FierceHealthIT

OCTOBER 12, 2021

Physician groups warn nearly 10% in Medicare cuts could stall shift to value-based care, force staff cuts. Tue, 10/12/2021 - 16:49.

Medicare 109

Medicare 109

FierceHealthIT

JULY 14, 2021

Physician groups mount effort to get Congress to avert nearly 4% Medicare payment cut from taking effect in 2022. Wed, 07/14/2021 - 16:27.

Medicare 113

Medicare 113

FierceHealthIT

OCTOBER 6, 2020

How industry groups say Medicare payment rule proposals will hurt practices already besieged by COVID-19. Tue, 10/06/2020 - 11:58.

Medicare 113

Medicare 113

Healthcare IT News - Telehealth

JUNE 12, 2020

introduced new legislation this week that would provide for permanent Medicare payments for telehealth services at federally qualified health centers and rural health clinics. Since then, multiple groups have pushed the agency to make such changes permanent. Butterfield, D-North Carolina, and Glenn Thompson, R-Pa.,

Medicare 211

Medicare Telehealth Primary Care Nursing 211

FierceHealthIT

JUNE 12, 2023

Industry hospital groups are pushing the Centers for Medicare & Medicaid Services to consider a higher annual pay bump and to shed some light on why it believes the number of uninsured patients | Public comments submitted to CMS by the hospital lobby were critical of a "woefully inadequate" 2.8%

Medicare 119

Medicare 119

Healthcare IT News - Telehealth

MARCH 4, 2021

A new advocacy group called Moving Health Home launched on Wednesday, bringing together some heavy hitters – major health systems, care delivery services and technology vendors – who say they want to effect a shift in thinking about treating patients at home, and want to adjust reimbursement models accordingly. WHY IT MATTERS.

Medicare 213

Medicare Telehealth Hospital IT Healthcare IT 213

FierceHealthIT

NOVEMBER 8, 2023

Bright Health Group posted a $462.8 million operating loss in the third quarter as it continues to wind down its Affordable Care Act (ACA) business and navigates the sale of its Medicare Advantage | Bright Health Group posted a $462.8 Bright Health Group posted a $462.8

Medicare 57

Medicare 57

FierceHealthIT

OCTOBER 1, 2018

A medical care group that is part of dialysis giant DaVita Inc. will pay $270 million to resolve claims it provided inaccurate information that caused Medicare Advantage plans to receive inflated Medicare payments.

Medicare 106

Medicare 106

Society for Participatory Medicine

MARCH 29, 2024

A sample Medicare Part D illustration from Senior-Advisors.com. Introduction In the United States, Medicare Part D provides prescription drug coverage for millions of seniors and individuals with disabilities. See sample illustration, year 2020, from Medicare advisor site Senior-Advisors.com.] Let us know in the comments.

Pharmaceuticals 97

Pharmaceuticals Medicare 97

FierceHealthIT

OCTOBER 30, 2023

Providers determined to have committed information blocking would face changes to their status in certain Medicare programs, and subsequently a hit to program payments. The Department of Health and Human Services (HHS) has released its plan to keep healthcare providers in line with data blocking requirements.

Medicare 128

Medicare 128

Digital Health Wire

MARCH 15, 2023

It’s a tough week to be working PR at Medicare Advantage plans after STAT put out an in-depth investigation revealing that payors are using “unregulated predictive algorithms under the guise of scientific rigor” to cut off care for seniors. The post Medicare Advantage Plans Using AI to Deny Care appeared first on Digital Health Wire.

Medicare 98

Medicare Nursing Digital Health 98

FierceHealthIT

JUNE 13, 2019

A group of more than 50 doctors from 14 states are launching a national effort and hope to mobilize other physicians and engage voters in a political advocacy campaign aimed at protecting Medicare and affordable healthcare.

Medicare 87

Medicare 87

Healthcare IT News - Telehealth

JUNE 30, 2020

Signers pointed out that the authorities granted to the Department of Health and Human Services and the Centers for Medicare and Medicaid Services are restricted to the public health emergency period triggered by COVID-19. introduced legislation earlier this month to codify Medicare reimbursement of virtual care at FQHCs and RHCs.

Telehealth 194

Telehealth Medicare Telemedicine Public Health 194

Health Populi

AUGUST 21, 2019

There are over 60 million enrollees in Medicare in 2019, and fully one-third are in Medicare Advantage plans. Medicare is adding 10,000 new beneficiaries every day in the U.S. Medicare Advantage enrollment is fast-growing, shown in the first chart where over 22 million people were in MA plans in January 2019.

Medicare 204

Medicare Mobile Health HIPAA Digital Health 204

FierceHealthIT

FEBRUARY 17, 2021

Appeals court strikes down oncology group's lawsuit aimed at rolling back Medicare sequestration cuts. Wed, 02/17/2021 - 11:39.

Medicare 57

Medicare 57

Healthcare IT News - Telehealth

JULY 28, 2020

Lots of industry groups want to see the temporary government waivers enacted early on during the COVID-19 public health emergency – the ones enabling the vast expansion of telehealth and remote patient monitoring over the past four months – to be made permanent once the storm has subsided. And some legislators do too.

Public Health 187

Public Health Nursing Telehealth Medicare 187

Electronic Health Reporter

MARCH 5, 2019

The article America’s Physician Groups Responds to CMS MA 2020 Advance Notice appeared first on electronichealthreporter.com. This content is copyrighted strictly for Electronic Health Reporter.

Medicare 89

Medicare 89

BHM Healthcare Solutions

MAY 24, 2023

Medicare Advantage growth aggravates prior authorization burdens in the several ways. Most medical groups, providing care to patients with Medicare Advantage plans, must comply with more prior authorization requirements. References: Centers for Medicare & Medicaid Services. American Medical Association.

