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Murray Ross, a vice president in the part of the company that sells health plans, says the law's individual mandate is needed to attract healthier participants, which balances risks and costs.
Andy Allison, Arkansas Medicaid director and president of the National Association of Medicaid Directors, is adamant that cash-strapped states won't be able to do much to expand coverage to the uninsured if the Supreme Court strikes down the law.
Michigan Medicaid Director Steve Fitton believes it will be a "struggle" for his state to be ready to implement the health law on schedule if the Supreme Court upholds the measure. But he's confident that Michigan can handle the expected new enrollees in Medicaid.
Former CMS administrator Thomas Scully urges both parties to take a second look at the premium support model for overhauling Medicare.
In an interview with KHN's Marilyn Werber Serafini, former CMS administrator Thomas Scully urges both parties to take a second look at the premium support model for overhauling Medicare.
Supporters say the bonus system is improving care for millions of seniors, but critics say it can be a clumsy measure of value and rewards mediocrity.
The Senate Finance Committee convened a group of former Medicare administrators Thursday -- Gail Wilensky, Bruce Vladeck, Thomas Scully and Mark McClellan -- to discuss how they viewed the current crisis on physician fees and the Sustainable Growth Rate formula, the "doc fix" problem.
The new data, which include beneficiaries' bills in the hospital and for 30 days afterward, are a first step toward using bonuses and penalties to encourage more efficient care.
Accountable care organizations will confront questions, including whether this new model for delivering medical treatment has the muscle to overcome the system's entrenched incentives.
People who are not admitted to the hospital
KHN's Mary Agnes Carey and Marilyn Werber Serafini join Jackie Judd to preview this week's House hearings on Medicare and to dig into the details of the Medicare trustees' report.
A growing number of health experts are warning of potential collateral damage if the Supreme Court strikes down the entire 2010 Affordable Care Act: potential chaos in the Medicare program.
KHN's Jordan Rau and Mary Agnes Carey discuss Medicare's transition to compensating doctors based on the quality of the medical care they provide.
A little-noticed provision of the health law calls for increasing reimbursements to doctors who provide quality care at lower cost and reducing payments to physicians who run up costs without better results.
President Barack Obama today attacked the Republican 2013 budget as a "Trojan horse" and "thinly veiled social Darwinism" -- and defended the constitutionality of the health law. Watch excerpts from the speech.
Competing ideas and election-year politics will thwart major legislation in 2012, but look for budgetary action at year's end.
The coverage change could help focus doctors and patients on mental health issues, which often go undiagnosed in the elderly, especially those who are dealing with multiple chronic physical problems.
The New England Journal of Medicine reports that a test project
Kaiser Health News compares data on the progress of the health law's implementation to the original projections of the nonpartisan Congressional Budget Office and the Obama administration.
A panel established by the health law to rein in Medicare spending is the target of a House GOP effort to begin dismantling the 2010 health law.
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