Category: Medicare

Health Spending for 60-64 Year Olds Would Be Lower Under Medicare Than Under Large Employer Plans

During the presidential campaign, President Biden proposed to lower the age of Medicare eligibility from 65 to 60. This analysis uses claims data for covered medical services from both large employer plans and traditional Medicare to illustrate the pot…

How Lowering the Medicare Eligibility Age Might Affect Employer-Sponsored Insurance Costs

This analysis for the Peterson-KFF Health System Tracker illustrates the potential for employer savings if the age of Medicare eligibility were lowered to 60, as proposed by President Biden during the 2020 campaign.

Time to Say Goodbye to Some Insurers’ Waivers for Covid Treatment Fees

Insurers voluntarily set the charges aside earlier in the pandemic — but that means those same health plans can decide to reinstate them.

Humana Health Plan Overcharged Medicare by Nearly $200 Million, Federal Audit Finds

Medicare Advantage company may face record penalty over alleged billing errors.

Analysis Finds That a Relatively Small Number of Drugs Account for the Majority of Medicare Prescription Drug Spending

A new KFF analysis finds that a relatively small share of drugs, mainly those without generic or biosimilar competitors, accounted for a disproportionate share of prescription drug spending in Medicare in 2019. This finding suggests that recent proposa…

Relatively Few Drugs Account for a Large Share of Medicare Prescription Drug Spending

As policymakers focus attention on proposals to lower prescription drug costs by allowing price negotiation or international reference pricing for a limited number of drugs, this analysis measures the share of total Medicare Part D and Part B prescript…

KHN’s ‘What the Health?’: Pause and Effect on Covid Vaccines

Podcast panelists discuss a range of health policy developments, from the latest in the covid vaccination effort to the HHS budget, among other things.

Biden Seeks $400 Billion to Buttress Long-Term Care. A Look at What’s at Stake.

Long-term care options are expensive and often out of reach for seniors and people with disabilities. The president has proposed a massive infusion of federal funding for home and community-based health services that advocates say will go a long way toward helping individuals and families.

KHN’s ‘What the Health?’: Planning for Round Two

The ink is barely dry on the recent covid relief bill, but Democrats in Congress and President Joe Biden are wasting no time gearing up for their next big legislative package. Meanwhile, predictions of more states expanding Medicaid have proved premature. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat and Kimberly Leonard of Business Insider join KHN’s Julie Rovner to discuss these issues and more. Plus, Rovner interviews KHN’s Lauren Weber, who reported the latest KHN-NPR “Bill of the Month” episode.

Moving the Needle on Prescription Drug Costs: Using the Innovation Center and Other Demonstration Authority

This brief examines how the CMS Innovation Center (also known as CMMI) and Section 402 demonstration authority could become pathways for the Biden Administration to implement policy changes related to prescription drug costs.