LinkousThink

JANUARY 3, 2011

Speeches in 2010 by the head of Medicare in the U.S. 2011 will be the critical year when we find out whether leaders in Washington and other world capitols will follow-through with specific actions. We will wait and see in 2011 what effect how the governments’ plans will actually have on accelerating broadband deployment. Here is the first of three pieces on where we have been in 2010 and where we are going next year for telemedicine.

Medicare 28

Medicare Telemedicine Medical Technology 28

LinkousThink

DECEMBER 5, 2011

Medicare Advantage is offered mostly as a private managed care insurance plan and covers about 25 percent of all Medicare patients. billion to buy HealthSpring, which has 340,000 customers in its Medicare Advantage program in 11 states. According to Gary Capistrant, ATA’s resident expert on all things related to health policy, at least 73 million Americans, almost one quarter of the population, are now covered under some form of managed care.

Medicare 30

Medicare Telemedicine Health Policy 30

LinkousThink

AUGUST 7, 2011

physicians and reported a first quarter profit for 2011 of $3.7 For years we talked about reaching the point when telemedicine services became self-sustaining outside of temporary grants, going from promise to reality. We have long passed the point of telemedicine being a new application. After eighteen years the corner is turned and I promise to put that phrase away.

mHealth 30

mHealth Primary Care Medicare Telehealth 30

LinkousThink

AUGUST 17, 2011

Despite what you hear, Medicare reimbursement is not the Holy Grail for telemedicine. It’s important, but… Medicare fee-for-service covers about 36 million Americans, 12 percent of the total U.S. Healthcare is a $2 trillion market in the United States and growing at a fast pace. For entrepreneurs, that figure is so alluring it is impossible to ignore. Companies, institutions and individuals from everywhere are looking to see how to get a piece of the healthcare market.

Telemedicine 28

Telemedicine Medicare Health Technology 28

LinkousThink

MARCH 14, 2011

Donald Berwick, Administrator of the Centers for Medicare and Medicaid Management said “There has never been a better time to be an innovator in health care.” A clever and well worn trick to resist change and protect the status quo by funding and regulating organizations is the use of demonstration or pilot projects.

Telemedicine 28

Telemedicine Medicare Telehealth 28

BHM Healthcare Solutions

JUNE 5, 2018

Editor’s Note: Increasing costs for prescriptions is creating a long-term financial impact on Medicare Part D and its beneficiaries. Total Medicare reimbursement for all brand-name drugs ballooned 77 percent from 2011 to 2015.

Medicare 52

Medicare 52

Insulin Nation

MAY 10, 2016

Medicare doesn’t typically provide coverage for continuous glucose monitors (CGMs), as insurors who oversee Medicare coverage have long argued that CGMs are a “precautionary” device rather than a “medically necessary” one. The Medicare-insuring contractor denied the claim.

Medicare 83

Medicare Nursing 83

FierceHealthIT

SEPTEMBER 13, 2019

Rebates for Medicare Part D grew by $2 billion from 2011 to 2015, but the growth was limited to a minority of Part D drugs, a federal watchdog found

Medicare 77

Medicare 77

E-CareManagement

DECEMBER 1, 2014

Here’s the article in a nutshell: One of the most critical aspects of the Medicare Shared Savings Program (MSSP) ACO has been around the timing and certainty of requiring mandatory downside financial risk for physician and hospital participants.

Accountable Care 56

Accountable Care Medicare Health Policy 56

Aging in Place Technology Watch

APRIL 10, 2019

The majority of responders were women, though in the general population hearing loss affects twice as many men as women – one study in 2011 attempted to figure out why men are less regular users – concluding that poor handling of the devices was a factor. What is really worrisome is that hearing aids, which correct a condition that can cause substantial health issues, including fall risks and dementia, which are costs to Medicare, are considered an ‘elective’ device.

Medicare 84

Medicare 84

BHM Healthcare Solutions

MAY 15, 2018

In 2011, the study shows that hospital prices for lower-limb MRIs are 12 times higher in the most expensive region of the US (Bronx, New York) than in the cheapest region (Baltimore, Maryland) and can vary by up to a factor of 9 within the same city (i.e.

Medicare 52

Medicare 52

Insulin Nation

JULY 15, 2016

An older study by the Centers for Disease Control and Prevention (CDC) found that out-of-pocket expenses actually decreased for people with diabetes on Medicare and Medicaid over a 10-year-period.

Medicare 83

Medicare 83

care innovations

SEPTEMBER 11, 2018

Ultimately, when new procedures or services are made available for reimbursement from the Center for Medicare and Medicaid Services (CMS), those procedures are assigned a Current Procedural Terminology (CPT) code, which is used when submitting the claim for payment.

