Congress approved two bills last month that prohibit provisions keeping pharmacists from telling patients when they can save money by paying the cash price instead of the price negotiated by their insurance plan.
Category: Medicare
Medicare Advantage Plans Shift Their Financial Risk To Doctors
Some private Medicare Advantage plans are offering large physician-management companies more money upfront and control of their patients’ care, but the doctors are responsible for staying within the budget.
Must-Reads Of The Week From Brianna Labuskes
Newsletter editor Brianna Labuskes wades through hundreds of health articles from the week so you don’t have to.
Feds Settle Huge Whistleblower Suit Over Medicare Advantage Fraud
A DaVita subsidiary will pay $270 million over allegations that it cheated the federal government for years.
Podcast: KHN’s ‘What The Health?’ (Almost) Live from Austin!
In this episode of KHN’s “What the Health?” — recorded in Austin, Texas, as part of the 2018 Texas Tribune Festival — Julie Rovner of Kaiser Health News, Joanne Kenen of Politico, Anna Edney of Bloomberg News and Alice Ollstein of Politico talk about how health issues will play in midterm elections, the Trump administration’s move that could penalize legal immigrants who use government aid programs and other topics. Plus, they are joined by Dell Medical School’s Mini Kahlon.
Medicare Eases Readmission Penalties Against Safety-Net Hospitals
Penalties will total $566 million for all hospitals. But many that serve a large share of low-income patients will lose less money than they did in previous years.
New Medicare Advantage Tool To Lower Drug Prices Puts Crimp In Patients’ Choices
Federal officials are allowing the private insurance plans to use “step therapy” for drugs administered by doctors. In step therapy, patients must first use cheaper drugs to see if they work before receiving more expensive options.
Watch: What Is Sepsis?
What exactly is sepsis, and why is it so dangerous? Who is most vulnerable? And what are the signs? KHN explains in this video.
Are Medicare procedure payments in jeopardy?
While hundreds of doctors have submitted (mostly unfavorable) comments to CMS on the proposed evaluation and management changes, there are other issues which seem to be receiving much less attention than they deserve. And one of those may hit physicians who perform procedures in the wallet. In 2015, Congress asked CMS to analyze the global […]
Podcast: KHN’s ‘What The Health?’ Ask Us Anything!
In this episode of KHN’s “What the Health?” Julie Rovner of Kaiser Health News, Anna Edney of Bloomberg News, Margot Sanger-Katz of The New York Times and Joanne Kenen of Politico answer listeners’ questions about health policy and politics.
