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Some hospital revenue is now going to be tied to how happy you - the patient - are when you stay there. But not all hospitals are going to be capable of winning the Medicare sweepstakes.
Nursing homes now will be graded on their use of anti-psychotic drugs and will have to do more to get top ratings on the federal website Nursing Home Compare.
Medicaid managed care enrollees in Illinois are reporting difficulties seeing their doctors and getting prescriptions filled, which a state Medicaid official attributes to the speed and scope of the changes.
About 400,000 beneficiaries have until the end of this month to reconsider their Medicare Part D plan choices after Aetna incorrectly identified some pharmacies as being in-network, dropped others and removed some from "preferred" network status.
With the growth of the hospice industry, consumers have a number of choices for end-of-life care. Here鈥檚 a primer to help be prepared.
As part of their effort to improve quality while cutting costs, federal officials announced Monday that they want programs such as accountable care organizations and bundled care to account for 50 percent of traditional Medicare spending by the end of 2018.
Penalties for readmissions and patient injuries erase bonuses hospitals earn for meeting stiff quality criteria. Fewer than 800 will end up with higher payments.
The new Republican chairman of the Senate Finance Committee says the GOP will chip away at Obamacare 鈥減iece by piece.鈥 Still, he says he will work with Democrats to continue funding for the Children鈥檚 Health Insurance Program and overhauling Medicare pay for doctors.
The majority of people choosing the private plans for Medicare coverage were switching out of the traditional program, research in the journal Health Affairs finds.
In California, hundreds of thousands of low-income elderly and disabled people receive daily care in their homes from their children, spouses, relatives and others. And, through a program called In-Home Supportive Services,聽the state pays many of those caregivers about $10 an hour to do the job.
KHN鈥檚 consumer columnist answers a reader鈥檚 question about whether coverage from the health law鈥檚 online exchanges is compatible with Medicare and another question on Medicare drug coverage options when seniors move.
Federal officials handle most of the requests in 2014 from beneficiaries seeking a hearing before a judge and cut into the heavy backlog. But cases from hospitals, doctors and other providers are still on hold.
In 2015, some seniors enrolled in Medicare Advantage plans will be allowed to switch if they lose their doctors.
Medicare is reducing payments to 721 hospitals with high rates of infections or other medical complications. About 1,400 hospitals, including all in Maryland, are excluded from the program and Medicare did not assess their rates of patient harm.
The 1 percent penalty, mandated by the health law, will hit one of every seven hospitals in the country and fall particularly hard on academic medical centers.
The data comes from the Centers for Disease Control and Prevention, which tracks six types of frequently occurring infections in hospitals as part of an effort to reduce them.
More insurers selling Affordable Care Act plans will charge consumers higher rates for medicines that treat multiple sclerosis, hepatitis C and other serious illnesses, Avalere studies say.
The government鈥檚 proposed rule addresses many concerns of accountable care organizations.
Advocates say many poor seniors who need dialysis and cancer treatments will have few transportation options.
Gary Cohen, a former deputy administrator for the Centers for Medicare & Medicaid Services, says the challenge for regulators and insurers is to create networks that not only save money but also deliver better patient outcomes.
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