CMS.gov

NOVEMBER 16, 2018

Washington Managed Fee-for-Service Demonstration: 2015 and 2016 Medicare Actuarial Savings Report. Director, Medicare-Medicaid Coordination Office, Topic. Medicare Parts A & B. Washington Managed Fee-for-Service Demonstration: 2015 and 2016 Medicare Actuarial Savings Report. Jeremy.Booth@c…. Tim Engelhardt.

Medicare 35

Medicare 35

Healthcare IT News - Telehealth

JUNE 20, 2023

A bipartisan group of legislators has reintroduced the Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act – first introduced in 2016 – to expand opportunities and coverage for telehealth through Medicare. This is the second time the bill has been reintroduced. Mike Thompson (D-Calif.)

Medicare 128

Medicare Telehealth Healthcare IT Public Health 128

Health Recovery Solutions

APRIL 26, 2023

The Home Health Value Based Purchasing Model (HHVBPM) was piloted in 9 states in 2016. The pilot realized a decrease in emergency room visits and hospitalizations, improved patient mobility, and reduced Medicare spending. Based on the success of the model, CMS expanded it nationwide in 2022.

Medicare 78

Medicare 78

FierceHealthIT

APRIL 26, 2018

The Department of Justice has asked Anthem for more information about its Medicare Advantage and Part D plans as part of an ongoing probe dating back to 2016. Anthem says the inquiry is part of an investigation into other Medicare Advantage health plans, as well as providers and vendors.

Medicare 64

Medicare 64

American Well

MAY 25, 2016

Telemedicine Today: May 2016. Welcome to the May 2016 edition of Avizia’s Telemedicine Today! 28% Annual Increase in Telemedicine Visits Provided to Medicare Beneficiaries. Despite these restrictions, telemedicine use within the Medicare program is growing. Improving stroke outcomes, keeping kids in school, saving lives.

Telemedicine 48

Telemedicine Medicare Telehealth Health IT 48

ACA Times

FEBRUARY 2, 2015

To help cover Affordable Care Act costs, the 2016 budget proposal submitted by the Department of Health and Human Services for the fiscal year 2016 would reduce Medicare spending by about $400 billion through lower payments to providers, health insurers, and drug companies. trillion for fiscal 2016, up from $1.04

Medicare 40

Medicare 40

American Well

MARCH 29, 2016

A year ago, President Obama signed into law legislation that awards a 5% annual payment bonus to physicians who participate in alternative payment models (APMs), and specifically includes telemedicine, even if those services are not reimbursed under Medicare. So far, 2016 seems to be keeping pace. The Telehealth Bill of the Day….

Telemedicine 48

Telemedicine Telehealth Medicare 48

American Well

FEBRUARY 20, 2016

February 2016. Large health plans and even the Centers for Medicare & Medicaid Services are starting to reimburse for virtual care, starting first and foremost with the telehealth platforms. The post Telemedicine Today: February 2016 appeared first on American Well. Telemedicine Today. mHealthIntelligence.com.

Telemedicine 48

Telemedicine Telehealth Primary Care Medicare 48

American Well

APRIL 26, 2016

Welcome to the April 2016 edition of Avizia’s Telemedicine Today newsletter! In case you missed them, here are a few updates from Avizia: Avizia is among the 10 Most Promising Telemedicine Solution Providers of 2016. The post Telemedicine Today: April 2016 appeared first on American Well. The result? Click here to read more.

Telemedicine 48

Telemedicine Primary Care Patient Experience Medicare 48

Healthcare IT News - Telehealth

APRIL 21, 2022

According to a press release , the surgeon, 56-year-old Dr. Elemer Raffai, is accused of allegedly submitting false claims to Medicare in exchange for kickbacks from telemedicine companies. Raffai, together with others, is allegedly connected to the submission of approximately $10 million in fraudulent claims to Medicare.

Telehealth 163

Telehealth Medicare Telemedicine Healthcare IT 163

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

Medicare 75

Medicare Nursing 75

Health Populi

JUNE 18, 2021

workers with private insurance more likely report poor access to health care, greater costs of care, and lower satisfaction with care versus people covered by public health insurance plans — whether Medicaid, Medicare, VHA or military coverage. Health Populi’s Hot Points: U.S. households.

Public Health 334

Public Health Medicare 334

BHM Healthcare Solutions

OCTOBER 2, 2018

Editor’s Note: Medicare Advantage organizations (MAOs) continue to do a poor job of maintaining accurate provider directories—and it’s landing some in hot water with the federal government. The OIG’s report, released in September, found Medicare Advantage organizations overturned about 216,000 denials annually during the period.

