Latest KFF Health News Stories
Rating System For Medicare Advantage Plans Slated For Upgrade
A few years ago, federal officials began rating Medicare Advantage plans – using a scale of one to five stars – but seniors’ advocates, policy analysts, insurers and some top Medicare officials agree the ratings are flawed. Even so, the star system is about to become more significant.
Chart: The Stars of Medicare Advantage
Chart depicts percentage of beneficiaries enrolled in Medicare Advantage plans by rating.
Medicare Advantage: You Get What You Pay For
In the long run, there’s no getting around the fact that Advantage plans will shrink in generosity and availability. Anything else would defy a fundamental law of economics that also happens to be a fundamental law of politics: you get what you pay for. And that might not be a bad thing.
Administration officials tout the Medicare drug rebate as an early and tangible benefit of health reform while Senate Democrats continue trying to advance a legislative package that includes the Medicare physician payment fix and, potentially, an extension of enhanced Medicaid funding for states.
Much of this week’s major health policy news stems directly from Congress’ unfinished business related to the Medicare ‘doc fix’ as well as the House Democrats’ decision not to include enhanced Medicaid funding and COBRA benefit subsidies in their sweeping jobs bill.
Week In Review: Doctor Payment Fight; State Budgets And Medicaid; Medicare Brochure Protests
Challenges from conservative Democrats forced party leaders this week to cut some major spending programs, such as extending COBRA benefits for workers being laid off and providing extra money to state Medicaid programs.
Full Text Of HHS’ Controversial Brochure, “Medicare and the New Health Care Law”
The federal government sent a brochure to more than 40 million Medicare beneficiaries, “Medicare and the New Health Care Law – What It Means for You,” which is generating political controversy.
Democrats Scale Back Medicare ‘Doc Fix,’ COBRA Subsidy Extension In Jobs Bill
Caught up in the congressional politics swirling around a pending tax bill are proposals that affect health care for newly laid-off workers as well as Medicare and Medicaid patients.
Health On The Hill: May 25, 2010
The House of Representatives may vote on legislation this week that would stop a scheduled June 1 payment cut for doctors who accept Medicare physicians.
Medical Spending Spiking In Once Thrifty Areas
Areas like Provo, Utah, that were once models of cost-efficient care are becoming more expensive
Lobbyists Have Long Wish List For New Health Rules
Now that the health care bill is law, an array of groups — representing doctors, insurers, small businesses and others — have switched to their post-passage game plans. Among their top goals: Helping shape the all-important regulations being written by the Obama administration.
Sebelius, Holder: New Health Reform Law Will Help Prevent Medical Fraud
Obama administration officials, touting $2.5 billion recovered from Medicare overpayments and fraud, immediately turned to talk of how health reform could ensure bigger successes in the future.
New Law Could Help Hospice Patients Continue Aggressive Medical Treatments
People who are dying currently can’t get Medicare to pay for hospice care if they continue aggressive curative treatment. But the new health overhaul law could lead to a major change in olicy that allows both hospice and curative care.
Medicare Doctor Pay ‘Fix’ Deadline Looming – Again
For the third time this year, Congress has just days to avert a scheduled 21 percent cut in pay to doctors who treat seniors and others on the Medicare program. And no one seems to be able to figure out how to solve the problem in anything except a stopgap way.
The Independent Payment Advisory Board and Health Care Price Controls
A new commission created by the health law is supposed to ensure that in 2015, Medicare spending is supposed to be limited to a fixed growth rate.
Medicare Advantage Plans Earn So-So Quality Grades
An analysis by the consulting firm Avalere Health finds less than a fourth of the roughly 11 million people enrolled in Medicare Advantage plans as of this spring belonged to plans that had earned four- or five-star quality ratings from Medicare officials.
The Hidden Costs of Publicly Financed Private Health Insurance
There is a hidden cost how we fund health insurance in the U.S.: insurers have more information about health care than the taxpayers that help fund it. The system’s opacity gives insurers the upper hand in debates over government payment rates.
Health On The Hill – April 19, 2010
The Senate Health, Education, Labor and Pensions Committee will hold a hearing this week to discuss how to protect consumers from unreasonable health insurance premium increases.
The President’s Orders On Same-Sex Partners’ Hospital Visitation Rights
The White House released a copy of the memo sent by President Barack Obama to HHS Secretary Kathleen Sebelius on hospital visitors’ rights, including those for same-sex partners of patients.
Medicare Advantage Competitive Pricing: The Political Failure of a Good Idea
Congressional meddling has become almost synonymous with Advantage administrative pricing and the trend continued after the passage of the health care reconciliation bill.
