Latest KFF Health News Stories
Medicare Surprise: Drug Plan Prices Touted During Open Enrollment Can Rise Within a Month
Even the savviest Medicare drug plan shoppers can get a shock when they fill prescriptions: That great deal on medications is no bargain after prices go up.
Though Millions Are at Risk for Diabetes, Medicare Struggles to Expand Prevention Program
Medicare has proposed revamping its payment rules to get more people into a diabetes prevention plan that helps them eat better, exercise more and maintain a healthier lifestyle. Out of an estimated 16 million Medicare beneficiaries whose excess weight and other risk factors make them eligible, only 3,600 have participated since 2018.
Biden Plan to Lower Medicare Eligibility Age to 60 Faces Hostility From Hospitals
Hospitals, a potent political force, fear lowering the eligibility age will cost them billions of dollars in revenue because federal reimbursements are lower than private insurers’.
Medicare Fines Half of Hospitals for Readmitting Too Many Patients
The penalties are the ninth round of a program created as part of the Affordable Care Act’s broader effort to improve quality and lower costs. The average reduction in federal payments is 0.69%, with 613 hospitals receiving a penalty of 1% or more.
New Dental Treatment Helps Fill Cavities and Insurance Gaps for Seniors
A new treatment for tooth decay is cheaper, quicker and less painful than getting a filling. Originally touted as a solution for kids, silver diamine fluoride is poised to become a game changer for treating cavities in older adults or those with disabilities that make oral care difficult.
When A Doctor No Longer Accepts Medicare, Patients Left Holding The Bag
As doctors look for alternative ways to charge patients for care, some Medicare enrollees may lose access to their physicians.
Democratic Super PAC Uses Familiar Political Play To Hit Trump On Medicare
This is a tactic that we’ve seen before.
Furor Erupts: Billions Going To Hospitals Based On Medicare Billings, Not COVID-19
In the first round of emergency relief, some states will get more than $300,000 per COVID-19 patient, while hard-hit New York gets just $12,000 per patient.
To ‘Keep The Lights On,’ Doctors And Hospitals Ask For Advance Medicare Payments
As part of the federal response to the coronavirus crisis, Medicare is offering to give hospitals and doctors accelerated payments.
Pandemic Delays Federal Probe Into Medicare Advantage Health Plans
Government officials want to focus on fighting COVID-19 instead of recouping overcharges that run into the millions.
Federal Judge Rules Medicare Patients Can Challenge ‘Observation Care’ Status
Hundreds of thousands of people will be able to appeal hospitals’ decisions to classify them as “observation care” patients instead of inpatients, under a ruling last week in a class action suit.
Telemedicine Surges, Fueled By Coronavirus Fears And Shift In Payment Rules
Millions of Americans are suddenly seeking care by connecting with a doctor electronically. Helping drive that trend, medical providers can now charge as much as they would for an office visit.
Dental Shock: Six Pulled Teeth And One Unexpected Bill
One woman’s experience with the high cost of dental care and confusing Medicare coverage offers a teachable moment for other consumers. Her small church took up a collection, but the surprise bill — four times what she expected to pay — was sent to collections.
Why Home Health Care Is Suddenly Harder To Come By For Medicare Patients
Medicare has changed how it pays for services. In response, agencies across the country are firing therapists, limiting physical, occupational and speech therapy, and terminating services for some longtime, severely ill patients.
Website Errors Raise Calls For Medicare To Be Flexible With Seniors’ Enrollment
Members of Congress and others complain Medicare’s revamped Plan Finder had problems. Federal officials say they can help consumers who got bad information change their plans next year. But details about how switching will work are yet to come.
Medicare Fraudsters Now Tap Telemedicine In Medical Equipment Scams
Scammers bent on defrauding Medicare are embracing the new technologies of remote diagnosis. Federal law enforcement is cracking down.
As Medicare Enrollment Nears, Popular Price Comparison Tool Is Missing
For more than a decade, customers used the online plan finder to compare dozens of policies. Yet after a redesign of the website, the search results no longer list which plan offers a customer the best value. Federal officials say it will be fixed before enrollment begins next week.
Trump’s New Order For Medicare Packs Potential Rise In Patients’ Costs
The president’s directive, which he said is designed to give beneficiaries more choices in their health care, could lead to higher costs for seniors. Final rules are to be written by the Department of Health and Human Services.
New Round of Medicare Readmission Penalties Hits 2,583 Hospitals
Starting today, Medicare is keeping half a billion dollars in payments from 83% of general hospitals for having too many patients come back.
Castro’s Attack On Biden For Blanking On His Health Care Plan Falls Flat
It turns out the health care plans put forth by the campaigns of former Vice President Joe Biden and former Cabinet secretary Julián Castro are not that different.
