Americans End 2018 Worried About Healthcare Costs

Health Populi

Health insurance in-security is mainstream as of November 2018, when Gallup polled U.S. Gallup notes their October 2018 poll learned that voters were most concerned about healthcare, immigration and the economy as key midterm voting issues.

Growing Support for Medicare for All – But Do People Really Understand What It Means?

Health Populi

Let’s start with the Morning Consult poll results, which compare support for Medicare for All from January 2019 and August 2019. the party’s loudest supporter of Medicare for All. adults surveyed, 50% believed that Medicare is free.

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

Health Populi

This is true for majorities of people across political party, the Kaiser Family Foundation found in its August 2018 Health Tracking Poll. ” You can listen to that full podcast on the 2018 mid-term elections here. [As

Healthcare, and Especially Covering Pre-Existing Conditions, Ranks High for Voters in 2018

Health Populi

Thus, the public holds the POTUS and the Republican party responsible for moving the Affordable Care Act forward… or not, according to the July 2018 Kaiser Health Tracking Poll conducted by the Kaiser Family Foundation (KFF).

Health Care for a Typical Working Family of Four in America Will Cost $28,166 in 2018

Health Populi

What could $28,166 buy you in 2018? The MMI represents what a typical employer-sponsored preferred provider organization (PPO) plan covering a family of four will cost in 2018. was $59,214 in February 2018. A new car? A year of your child’s college education?

Healthcare Is Local: Channeling Tip O’Neill in the 2018 Midterm Election Results

Health Populi

2018 midterm elections, healthcare voting seems to have translated as a local issue, falling into O’Neill’s axiom. On this morning after 2018 midterm election results are (mostly) out, it looks like healthcare was a local and state issue for U.S. 2018 midterm voters.

Big changes are coming to Medicare reimbursement for connected health

Mobi Health News

At HIMSS19, ACT | The App Association's Brian Scarpelli will lay out the details of what he calls a "sea change" in CMS' policy toward remote patient monitoring

eHealth's online Medicare enrollment up 69% in Q4 2018

FierceHealthIT

An increasing share of eHealth’s Medicare Advantage and Medicare Supplement customers are now enrolling for coverage online

Rx 2018: A New Era of Specialty Drugs, Telehealth, Mobile Apps and Value, IQVIA Reports

Health Populi

In 2018, spending on branded prescription drugs will fall in wealthy countries, while spending on specialty drugs will increase, resulting in flat medicines spending. Specifically, $19 billion worth of biotech spending will find biosimilar competition starting in 2018 for the first time.

Health Care and the Democratic Debates – Round 2 – Battle Royale for M4All vs Medicare for All Who Want It – What It Means for Industry

Health Populi

Sanders, noting his call for big new government benefits like universal health care through Medicare for All and free college tuition. Senator Harris, too, mentioned government benefits like free college and Medicare for All as her health plan preference.

CMS Proposes to Expand Telehealth Benefits Under Medicare Advantage Plans

Healthcare Informatics

CMS is proposing to implement several sections of the Bipartisan Budget Act of 2018, including expanding telehealth benefits under Medicare Advantage plans

Medicare Next Generation ACO Model Telehealth Expansion Waiver

Telebehavioral Health Institute

As previously discussed, in the United States traditional fee-for-service system of Medicare, use of the telehealth benefit is limited to rural Health Professional Shortage Areas (HPSA).

Costs, Consumerism, Cyber and Care, Everywhere – The 2019 Health Populi TrendCast

Health Populi

We know that a top issue driving American voters to the 2018 mid-term polls was health care, in at least two dimensions: direct costs to the voters (as patients and taxpayers); and, personal and collective concerns about losing coverage due to pre-existing conditions.

4 in 10 Medicare beneficiaries expected to be on Medicare Advantage plans by 2028

FierceHealthIT

Medicare Advantage enrollment is expected to increase from 34% of the Medicare population in 2018 to 42% in 2028. Yet CBO forecasts that spending on those enrollees will grow from $200 billion to $580 billion over the same time period

Study: More Medicare Patients Dying At Home

BHM Healthcare Solutions

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% The growth of Medicare Advantage as a program (it accounts for a third of Medicare enrollees and spending), and the 9.3%

CMS finalizes risk adjustment rule for benefit year 2018

FierceHealthIT

Like many aspects of healthcare this year, the fate of risk adjustment has been hard to predict, but stability is nigh: The Centers for Medicare & Medicaid Services (CMS) finalized the rule for the 2018 benefit year on Friday

Medicare Advantage Organizations Overturned 75% of Their Denials

BHM Healthcare Solutions

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. Financial Medicare and Medicaid Medicaid Medicare payment models Value Based Payments

Four Technology Health and Aging Blog Posts from September 2018

Aging in Place Technology Watch

Here are four blog posts from September 2018: Investors continue to salivate over health tech. So the first half of 2018 saw $3.4 And even when investments or company roll-ups are specifically about the Medicare population – frothy writers cannot bring themselves to use clear wording.

