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Officials Warn Some Older Marketplace Customers To Switch To Medicare

KHN Original

The government is sending emails and letters to some seniors to warn them that if they are eligible for Medicare and stay on the health law’s exchange, they will have to repay any subsidies they receive and if they miss their Medicare enrollment opportunity, they will face a life-long penalty.

Lawmakers Hear Warnings About Toll MACRA Could Take On Small Practices

KHN Morning Briefing

As the draft rule on this new Medicare physician payment structure is being finalized, a group of GOP physician-lawmakers expresses alarm to the Centers for Medicare & Medicaid Services. Other coverage details the role that commercial insurers have in slowing the trend toward value-based payment models and the “predicament” faced by Wills Eye Hospital when it comes to Medicare.

Some Medicare Advantage And Drug Plans Expected To Leave California Market

KHN Morning Briefing

Official information will be released soon, but advocates say seniors are already getting information from insurers that suggest some will curtail offerings in certain areas of the state. Also, a jury in Florida has convicted the owner of a home health agency in a fraud case.

Medicare Releases New Detailed Analysis Of Spending On Hospice Care

KHN Morning Briefing

According to the figures for 2014, Medicare spends $11,393 on average for each beneficiary for 70 days of care, Modern Healthcare reports. The numbers, however, vary by state. Also, The Hill reports on concerns about Medicare’s move to bundled payments.

Hospitals Ask Feds To Slow Down Proposals To Shift Away From Fee-For-Service Payments

KHN Morning Briefing

The Department of Health and Human Services has a goal of moving 50 percent of its Medicare payments from fee for service to instead reward quality or value through alternative payment models by the end of 2018. Other Medicare news explores the cost of a proposal to change how the government pays for drugs administered in doctors’ offices and efforts by insurers to move people “seamlessly” into Medicare Advantage plans.

Bill To Stop Medicare From Changing Some Drug Payments Could Cost $1.1B, CBO Says

KHN Morning Briefing

Doctors groups and some members of Congress oppose the proposal by federal officials to cut reimbursement rates for drugs administered in doctors’ offices. Also, an inspector general’s report finds that Medicare spent $1.5 billion on defective heart devices and beneficiaries were also on the hook for expenses related to the devices.