director: Uncertainty, Legislative Politics Have Slowed State Implementation
Andy Allison, Arkansas Medicaid director and president of the National Association of Medicaid Directors, is adamant that cash-strapped states won’t be able to do much to expand coverage to the uninsured if the Supreme Court strikes down the law.
Mich. Medicaid Director: “A Struggle” To Meet Deadlines If Law Upheld
Michigan Medicaid Director Steve Fitton believes it will be a “struggle” for his state to be ready to implement the health law on schedule if the Supreme Court upholds the measure. But he’s confident that Michigan can handle the expected new enrollees in Medicaid.
Ex-Medicare Administrator: Premium Support “Is Going To Have To Happen”
Former CMS administrator Thomas Scully urges both parties to take a second look at the premium support model for overhauling Medicare.
Video: Ex-Medicare Administrator Says Premium Support “Is Going To Have To Happen”
In an interview with KHN’s Marilyn Werber Serafini, former CMS administrator Thomas Scully urges both parties to take a second look at the premium support model for overhauling Medicare.
Second Guessing Medicare’s Star Rating System
Supporters say the bonus system is improving care for millions of seniors, but critics say it can be a clumsy measure of value and rewards mediocrity.
Former CMS Chiefs: Medicare SGR Problem Can Be Fixed
The Senate Finance Committee convened a group of former Medicare administrators Thursday — Gail Wilensky, Bruce Vladeck, Thomas Scully and Mark McClellan — to discuss how they viewed the current crisis on physician fees and the Sustainable Growth Rate formula, the “doc fix” problem.
Medicare Spotlights Hospitals With Especially Costly Patients
The new data, which include beneficiaries’ bills in the hospital and for 30 days afterward, are a first step toward using bonuses and penalties to encourage more efficient care.
Analysis: ACOs Could Have The Medicare Muscle To Transform Health System
Accountable care organizations will confront questions, including whether this new model for delivering medical treatment has the muscle to overcome the system’s entrenched incentives.
