UnitedHealthcare Dropping Hundreds Of Doctors From Medicare Advantage Plans
The insurer has been notifying members about the network changes as the Dec. 7 deadline for choosing coverage for next year quickly approaches.
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The insurer has been notifying members about the network changes as the Dec. 7 deadline for choosing coverage for next year quickly approaches.
One out of every six dollars Medicare spent in the traditional fee-for-service program went to nursing and therapy for patients in rehabilitation facilities, nursing homes, long-term care hospitals and in their own homes.
One out of every five dollars Medicare spends goes to nursing homes, home health services or other post-acute facilities and services. The spending varies greatly between states: Louisiana spends 31 percent on post-acute services while Hawaii spends 12 percent.
More than half of all eligible seniors in Miami-Dade and Broward counties enroll in private managed care, rather than traditional Medicare, in a highly-lucrative and super-competitive marketplace for Medicare Advantage plans.
The Kaiser Health News story and data on Medicare's quality payment programs are based on data from the Centers for Medicare & Medicaid Services (CMS) containing the Hospital Value-Based Purchasing and Readmissions Reduction Program adjustment factors for individual hospitals.
This chart shows the payment adjustments for each hospital and how they compared to the bonuses and penalties from last year.
Medicare gives hospitals bonuses and penalties based on how well they performed on 24 quality measures. This chart shows the average effect by state on hospitals' Medicare payments during the second year of the program.
The hospitals were rated on two-dozen measures, including surveys of patient satisfaction and death rates.
The proposal would keep physician pay at current levels but offer them incentives for quality improvements.
Lawmakers have until Dec. 13 to reach agreement under legislation ending the shutdown of the government and raising the debt ceiling.
Costs, coverage details of different Medicare Advantage or prescription drug plans can vary significantly, so beneficiaries should weigh their options and consider switching plans for a better deal.
Most of these patients have multiple chronic illnesses and all too often they wind up in emergency rooms because they have enormous difficulty navigating the increasingly fragmented, complicated and inflexible health-care system.
The online exchanges that open Oct. 1 are not aimed at Medicare beneficiaries, but the 2010 health law does affect seniors in other ways.
Government actuaries estimate that health care will account for 20 percent of gross domestic product by 2022.
With the Congressional Budget Office projecting a reduced cost for a long-term "doc fix," Congress may seize the opportunity to end the annual adjustments to Medicare reimbursement rates. Mary Agnes Carey and CQ Roll Call's Emily Ethridge discuss.
The group tackles wide-ranging list of concerns, but the lack of a financing plan raises strong objections from some members.
The administration ramps up its message that seniors with Medicare coverage do not need plans from the exchanges.
Administration officials are planning campaign to convince millions of seniors that they don't need to sign up for the online exchanges.
Letters to the Editor is a periodic KHN feature that details readers responses to recent KHN stories.
A Minnesota hospital's care for congestive heart failure patients set the stage for it to become an Accountable Care Organization under the health law.
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