Medicare Advantage Plans Grow With Star Ratings

BHM Healthcare Solutions

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. Financial Medicare and Medicaid Medicaid Medicare payment models Value Based Payments

The Political Plausibility of Medicare for All

Electronic Health Reporter

As widely reported, based on exit polls, healthcare—not the economy—was the top issue on voters’ minds in the 2018 midterm elections. The article The Political Plausibility of Medicare for All appeared first on electronichealthreporter.com. Editorial Ken Perez Medicare for All Omnicel

ACOs saved Medicare $2.7B to date, outpacing CMS estimates

FierceHealthIT

Accountable care organizations in the Medicare Shared Savings Programs have saved Medicare $2.7 billion to date, including $859 million in 2016, according to a new analysis commissioned by NAACOS. That's $1.1 billion more than CMS estimates

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.

The Centers for Medicare and Medicaid Approved Separate Reimbursements for Non-Traditional Patient Visits

eVisit

November 1, 2018 the Centers for Medicare and Medicaid (CMS) made a significant step in overcoming this obstacle. One of the main barriers reported by HCPs for not embracing the powerful tool of telehealth has been the lack of reimbursement.

Medicare Hospice Program Vulnerable According to Inspector General Report

BHM Healthcare Solutions

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.

MACRA: New Reimbursement Legislation in the US

Telebehavioral Health Institute

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is new legislation in the United States. In May 2018, the Center for Medicare and Medicaid Services Administration (CMS) released a brief but noteworthy document entitled, Summary of Policies in the … Read more. The post MACRA: New Reimbursement Legislation in the US appeared first on TBH Institute Blog.

‘Medicare-for-all’ compounds Medicare’s current problems, Verma says

FierceHealthIT

Echoing her boss’s op-ed last week, Centers for Medicare & Medicaid Services Administrator Seema Verma devoted an unusually long time in one speech to why a popular progressive proposal would not work

The Patient As Payor: From Rationing Visits Due to Co-Pays to Facing $370K for Healthcare in Retirement

Health Populi

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.

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. ” Increasing costs for prescriptions is creating a long-term financial impact on Medicare Part D and its beneficiaries.

The Emerging Trends in Connected Health from 2018

The cHealth Blog

2018 will go down in history as a pivotal year. The Centers for Medicare and Medicaid Services (CMS) is on board! Dr. Cynthia Breazeal at the Connected Health Conference 2018 – Photo courtesy of Christopher Huang.

Technology, Aging and Obesity Drive Healthcare Spending, BEA Finds

Health Populi

High Spending Growth Rates For Key Diseases In 2000-14 Were Driven By Technology And Demographic Factors , a June 2018 Health Affairs article, analyzed this data. The U.S.

Medicare Plan Could Save $73 Billion

BHM Healthcare Solutions

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. or Canada, Medicare could have saved nearly $73 billion in 2018, according to a new study published in Health Affairs. For the study, researchers analyzed 79 medicines that Medicare Part D spent the most on that did not have competition from lower-cost generic alternatives.

CMS: ACOs saved $739M in 2018 as new program takes hold

FierceHealthIT

million in net savings in 2018, with physician-led ACOs being the biggest savers, according to the Centers for Medicare & Medicaid Services Accountable care organizations generated $739.4

Nearly Half of Adults Unfamiliar with ‘Medicare for All’

BHM Healthcare Solutions

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. 13-16, 2018, surveyed 1,021 interviewees on their perception of Medicare for All proposals.

Telehealth Policy 2018: Keeping You In The Know

South Central Telehealth Resource Center

In 2018, updates and changes impacted telehealth policy across the nation. Medicare and Remote Patient Monitoring (RPM) Reimbursement. Effective January 1, 2018, Medicare began reimbursing providers for RPM services billed under CPT code 99091.

Heart-Love – Omron’s Holy Grail of Blood Pressure Tracking on the Wrist

Health Populi

Once cleared (planned for Fall 2018), the clinical quality of the data output promises to be a huge advance for consumer-marketed wearable technology that doctors can trust.

Federal watchdog: Nearly half of Medicare patients in long-term-care hospitals experienced harm

FierceHealthIT

Nearly half of Medicare patients in long-term-care facilities have experienced some type of harm as the result of their care, endangering their health and increasing Medicare costs, according to a report from a government watchdog

South Central Legislative/Regulatory Update – February 2018

South Central Telehealth Resource Center

Reimbursement will be based on the applicable Medicare guidelines and coding for the different service providers. The post South Central Legislative/Regulatory Update – February 2018 appeared first on LearnTelehealth.

DOJ joins lawsuit accusing Sutter Health of Medicare Advantage fraud

FierceHealthIT

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

Most U.S. Voters Support Building on the ACA, Not Medicare For All, As Fewer Americans Have Insurance Coverage

Health Populi

There’s another major finding the Democratic Presidential candidates should keep in mind: only 14% of Democrats and Democratic-leaning Independents would only vote for a candidate who would replace the ACA with Medicare for All.

Do Medicare providers located at a Distant Site have to be hospital-based to provide services?

South Central Telehealth Resource Center

Q: Per Medicare regulations, do the providers at a distant site have to be hospital-based or can they be in a private setting – for example, a group of pulmonologists who want to create a telehealth system on their own? Also, all telehealth services must meet the Medicare established set of criteria for reimbursement. Click here to visit the Medicare Eligibility Analyzer site. To review CCHP information on Medicare, go to: [link]. Medicare