The Evolution Of Medicare Advantage Plans
The roots of Medicare Advantage plans go back to the late 1970s, when health planners believed they could improve care while saving money. Now, health care reformers say the plans are too costly.
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For Major Health Industry Players, Reform’s Positives Outweigh Negatives
As congressional legislation takes shape, most of the major health care players - hospitals, doctors, nursing homes, health insurers and pharmaceutical companies - are likely to benefit over the long term.
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Will Emphasis on Prevention Bring Health Costs Down?
Obama and congressional leaders hope to reduce health care spending by promoting prevention to catch disease early. But some insurance and health officials say such efforts-although laudable-may not cut overall health costs.
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“Free-Rider” Penalty For Employers Draws Ire From Advocates, Yawns From Business
Unions and advocates for low-income workers are criticizing a possible Senate Finance Committee move to drop an employer mandate in favor of a "free-rider" penalty. The provision would require companies to pay for part of the subsidies for uninsured workers to buy health insurance on the proposed exchanges. Business lobbyists say it's better than a straight mandate.
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Hospitals Divided Over Proposal For Medicare Payment Czar
Powerful hospital trade associations are opposing President Obama's plan for an independent commission to determine how much Medicare pays doctors and hospitals. But certain "model" hospital systems - such as CHRISTUS Health - are breaking ranks and supporting the idea.
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Poll Shows Growing Anxiety About Health Overhaul
Public support for an overhaul the U.S. health care system has slipped somewhat, according to a new poll. But a majority of Americans still believe that "it is more important than ever to take on health care reform now."
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Local Hospitals and Doctors Join Forces to Improve Health Care, Restrain Costs
Even as an overhaul of the nation's health care system gets bogged down in Congress, hospitals, doctors and administrators from around the country talk about how they have changed the way they operate to bolster health care in their home towns.
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‘Model’ Health Systems Press Case For Medicare Fix In Reform
When talking about his vision for the U.S. health care system, President Barack Obama points to places like the Mayo Clinic in Minnesota and Intermountain Healthcare in Utah, which are known for providing high-quality, low-cost care.
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Highly Praised Health Systems Say Medicare Payment Practices Need Overhaul
Integrated health systems have won kudos for their performances from President Obama. But officials at the health systems say the health overhaul bills being debated in Congress don't reward them or encourage others to imitate them. They want lawmakers to move more aggressively to change the Medicare payment system to prod hospitals and doctors to provide better, less expensive care.
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ACOs: A Quick Primer
The hot new concept in health care--Accountable Care Organizations-- would get a test run in pilot projects included in health overhaul legislation.
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Hospitals, After Agreeing to Cuts, Push Ahead With a Full Agenda
Hospital officials today agreed to federal-payment cuts to help pay for a health care overhaul. They hope their concessions will build good will with the Obama administration and Democratic lawmakers. They're pressing for action on a host of other issues, including Medicaid reimbursements and funding for graduate medical education.
By Phil Galewitz and Eric Pianin -
Hospital Deal Could Come Wednesday
The hospital industry is nearing a deal with the White House and congressional Democrats to accept Medicare and Medicaid cuts. Such an agreement, coming on the heels of one with the drug industry, would increase momentum for overhauling the health care system by providing additional funds to finance the effort.
By Laurie McGinley and Phil Galewitz -
Hospitals Close to Agreeing to $150 Billion-$170 Billion in Cuts for Health Reform
Exclusive: The hospital industry is nearing a deal with the White House and congressional Democrats to accept Medicare and Medicaid cuts. Such an agreement, coming on the heels of one with the drug industry, would increase momentum for overhauling the health care system by providing additional funds to finance the effort.
By Laurie McGinley and Phil Galewitz -
Medicaid: True Or False?
Medicaid is front and center in the debate on overhauling the U.S health system and expanding coverage to the uninsured. With 60 million enrollees, Medicaid dwarfs other insurance programs, including its cousin, Medicare, which covers 44 million elderly and disabled people. Here's a chance to test your knowledge of Medicaid.
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Analysis: Why Health Care Reformers Are Wooing Skeptical Seniors
The over-65 crowd, with its outsized political clout, will have a big say in the fate of any health overhaul. And that helps explain a recent agreement on drug discounts involving the pharmaceutical industry, the White House and Congress.
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