Fiscal Cliff Fun Facts – What happens if we take the jump?

LinkousThink

For example, the cliff would cut Medicare hospital related payments by 2 percent, but suggested alternatives could cut even more. In the health care world, one part of the “cliff” is an automatic 27% cut January 1 in Medicare fees for physicians and other practitioners. From fiscal year 2012 to 2013, federal tax revenue is expected to increase $399 billion, almost 20 percent. As we go into this holiday season the U.S.

Telemedicine wins big in first round of innovation awards

LinkousThink

Telemedicine initiatives were a significant feature of the first round of projects announced by the Centers for Medicare and Medicaid Innovation (CMMI). The CMMI Health Care Innovation Awards provide grants to support the most compelling new ideas to deliver better health, improved care and lower costs to people enrolled in Medicare, Medicaid and Children's Health Insurance Program.

Wasted: $1 of Every $4 Spent on Health Care In America

Health Populi

The study reviewed reports and articles published between January 1, 2012 and May 15, 2019, dressing the topic of waste across six domains previously identified by the Institute of Medicine: Failure of care delivery, with waste ranging between $102 bn and $166 bn.

Healthcare and the F-Word: Health Politics Rank High on November 6, 2018

Health Populi

ACA Affordable Care Act Health Consumers Health costs Health insurance Health politics Health reform Healthcare access Medicaid Medicare“Let’s get this thing f-ing done,” Martha McSally passionately asserted on May 4, 2017. Paul Ryan said, on the floor of the U.S.

HEART Act Targets Medicare Limits on Telehealth

American Well

the Helping Expand Access to Rural Telehealth (HEART) Act targets the Center for Medicare & Medicaid Services’ (CMS) strict limitations on RPM reimbursements in rural areas. Of the 107,000 telemedicine visits for Medicare beneficiaries recorded in 2013, approximately 40,000 of them served rural areas. As of 2012, the average cost of a telehealth program was $1,600 per patient each year , versus $13,000 for home health services and $70,000 for nursing home care.

Study: Patients treated by fraudulent providers often most vulnerable

FierceHealthIT

Between 2012 and 2015, 1.2 million Medicare beneficiaries were treated by providers who committed fraud or abuse—and many of these patients were from vulnerable populations, according to a new study.

Rising Drug Prices Immune to Market Forces

BHM Healthcare Solutions

Editor’s Note: Increasing costs for prescriptions is creating a long-term financial impact on Medicare Part D and its beneficiaries. Increasing costs for prescriptions is creating a long-term financial impact on Medicare Part D and its beneficiaries.

Venture Capitalists have poured more than $26 Billion into Health Startups in 2018

Lloyd Price

With two months left in 2018, healthcare startups have already raised more in VC funding this year than they did in all of 2012 and 2013 combined, according to an analysis conducted for Forbes by Pitchbook. In 2012 and 2013 combined, the sector raised $22.3

CMS Encourages Eligible Suppliers to Participate in Expanded Medicare Diabetes Prevention Program Model

CMS.gov

CMS Encourages Eligible Suppliers to Participate in Expanded Medicare Diabetes Prevention Program Model. The Centers for Medicare & Medicaid Services (CMS) in April expanded the Medicare Diabetes Prevention Program (MDPP) , a national performance-based payment model offering a new approach to type 2 diabetes prevention in eligible Medicare beneficiaries with an indication of pre-diabetes.

EpiPens, blood-pressure medication rank among highest drug price increases, CMS database shows

FierceHealthIT

each year on average in Medicare Part D between 2012 and 2016 The newly updated drug pricing dashboards are shining light on who's responsible for the steadily increasing price of drugs. The cost of epinephrine, the main ingredient in EpiPens, increased 189.6%

Payer, provider trends to watch in 2019

Henry Kotula

In fact, the percentage of hospitals unable provide patients with price information jumped from 14% to 44% between 2012 and 2016, according to a JAMA study. Medicare Advantage still lucrative, popular. [link].

The United States of Diabetes: a $1,240 Tax on Every American

Health Populi

One of those medicines, insulin, cost a patient $5,705 for a year’s supply in 2016, double what it cost in 2012, according to the Health Care Cost Institute. The study analyzed medical claims for millions of patients, both commercially insured and enrolled in Medicare.

