Medical Spending Spiking In Once Thrifty Areas
Areas like Provo, Utah, that were once models of cost-efficient care are becoming more expensive
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Areas like Provo, Utah, that were once models of cost-efficient care are becoming more expensive
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.
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.
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.
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.
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.
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.
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 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 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.
Congressional meddling has become almost synonymous with Advantage administrative pricing and the trend continued after the passage of the health care reconciliation bill.
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.
The bill signed by President Obama is long and technical, so it's no wonder that consumers are confused. KHN staff writers check out several key concerns.
The act will promote saving for long-term assistance and will especially benefit senior citizens. This story comes from our partner
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."
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.
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.
Lawmakers agreed in health bill to increase Medicare payments by $800 million to hospitals and doctors in a handful of states.
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.
Hospitals and drug makers are among the biggest winners in the legislative bonanza.
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