Medicare 52

Medicare 52

Healthcare IT Today

AUGUST 25, 2021

SCAN Group, whose holdings include SCAN Health Plan, one of the nation’s largest not-for-profit Medicare Advantage plans, has made a strategic investment in MedArrive. With second outside investment, healthcare non-profit signals ‘the future of healthcare lies in the home.

Medicare 66

Medicare Healthcare IT Health IT 66

FierceHealthIT

APRIL 22, 2024

The Centers for Medicare & Medicaid Services is hoping to improve Medicaid enrollees’ access to care through a final rule that better compensates caregiving roles. | CMS released a series of final rules Monday, including Medicaid access regulations that some groups worry will cause providers to close.

Medicare 127

Medicare 127

Mobi Health News

MAY 14, 2021

Included is post-discharge meal delivery, transportation and up to six hours of in-home personal care.

Medicare 130

Medicare 130

FierceHealthIT

MARCH 31, 2020

Major physician groups said the decision by the Centers for Medicare & Medicaid Services to start paying physicians for patient visits that take place by telephone will help physician practices stay open by providing them with needed revenue.

Medicare 130

Medicare 130

Telebehavioral Health Institute

JANUARY 12, 2023

In January 2023, the Centers for Medicare & Medicaid Services (CMS) rolled out a new telehealth “indicator” to make information about Medicare telehealth providers on publically-available clinician profile pages more readily available. Medicare Telemedicine Snapshot Data File. 2021 (2021). 2021 (2021).

Medicare 52

Medicare Telehealth Telemedicine Public Health 52

FierceHealthIT

JANUARY 21, 2020

Medicare Advantage plan holders spent nearly 40% less than their counterparts in Medicare’s fee-for-service program, according to a new analysis from UnitedHealth Group.

Medicare 125

Medicare 125

FierceHealthIT

AUGUST 21, 2023

The nation’s leading lobbying group for older Americans is supporting the U.S. | In a federal lawsuit, AARP is supporting Medicare’s new ability to negotiate drug prices with pharmaceutical companies, ahead of CMS naming the first 10 prescription drugs next month.

Medicare 98

Medicare Pharmaceuticals 98

DrKumo Remote Patient Monitoring

NOVEMBER 2, 2023

Medicare program, the federally administered health insurance program catering to individuals 65 and above, not only recognizes this holistic approach but extends its coverage to encompass mental health services alongside the modern innovation of remote patient monitoring (RPM).

Mental health 40

Mental health Medicare Nursing HIPAA 40

Mobi Health News

MARCH 20, 2019

Along with expanding its brand and business, the new funding will also go toward support of the company's Medicare Advantage product, Peerfit Move.

Medicare 146

Medicare 146

Healthcare IT News - Telehealth

APRIL 18, 2022

PPOA is also accused of allegedly submitting or causing the submission of false claims to Medicare by billing for qualitative and quantitative urine drug testing in violation of the physician self-referral law. million to resolve False Claims Act allegations.

Federal healthcare 138

Federal healthcare Telemedicine Public Health Healthcare IT 138

Healthcare IT News - Telehealth

NOVEMBER 10, 2020

Prepare Now for Anticipated Changes to Medicare and Private Payer Rules. The Centers for Medicare and Medicaid Services (CMS) is expected to issue new rules for telehealth in the release 2021 Physician Fee Schedule later this year. Today, Medicare reimburses for specific services when delivered via live video.

Public Health 145

Public Health Medicare Telehealth Health Policy 145

FierceHealthIT

AUGUST 8, 2019

Average gross margins for Medicare Advantage plans were double those of plans in the individual and commercial group markets, with MA plans buoyed by bonus payments, according to a new analysis.

Medicare 91

Medicare 91

FierceHealthIT

DECEMBER 11, 2018

Federal prosecutors have intervened in a newly unsealed whistleblower lawsuit accusing Sutter Health of submitting unsupported diagnosis codes to Medicare Advantage plans, which inflated payments. The lawsuit comes weeks after DaVita's medical group paid $270 million to resolve similar allegations.

Medicare 109

Medicare 109

FierceHealthIT

MAY 29, 2018

The Centers for Medicare & Medicaid Services heard both pros and cons on its proposal to allow physicians to bill Medicare patients directly.

Medicare 77

Medicare 77

FierceHealthIT

MARCH 8, 2018

Medical groups disagree over diabetes guidelines; Physician groups urge CMS to strengthen Medicare Advantage and more physician practice news from around the web.

Medicare 40

Medicare 40

FierceHealthIT

DECEMBER 13, 2023

A jump in claim delays and denials is “wreaking havoc on providers’ revenue cycle performance” and contributing to health systems’ “volatile” accounts receivable and diminishing cash reserves, acco | More frequent pushback from commercial and Medicare Advantage payers is complicating patient self-pay collections and, ultimately, undermining the revenues (..)

Medicare 130

Medicare 130

FierceHealthIT

MAY 30, 2018

Health IT and behavioral health groups are backing Senate legislation that would allow Medicare beneficiaries to receive opioid addiction treatment via telehealth. The groups told lawmakers current restrictions “significantly limit the number of telebehavioral health visits available in Medicare.”

Health IT 89

Health IT Mental health Telehealth Medicare 89

FierceHealthIT

MARCH 16, 2020

Hospital groups want Congress to suspend the 2% cut to Medicare installed with the sequester to instill a "much-needed jolt" of confidence for hospitals

Medicare 91

Medicare 91

FierceHealthIT

OCTOBER 30, 2019

Healthcare industry groups collectively cheered bipartisan, bicameral legislation introduced on Wednesday that aims to expand Medicare coverage for telehealth services. A group of Senators introduced an updated version of the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act.

Medicare 75

Medicare Telehealth 75