Medicare

Latest KFF Health News Stories

Sebelius, Holder: New Health Reform Law Will Help Prevent Medical Fraud

KFF Health News Original

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

KFF Health News Original

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

KFF Health News Original

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.

Medicare Advantage Plans Earn So-So Quality Grades

KFF Health News Original

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

KFF Health News Original

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.

The President’s Orders On Same-Sex Partners’ Hospital Visitation Rights

KFF Health News Original

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

KFF Health News Original

Congressional meddling has become almost synonymous with Advantage administrative pricing and the trend continued after the passage of the health care reconciliation bill.

Health Reform’s Medicaid Expansion, Payment Increase Causes Mixed Feelings For MDs

KFF Health News Original

While doctors are worrying a lot about whether Congress will block the 21 percent scheduled cut in Medicare payments, a fix to another public health program is raising another question.

Medicare Plans That Broke Rules Include Familiar Names

KFF Health News Original

A multinational company and two members of the Fortune 500 were named among six insurers found in violation of Medicare marketing rules when federal inspectors checked their books and sat in on presentations as “secret shoppers.”

Closing Medicare Drug Gap Helps Democrats Sell Reform

KFF Health News Original

The health overhaul package passed by Congress will gradually eliminate the so-called Medicare Part D “doughnut hole,” making prescription drugs more affordable for many seniors.

Which Medicare Plans Broke Rules?

KFF Health News Original

Six Medicare Advantage plans that have been in trouble in the past are still breaking marketing rules in ways that place beneficiaries at risk. Some of their earlier violations included tricking beneficiaries into signing up for the wrong plan and sometimes even enrolling them without their knowledge.

Medicare Steps Up Efforts To Monitor Seniors’ Prescriptions

KFF Health News Original

Medicare is expanding a program to make sure that some older adults use the right drugs and take them correctly to prevent harmful side effects or interactions. A similar program helped Irene Mooney, who was taking 13 medications and developed some serious side effects.

Drug Prices Rise For Seniors Who Reach Medicare Part D Coverage Gap

KFF Health News Original

Seniors who reach the “doughnut hole” for prescription medications find that price increases are far outpacing inflation, according to a Kaiser Family Foundation study.

As Medicare Pay Shrinks, Some California Docs Hike Patient Fees

KFF Health News Original

One California cardiology group has confronted steep Medicare cuts with a tactic that may irk patients who already face soaring health costs in that state: Beginning April 1, Pacific Heart Institute, in Santa Monica, will charge some patients annual fees ranging from $500 to $7,500, in addition to the regular fees paid by patients and insurers.