Medicare 40

Medicare 40

Health Populi

APRIL 8, 2019

That retirement cost gap is the sticker-shock assumption that Medicare is going to cover all health care expenses in retirement. The $285K also assumes the couple doesn’t have employer-sponsored retiree health care coverage and qualifies for “Original Medicare” (not Medicare Advantage, for example).

Medicare 271

Medicare Nursing 271

Healthcare IT News - Telehealth

APRIL 30, 2021

The act would expand coverage of Medicare telehealth services and make some COVID-19 telehealth flexibilities permanent, among other provisions. Access for Medicare beneficiaries. The CONNECT Act would aim to answer at least some of those questions, at least where Medicare is concerned. A bipartisan group comprising half of U.S.

Telehealth 215

Telehealth Medicare Public Health Primary Care 215

ACA Times

OCTOBER 15, 2015

The Department of Health and Human Services set a goal for 2016 of signing up 10 million Americans for health insurance through state and federal marketplaces established under the Affordable Care Act. The estimate of 10 million for 2016 is based on the agency’s expectation that 9.1 HHS anticipates that 7.3 million to 8.8 million to 3.9

Medicare 40

Medicare 40

BHM Healthcare Solutions

AUGUST 7, 2018

Editor’s Note: The growth of Medicare Advantage as a program (it accounts for a third of Medicare enrollees and spending), and the 9.3% CMS data showed Medicare spending for hospice care rose 81 percent between 2006 and 2016, from $9.2. billion to $16.7 billion to $16.7

Medicare 40

Medicare 40

Health Populi

AUGUST 24, 2021

The table arrays data the researchers analyzed from 2002 to 2016, identifying patterns of six types of medical services used by race and age group. Finally, check out Association of Race and Ethnicity and Medicare Program Type With Ambulatory Care Access and Quality Measures.

Primary Care 334

Primary Care Medicare Nursing Public Health 334

Health Populi

MARCH 27, 2018

The latest data on health care costs in retirement was published by EBRI earlier this year in their report , Savings Medicare Beneficiaries Need for Health Expenses: Some Couples Could Need as Much as $370,000, Up from $350,000 in 2016. increase in one year. Here’s EBRI’s big table with the big number.

Medicare 209

Medicare 209

Insulin Nation

JULY 17, 2015

Despite the committee’s title, much of the testimony came from young people affected by Type 1 diabetes as part of a lobbying effort to get Medicare to cover continuous glucose monitors (CGMs). I was surprised and troubled to learn that CGMs have been denied coverage under the Medicare program,” Senator Collins said at the hearing.

Medicare 76

Medicare 76

Henry Kotula

SEPTEMBER 9, 2019

The Justice Department in April brought charges against 24 defendants including Stockett for their role in a $424 million conspiracy to defraud Medicare and receive illegal kickbacks. Medicare paid brace suppliers more than $200 million for these claims, according to the Justice Department. as part of his plea agreement.

Medicare 32

Medicare Telemedicine 32

Healthcare IT News - Telehealth

MARCH 27, 2020

CCS Healthcare is a telehealth practice that has been delivering telehealth care extensively throughout Western Pennsylvania and New Jersey since 2016. CCS Healthcare provides telehealth services to any Medicare recipient for free. ” No co-pays or fees for seniors. It is not asking for any co-pays or other fees.

Telehealth 157

Telehealth Nursing Medicare Healthcare IT 157

FierceHealthIT

NOVEMBER 16, 2018

The number of Medicare beneficiaries using telehealth services increased nearly 50% between 2014 and 2016, according to a new report released by CMS. The total number of members using telehealth is well under 1%, but analysts say even a small increase could lead to a huge increase in overall visits.

Telehealth 80

Telehealth Medicare 80

Aging in Place Technology Watch

FEBRUARY 20, 2019

The article noted the $200 million invested just in 2016 -- with the big money that year of $60M in ClearCare , with $46 million in Care.com and $42 million in Honor next in line. Then along came another $42 million to deliver the service to more people in that overheated funding year of 2016. What happened to the others? .

Medicare 120

Medicare 120

FierceHealthIT

MAY 17, 2018

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%

Medicare 68

Medicare 68

Healthcare IT Today

MAY 5, 2023

The following is a guest article by Erin Rutzler, Vice President of Fraud, Waste, and Abuse at Cotiviti In Delaware, more than 250 Medicare patients underwent unnecessary genetic testing based on telehealth consultations that often lasted less than two minutes— costing Medicare thousands of dollars per patient.

