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Mastering Remote Patient Monitoring Reimbursement: A Guide to Medicare Billing Success

DrKumo Remote Patient Monitoring

Disclaimer: This blog article, “Mastering Remote Patient Monitoring Reimbursement: A Guide to Medicare Billing Success,” offers general information and is not a substitute for professional advice. Medicare, as a crucial player in healthcare reimbursement, plays a pivotal role in facilitating the adoption of RPM.

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From Evolution to Innovation, from Health Care to Health: How Health Plans With Collaborators Are Re-Defining the Industry

Health Populi

Geisinger plans to open more clinics for primary care, senior care, and convenient/retail care. Retail health-meets-Medicare. This work started in 2023 involving Walmart Health clinics serving Medicare members and looking to partner with UnitedHealth plan members and others. Then I asked ChatGPT for a response.

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Use of Preventive Health Services Declined Among Commercially Insured People – With Big Differences in Telehealth for Non-White People, Castlight Finds

Health Populi

The second bar chart illustrates the per member/per month (PMPM) spend for commercially insured workers, showing growth of over 7% from 2018 to 2019, and nearly 7% drop from 2019 to 2020 in the first year of the pandemic. Based on their analysis of medical claims, insured workers’ clinical risk scores increased by 9.3%, from 1.18

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Cigna and Humana Eye Blockbuster Merger

Digital Health Wire

The acquisition of Express Scripts in 2018 also made Cigna one of the biggest names in pharmacy benefits, and its Evernorth health services arm has been adding more fuel to the fire. The glaring white space in that portfolio happens to be one of the biggest growth engines for insurers, the Medicare segment.

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Walmart In Talks to Acquire ChenMed

Digital Health Wire

Here’s a quick primer on Walmart’s healthcare strategy, which so-far can be bucketed into three themes: Medicare and MA health plans, primary care, and employer virtual care. Back in 2018, Walmart looked into making one of the grandest entrances to the market imaginable with a $67B acquisition of Humana.

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UpStream Raises $140 Million Series B Round to Scale Value-Based Care Model Nationwide

Healthcare IT Today

UpStream supports physicians operating under full-risk, value-based arrangements who are providing care to seniors on Medicare with an integrated platform that emphasizes care quality, health equity and total cost of care. UpStream’s clinically led teams coordinate care for patients with the greatest medical and social complexity.

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Consumers Want Help With Health: Can Healthcare Providers Supply That Demand?

Health Populi

And maintaining good mental health and staying on-track with health goals come close to managing uncovered costs, Oliver Wyman’s 2018 consumer survey learned. But this time around, polling health-insured consumers in July 2018, Oliver Wyman perceives a change in consumers’ “willingness to try new kinds of health services.”