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What’s Behind the Medicare Slowdown?

Digital Health Wire

Since Medicare coverage first took effect almost six decades ago, the program’s runaway spending has played a leading role in the story of the federal budget. An excellent piece in The New York Times highlighted how Medicare’s unsustainable climb reached a turning point in 2011, and for reasons that aren’t exactly clear.

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Medicare Drug Prices Up Despite Decrease in Prescriptions

BHM Healthcare Solutions

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 was not the only entity affected by the higher prices.

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Cigna and Humana Eye Blockbuster Merger

Digital Health Wire

The glaring white space in that portfolio happens to be one of the biggest growth engines for insurers, the Medicare segment. While Cigna’s been trying to build momentum in Medicare Advantage since picking up HealthSpring in 2011, just this month it announced that it’s “ evaluating options ” to offload its underperforming MA unit.

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Medicare Told to Cover CGMs in Ruling

Insulin Nation

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. Now, that argument’s premise is facing serious questions in federal court and in the Medicare appeals process.

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Aledade Secures $260 Million Series F Financing Round to Expand and Enhance Services for its Nationwide Network of Primary Care Practices

Healthcare IT Today

Company Adds Two Board Members and a Senior Executive to Lead its Medicare Advantage Business Aledade , the largest network of independent primary care practices in the country, today announced the closing of a $260 million Series F funding round to enhance and acquire services and technology to support its practices.

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OIG: Part D rebates grew but not enough to offset price spikes

FierceHealthIT

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.

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Integrated EHR enables shift to virtual post-discharge follow-up

Healthcare IT News - Telehealth

The research team studied nearly 250,000 hospital discharges in patients with diabetes from 2005 to 2011. Although the study tracked patients from 2005 to 2011, before the current telehealth boom , it offers yet another piece of evidence for why virtual care is likely to remain a staple in healthcare even after the pandemic.

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