February 1, 2016 | Kaiser Health News

For some people -- especially those who are young, healthy and don't qualify for a tax credit from Covered California or other health insurance exchange -- short-term plans might make financial sense, even though they don't shield you from the Obamacare tax penalty.

January 18, 2016 | Kaiser Health News

For people whose income changes shift them above or below the Medicaid threshold during the year, navigating their health insurance coverage can be confusing. Ditto for lower income people who live in states that may expand Medicaid this year.

December 30, 2015 | Susan Morse

A pre-authorization process for certain medical supplies has worked to bring down costs in sample studies and will help prevent questionable billing practices. 

December 28, 2015 | Jeff Lagasse

The Patient Access and Medicare Protection Act, which was recently passed, will hold Medicare reimbursement rates steady for freestanding radiation oncology centers. Additionally, two providers listed as B3 stable, 21st Century Oncology and Vantage Oncology, will see their 2016 rates hold steady for 2017-18, according to a report from Moody's Investor Service.

December 22, 2015 | Susan Morse

As prescription drugs prices continue to drive up healthcare spending, the Centers for Medicare and Medicaid Services is creating a new online dashboard to increase transparency and address affordability.

December 22, 2015 | Susan Morse

The data released Friday in the "Home Health Agency Utilization and Payment Public Use File" contains information on utilization, payments, and submitted charges organized by provider, state and home health resource group.

December 8, 2015 | Beth Jones Sanborn

CMS said by the end of next year, 85 percent of all traditional Medicare payments to quality or value and 30 percent of traditional Medicare payments should be tied to alternative payment models.

November 24, 2015 | Kaiser Health News

Many primary care practitioners will be a little poorer next year because of the expiration of a health law program that has been paying them a 10 percent bonus for caring for Medicare patients.

November 23, 2015 | Kaiser Health News

As beneficiaries explore options during the current Medicare enrollment period, there are only 227 such plans from which they can choose next year, 20 percent fewer than this year, and the lowest number since the drug benefit was added to Medicare in 2006, according to the Centers for Medicare & Medicaid Services.

November 17, 2015 | Susan Morse

The goal is to increase the approximately 59 percent of Humana individual Medicare Advantage members who have primary care physicians participating in value-based relationships, to 75 percent by the end of 2017.

November 17, 2015 | Susan Morse

Under the model, hospitals in 67 geographic areas will receive additional payments if quality and spending performance are strong, or if not, have to potentially repay Medicare for a portion of the spending for care for a lower extremity joint replacement procedure.

November 13, 2015 | Susan Morse

The Medicare Part A annual deductible that beneficiaries pay when admitted to the hospital will be $1,288.00 in 2016, a small increase from $1,260.00 in 2015.

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