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.

November 6, 2015 | Susan Morse

The Centers for Medicare and Medicaid Services is developing a new model for how it pays dual-eligible health plans after an analysis showed it was underpaying these plans.

October 30, 2015 | Henry Powderly

The Centers for Medicare and Medicaid Services on Thursday lowered the amount it plans to cut payments to home health agencies to $260 million compared the $350 million it proposed earlier this year.

October 22, 2015 | Susan Morse

The medication therapy management model is being tested in five regions as an incentive to boost adherence for stand-alone Part D plans not connected with Medicare Advantage.

October 21, 2015 | Kaiser Health News

A key strategy for Medicare is encouraging doctors, hospitals and other health care providers to form accountable care organizations (ACOs) to coordinate beneficiaries' care and provide services more efficiently.

October 15, 2015 | Kaiser Health News

The monthly cost is increasing an average 26 percent for UnitedHealthcare's AARP MedicareRx Saver Plus while the First Health Value Plus plan is dropping an average 13 percent, according to an analysis of the 10 most popular drug plans by Avalere Health, a research firm.

October 13, 2015 | Susan Morse

A new report by the Health Research Institute of PricewaterhouseCoopers says the transformation from fee-for-service to value-based reimbursement will take longer than the ambitious timeline announced in January by Health and Human Services Secretary Sylvia Burwell.

October 6, 2015 | Kaiser Health News

Out-of-network providers charged patients on average 300 percent more than the Medicare rate for certain treatments or procedures, according to the analysis of 2013 and 2014 claims data released Thursday by the America's Health Insurance Plans.

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