A Tale of Two America’s for Health

Health Populi

The top row illustrates that the ACA covered a lot of people with health insurances between 2012 and 2016. 1 million fewer Medicare enrollees would receive a high-risk prescription drug. Disparities in Americans’ health vary among people living in each of the 50 states.

Podcast: Telehealth for Parkinson’s care

Meaningful HIT News

He had a lot of interesting things to say and, unlike so many other physicians, was aware of multiple system atrophy, the disease that killed my dad in 2012, so I decided to have him on for a podcast to describe how he is using off-the-shelf telehealth technology to expand access to care, improve patient satisfaction and reduce costs. 2:00 Shocking numbers about Medicare beneficiaries with Parkinson’s who don’t have a regular neurologist.

Whatever Happened to Tech-Enabled Home Care?

Aging in Place Technology Watch

However, in April of 2018, top executives stepped down , including the new president who had only been on board 5 months -- as the firm pivoted to B2B service for the dual-eligible (Medicare, Medicaid) model in its same region. So much VC money, so little resulting change.

Endo Shortage, New Cell Therapies, Strip Rationing

Insulin Nation

This technique also was done successfully on mice by the same researchers in 2012; the retrained cells produced insulin and restored blood glucose levels in the mice to near normal levels. Challenging Medicare. Endos Wanted.

Finally, Some Concrete Use Cases for Telehealth

Chilmark Research

Not to sound like a hipster, but I wrote my “ telemedicine is changing healthcare IT ” article back in 2012, before it was cool.).

Health Costs for People with Diabetes is 3.6 Times More than Average

Insulin Nation

The study examined trends in health care utilization and spending between 2012 and 2014. 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.

Improving the Patient Experience With Content

Perficient

” “Person and Community Engagement” accounts for 25% of the score that the Centers for Medicare and Medicaid Services (CMS) use when deciding how much to reward hospitals for the care they give to Medicare patients.

Review of Mobile Devices and Health by Ida Sim in the NEJM

mHealth Insight

It is more than ambitious to think they will be able to effectively manage the enormous complexity of the mHealth app market without killing innovation through their bureaucracy and overreach ( but I’ve written more than enough about that back in 2012! ).

Are PBMs Driving Up The Price of Insulin?

Insulin Nation

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.

Getting Started with Telehealth

TheraNest

CCHPCA State Laws and Reimbursement Policies and their State Telehealth Laws and Reimbursement Policies PDF (April 2017) – This resource also you to stay up to date on all Telehealth laws, policies, regulations, and Medicare/Medicaid programs state by state. Medicare.

Why Does Pen Usage Lag in the U.S.?

Insulin Nation

has increased from 14% of total Lantus prescriptions to 44% in 2012, according to Frost & Sullivan, a market research company based in Mountain View, California. Americans love gadgets.

Getting Started with Telehealth

TheraNest

CCHPCA State Laws and Reimbursement Policies and their State Telehealth Laws and Reimbursement Policies PDF (April 2017) – This resource also you to stay up to date on all Telehealth laws, policies, regulations, and Medicare/Medicaid programs state by state. Medicare. Medicare Telehealth Payment Eligibility Analyzer. For example, Medicare only reimburses for the time spent while the video is streaming. 2012): 383-385.

Healthcare has never experienced anything like Amazon’s combination of logistics, voice AI expertise and data analytics. The impact could be huge.

Lloyd Price

1 problem of America and of American business,” Buffett said in 2012. “It’s And as part of its efforts to target the aging infirm, the company began offering Prime discounts to Medicare recipients.

EHR Incentive Programs: Moving into the Next Stage

CMS.gov

In January, we passed the 210,000 mark for the total number of providers, including nearly 200,000 eligible professionals, who received a Medicaid or Medicare incentive payment for successfully adopting, implementing, or upgrading or meeting meaningful use of EHR technology. Meanwhile, about 1 of every 4 Medicare eligible professionals are meaningful users; and many more have begun the process. By Elizabeth Holland.

150 top places to work in healthcare

Henry Kotula

Boston Business Journal named the hospital a Best Place to Work in 2012, 2014 and 2016. For employees over 55 years old, the hospital offers free Medicare and health claims assistance. [link].

Telemedicine, Telehealth, Remote Monitoring and the Latest Congressional Health Reform Proposal

LinkousThink

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.