How Many Physicians Have Opted Out of the Medicare Program?
This brief provides the most recent data on the extent to which non-pediatric physicians are opting out of Medicare, by specialty and by state.
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Understanding the Role of the FTC, DOJ, and States in Challenging Anticompetitive Practices Of Hospitals and Other Health Care Providers
Issue BriefThis brief explains the role of federal and state antitrust agencies in challenging anticompetitive practices among hospitals and other health care providers, including the legal authority of federal and state agencies, the role that they play in enforcing antitrust laws, and proposed options for strengthening their authority.
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The Semi-Sad State of Consumer Protection In Health Care
From Drew AltmanIn this column, KFF President and CEO Drew Altman explores the state of consumer protections in health care and explains why, even with consumer frustration clear, Congress is unlikely to pursue major new health insurance protections but there could be some modest steps.
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Increasing Medicaid Payments for Certain Primary Care Physicians in 2013 and 2014: A Primer on the Health Reform Provision and Final Rule
Issue BriefTo help ensure that access in Medicaid expands to meet anticipated higher demand for care, the health reform law requires states to pay certain physicians Medicaid fees that are at least equal to Medicare’s for a list of 146 primary care services in 2013 and 2014. The idea is to attract new physicians to Medicaid and provide greater support for physicians who already participate. As a result, Medicaid fees paid to certain physicians for primary…
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What to Know About How Medicare Pays Physicians
Issue BriefEach year, the Centers for Medicare & Medicaid Services (CMS) updates Medicare payments for physician services and other Part B services through rulemaking. This issue brief answers key questions about how physicians are paid under the Medicare program, and reviews policy options under discussion for payment reform.
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Medicare Advantage Enrollees Have Access to About Half of the Physicians Available to Traditional Medicare Beneficiaries
Issue BriefMedicare Advantage enrollees were in a plan that included just under half (48%) of all physicians available to traditional Medicare beneficiaries in their area in 2022, on average. The limitations of provider networks illustrate one of the key tradeoffs for beneficiaries in choosing Medicare Advantage for their coverage.
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Potential Impacts of Trump Administration H-1B Visa Policies on the Health Care and Social Assistance Industries
Issue BriefThis issue brief provides an overview of the H-1B visa program, analyzes trends in H-1B visa approvals for the health care and social assistance industries using data from the U.S. Citizenship and Immigration Services, and discusses potential implications of recent policies impacting the H-1B program on the U.S. health care workforce.
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Potential Impact of the Federal Pause on Immigrant Visas From 75 Countries on the U.S. Health Care Workforce
Policy WatchThis policy watch discusses the implications for the U.S. health care workforce of the recent DOS immigrant visa pause for individuals from 75 countries deemed more likely to be a public charge.
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Access to OB-GYNs: Evaluating Workforce Supply and ACA Marketplace Networks
Issue BriefThis brief examines the supply of OB-GYNs in the U.S. and the share of OB-GYNs participating in the provider networks of Qualified Health Plans (QHPs) offered in the individual market in the federal and state Affordable Care Act (ACA) Marketplaces in 2021.
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What Role Do Immigrants Play in the Hospital Workforce?
Issue BriefThis issue brief analyzes the role that immigrants play in the hospital workforce, overall and by occupation and state. Immigrants account for about one in six hospital workers, including among clinical and nonclinical workers.