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Remote care Nursing Medicare Digital Health 65

Insulin Nation

JANUARY 22, 2018

As far back as 2011, Congressman Pete Olson (R-TX) and Senators Jeanne Shaheen (D-NH) and Susan Collins (R-ME) have championed legislation to create an office within the federal public health apparatus to focus exclusively on fostering diabetes research and improving access to quality care.

Medicare 79

Medicare Public Health 79

care innovations

AUGUST 21, 2018

Thank you to the Alliance for Connected Care, The Center for Connected Health Policy, Krista Drobac, Nathaniel Lacktman, David Ryan, the Center for Medicare and Medicaid Service and many others for your persistence in driving change and moving American healthcare forward.

Remote care 60

Remote care Health Policy Connected Care Medicare 60

Healthcare Guys

JUNE 19, 2018

To end the lack of interoperability morass and data duplication, the Department of Health and Human Services (HHS) issued 1,883 pages of proposed changes to Medicare and Medicaid. The healthcare industry has attempted to bridge the gap between medical data and quality patient care.

EHR 52

EHR Mental health HIE Medicare 52

Insulin Nation

DECEMBER 4, 2017

The commission will include the heads of agencies whose mission is impacted by diabetes care; this includes the usual suspects like the CDC and the Centers for Medicare and Medicaid Services, but also agencies like the Department of Defense and the Department of Agriculture.

Medicare 64

Medicare 64

ConnectedHealth

JANUARY 2, 2018

We worked with the Centers for Medicare and Medicaid Services (CMS) to propose incentive and reimbursement opportunities for the use of remote monitoring tools, we urged the U.S. What’s more, many Medicare doctors and hospitals rely on improvement activities to meet their MIPS requirements. 2) CMS Activated the Reimbursement Codes for Remote Monitoring Tools, Too 2017 also saw the “unbundling” of Medicare reimbursement code 99091.

Connected Health 66

Connected Health Telehealth Health Data Medicare 66

Insulin Nation

NOVEMBER 29, 2016

In addition, it was announced that Mr. Trump has chosen Seema Verma, a private health policy consultant who worked closely with the state of Indiana, to be the head administrator of the Centers for Medicare and Medicaid Services. Verma, who would head the Medicare and Medicaid programs.

Medicare 87

Medicare Health Policy 87

American Well

NOVEMBER 3, 2015

The federal government has pegged the cost of hospital readmissions for Medicare patients at $26 billion annually, with $17 billion accounting for readmissions that result in patients not receiving the right care. In 2011, hospitals spent $41.3 In 2011, hospitals spent $41.3

Telehealth 81

Telehealth Nursing Mental health Leadership 81

Healthcare Guys

JUNE 20, 2018

To end the lack of interoperability morass and data duplication, the Department of Health and Human Services (HHS) issued 1,883 pages of proposed changes to Medicare and Medicaid. For the first time a new CMS rule specifically requires providers to share data to participate in the life blood of hospital reimbursement—Medicare and Medicaid. Will CMS’s PI rule review be a sweet change or is it just pie in the sky?

Interoperability 40

Interoperability EHR Mental health HIE 40

Healthcare Guys

JUNE 12, 2018

To end interoperability morass and data duplication, the Department of Health and Human Services (HHS) issued 1,883 pages of proposed changes to Medicare and Medicaid. For the first time, a new CMS rule specifically requires providers to share data to participate in the life blood of hospital reimbursement — Medicare and Medicaid. AWVs were first introduced by private insurers and then by CMS in 2011 as part of its preventative care initiative under the Affordable Care Act (ACA).

Interoperability 40

Interoperability EHR Mental health HIE 40

Healthcare Guys

JUNE 7, 2018

To end the lack of interoperability morass and data duplication, the Department of Health and Human Services (HHS) issued 1,883 pages of proposed changes to Medicare and Medicaid. For the first time a new CMS rule specifically requires providers to share data to participate in the life blood of hospital reimbursement—Medicare and Medicaid. By Thanh Tran, CEO, Zoeticx and Donald Voltz, MD, Aultman Hospital, Department of Anesthesiology, Medical Director of the Main Operating Room.

Interoperability 40

Interoperability EHR Mental health HIE 40

Healthcare Guys

JUNE 4, 2018

To end the lack of interoperability morass and data duplication, the Department of Health and Human Services (HHS) issued 1,883 pages of proposed changes to Medicare and Medicaid. For the first time a new CMS rule specifically requires providers to share data to participate in the life blood of hospital reimbursement—Medicare and Medicaid. By Thanh Tran, CEO, Zoeticx & Donald Voltz, MD, Aultman Hospital, Department of Anesthesiology, Medical Director of the Main Operating Room.

