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Congressional meddling has become almost synonymous with Advantage administrative pricing and the trend continued after the passage of the health care reconciliation bill.
While doctors are worrying a lot about whether Congress will block the 21 percent scheduled cut in Medicare payments, a fix to another public health program is raising another question.
The bill signed by President Obama is long and technical, so it's no wonder that consumers are confused. KHN staff writers check out several key concerns.
The act will promote saving for long-term assistance and will especially benefit senior citizens. This story comes from our partner
A multinational company and two members of the Fortune 500 were named among six insurers found in violation of Medicare marketing rules when federal inspectors checked their books and sat in on presentations as "secret shoppers."
The health overhaul package passed by Congress will gradually eliminate the so-called Medicare Part D "doughnut hole," making prescription drugs more affordable for many seniors.
Six Medicare Advantage plans that have been in trouble in the past are still breaking marketing rules in ways that place beneficiaries at risk. Some of their earlier violations included tricking beneficiaries into signing up for the wrong plan and sometimes even enrolling them without their knowledge.
Lawmakers agreed in health bill to increase Medicare payments by $800 million to hospitals and doctors in a handful of states.
Medicare is expanding a program to make sure that some older adults use the right drugs and take them correctly to prevent harmful side effects or interactions. A similar program helped Irene Mooney, who was taking 13 medications and developed some serious side effects.
Hospitals and drug makers are among the biggest winners in the legislative bonanza.
Seniors who reach the "doughnut hole" for prescription medications find that price increases are far outpacing inflation, according to a Kaiser Family Foundation study.
One California cardiology group has confronted steep Medicare cuts with a tactic that may irk patients who already face soaring health costs in that state: Beginning April 1, Pacific Heart Institute, in Santa Monica, will charge some patients annual fees ranging from $500 to $7,500, in addition to the regular fees paid by patients and insurers.
To help pay for his health care overhaul package, President Obama is proposing that wealthy Americans pay Medicare taxes on the money they make on their investments. The proposal would affect millions of people.
Physicians are the immediate beneficiaries of a provision in the jobs bill that would postpone a 21 percent cut in the amount Medicare pays them.
For most of last year, Republicans spent their time attacking Democratic plans for reform, rather than describing their own. But now they've put a plan on the table. Showcasing that plan--and comparing it to what the Democrats have proposed--might help clarify a few things.
A new study by federal officials finds that state, local and federal health spending has steadily increased. And, the nation's health spending as a share of the economy jumped in 2009 by 1.1 points to 17.3 percent.
The Democrats' health overhaul legislation is in trouble for many reasons, including key policy decisions that led many Americans to wonder whether they would wind up worse off.
Since the creation of Medicare and Medicaid nearly 45 years ago, the government has separated acute medical care from personal assistance and long-term care, placing many of the most vulnerable people in the nation at risk. An obscure provision of the Senate health bill attempts to crack that barrier.
Democrats' health plan would give agencies more power to test and expand promising approaches to holding down costs, but the question remains: Can lawmakers resist interfering in efforts that could hurt incomes of home-state providers?
Hospitals, doctors and insurers are opposed to allowing people under 65 to join Medicare
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