Medicare 62

Medicare Telehealth Healthcare IT Health IT 62

Healthcare IT Today

JUNE 29, 2023

Medicare Certification ASCs must sign a contract with Medicare and meet its Conditions for Coverage (CFC) to be paid. ASCs must also meet Medicare’s Conditions for Coverage. Medicare Payment Resources CMS implemented an Ambulatory Payment Classification-based payment methodology in 2008.

Medicare 52

Medicare Medical Billing HIPAA Medical Billing Services 52

Digital Health Global

JANUARY 25, 2024

Doi: 10.1136/bmjopen-2016-011146 4 Liu, Y., Detection Rates of Mild Cognitive Impairment in Primary Care for the United States Medicare Population. Prevalence and determinants of undetected dementia in the community: a systematic literature review and a meta-analysis. BMJ Open 2017;7:e011146. J Prev Alzheimers Dis (2023).

Primary Care 88

Primary Care Digital Health Medicare 88

Health Populi

MAY 10, 2021

I’ve tracked this survey for over a decade here on Health Populi, and updated the annual chart shown here to reflect a $40,000 increase in retiree costs since 2016. To pay for health care expenses, the average nest-egg required for a couple retiring in the U.S.

Mental health 284

Mental health Medicare 284

Telebehavioral Health Institute

JUNE 20, 2023

As you read about them below, you will undoubtedly see the bigger picture – how they are positioning telehealth and telemedicine reimbursement to steadily become a cornerstone of advancing 21st-century healthcare for US citizens, starting with additional Medicare revisions. The following article briefly outlines both bills.

Telemedicine 75

Telemedicine Telehealth Medicare Connected Care 75

Health Populi

MAY 15, 2018

The top-line of this national health scorecard is that “deaths of despair” are surging, due to suicide, alcohol, opioids, and other drugs whose use has grown by 50% since 2005 to 2016. The top row illustrates that the ACA covered a lot of people with health insurances between 2012 and 2016.

Mental health 185

Mental health Primary Care Public Health Telehealth 185

FierceHealthIT

MARCH 5, 2018

Lawmakers are looking for CMS to offer more information on how it is combating opioid abuse in the Medicare program, and they offered solutions that could bolster the agency's efforts to curb the crisis. A recent OIG report found that third of Part D beneficiaries filled an opioid prescription in 2016.

Medicare 45

Medicare 45

CMS.gov

NOVEMBER 16, 2018

2018 Medicare Fee-For-Service improper payment rate is lowest since 2010. Administrator, Centers for Medicare & Medicaid Services. 2018 Medicare Fee-For-Service improper payment rate is lowest since 2010 Significant progress in saving $4.59B in estimated improper payments for the Medicare Fee-For-Service program.

Medicare 20

Medicare Nursing FHIR Leadership 20

Healthcare IT Today

OCTOBER 10, 2022

With recent legislation allowing Medicare to negotiate prices, it’s likely that the movement will grow , given the high and constantly rising costs of pharmaceuticals, especially gene therapies and other innovative or personalized drugs.

Interoperability 85

Interoperability EHR Pharmaceuticals Medicare 85

Health Populi

MAY 1, 2019

This data point comes from research published in JAMA in April 2016 on the association between income and life expectancy in the U.S. .” That’s the first sentence of Chapter 7 in my book, HealthConsuming: From Health Consumer to Health Citizen.

Mental health 312

Mental health Public Health Digital Health Nursing 312

Health Populi

JUNE 13, 2018

The 6% trend is equal to that of 2018, illustrating a flat scenario, roughly the same trend seen in 2016 at 6.2%. Even with moderating medical trend growth, the Centers for Medicare and Medicaid Services (CMS) expect that healthcare spending will account for 20% of the U.S. That’s one-half the high point at nearly 12% in 2007.

Medicare 159

Medicare Telehealth Nursing Pharmaceuticals 159

Aging in Place Technology Watch

DECEMBER 12, 2018

Did you know that ‘social isolation’ has become a named baby boomer health condition spiking Medicare costs by an additional $134 per enrollee – tucked into the list that includes arthritis (+$117 of cost) and diabetes (+$270), source AARP? So aside from the fact that social isolation is, as of 2016, a billable diagnosis (who knew?),

Medicare 96

Medicare Nursing 96