EHR 40

EHR Mental health HIE Medicare 40

Insulin Nation

NOVEMBER 28, 2016

The Medicare program relies on private insurance carriers, under long-term national and regional contracts, to pay out benefits and make available purchase of prescription drugs at discount for Part C and often deeper discount for Part D beneficiaries.

Medicare 95

Medicare Pharmaceuticals 95

Healthcare Guys

JUNE 4, 2018

To end the lack of interoperability morass and data duplication, the Department of Health and Human Services (HHS) issued 1,883 pages of proposed changes to Medicare and Medicaid. The rule also floats the idea of revising Medicare and Medicaid Co-Pays to require hospitals to share patient records electronically with other hospitals, community providers and patientsa clear-cut demand for interoperability.

Interoperability 40

Interoperability EHR Mental health HIE 40

Henry Kotula

JANUARY 2, 2019

It is considered the nation’s largest federally recognized provider of the Centers for Medicare and Medicaid Services (CMS) Diabetes Prevention Program, having received more than $125 million in venture funding since it was founded in 2011. .

HIPAA 41

HIPAA Primary Care Medicare Telehealth 41

HIStalk Weekender

JUNE 7, 2019

A healthcare cyberattack report by cloud endpoint protection vendor Carbon Black notes that hackers are going after administrative records of physicians that can be used to fraudulently bill Medicare and other insurers. million for the property, which the county values at $14 million, in 2011.

Interoperability 39

Interoperability EHR Nursing Medicare 39

HIStalk Interviews

JANUARY 28, 2019

Definitive Healthcare was started in 2011. We also have information around the quality of care provided and the Medicare penalties or incentives that each of these facilities is achieving. Jason Krantz, MBA is founder and CEO of Definitive Healthcare of Framingham, MA. Tell me about yourself and the company. Our goal is to be the premier provider and the single source of truth for all data on healthcare providers. In the last seven or eight years, we’ve grown significantly.

Life Science 53

Life Science Pharmaceuticals EHR Medicare 53

CMS.gov

APRIL 15, 2019

Administrator, Centers for Medicare & Medicaid Services. The SSAs visit and survey every Medicare and Medicaid participating nursing home in the nation at least annually to ensure they are meeting CMS’ health and safety requirements as well as state licensure requirements. Ensuring Safety and Quality in America’s Nursing Homes. Jeremy.Booth@c…. Mon, 04/15/2019 - 19:22. Seema Verma. Topic. Nursing facilities. Quality. Safety.

Nursing 38

Nursing Medicare 38

mHealth Insight

SEPTEMBER 6, 2019

57 A recent change in the Medicare Physician Fee Schedule that allows physician billing for time spent managing and interpreting data from remote monitoring (e.g., If you need a really obvious example think about the benefits of SMS appointment reminders (from 2011).

Mobile Health 53

Mobile Health mHealth FHIR EHR 53

HIStalk Weekender

MAY 18, 2018

My first inclination is to at least publish the Medicare price. The photo above is of his patients’ medical records that were stored in “an unsecured and dilapidated barn” where he tried to hide them from Medicare. Weekly News Recap.

EMR 36

EMR Nursing Medicare EHR 36

Lloyd Price

OCTOBER 16, 2018

Medicare/Medicaid Management One other play that is harder to decipher starts with Amazon’s announcement in March to cut its prime membership for Medicaid recipients by over 50% and CNBC’s announcement that it’s been talking potential collaborations with AARP since 2015.

Life Science 70

Life Science Primary Care Interoperability Pharmaceuticals 70

Lloyd Price

SEPTEMBER 24, 2019

And as part of its efforts to target the aging infirm, the company began offering Prime discounts to Medicare recipients. Google Health was shuttered in 2011 after only about three years of operation, and Microsoft nixed its own personal health tracking system, HealthVault, earlier this year.

Life Science 52

Life Science Nursing Leadership Medicare 52

LinkousThink

SEPTEMBER 17, 2009

The bill calls on the federal Center for Medicare and Medicaid Services (CMS) and other parts of the Department of Health and Human Services (HHS) to compile data and launch pilot programs designed to reduce hospital readmissions. Language beginning on page 97 of the document addresses recommendations made by the Medicare Payment Advisory Committee (MedPAC) about readmissions. This week, the United States Senate Finance Committee announced its proposed health reform bill.

Medicare 28

Medicare Nursing Telemedicine Telehealth 28