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Bowing to physician pressure, CMS delays visit code changes

Henry Kotula

Yesterday the Center for Medicare & Medicaid Services (CMS) finalized the 2019 Physician Fee Schedule (PFS ), announcing they will delay implementation of changes to physician evaluation and management (E&M) codes until 2021.

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Self-Care is Healthcare for Everyday People

Health Populi

As the patient is increasingly the payor, some of those savings accrue to her, especially if she uses a health savings account where OTC meds are claimable with a tax advantage. Note the new alliance between Walmart and Anthem to channel OTC meds to Medicare Advantage members). I exhaled in a mindful moment.

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6 Ways to Drive Higher Medicaid Reimbursement with Telemedicine

GlobalMed

Remote monitoring can increase medication and care plan adherence or alert providers of a spike in blood pressure or other need for intervention. Instead of delaying preventive care visits and relying on more expensive emergency room visits, patients can maintain a more consistent treatment plan with their primary care provider.

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Our Homes Are Health Delivery Platforms – The New Home Health/Care at CES 2021

Health Populi

While Peloton was a punchline in some peoples’ jokes at the 2019 holiday season ( see here ), the company had an enviable growing waiting list in 2020 — the right thing at the right time. motivating the move of patients from acute care settings to their homes where patients were found to be improving.

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The 2020 Social Determinants of Health: Connectivity, Art, Air and Love

Health Populi

the health/care ecosystem warmly embraced social determinants of health as a concept in 2019. A few of the mainstreaming-of-SDoH signposts in 2019 were: Cigna studying and focusing in on loneliness as a health and wellness risk factor. Humana’s Bold Goal initiative targeting Medicare Advantage enrollees.

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Health systems in 10 years: 20 predictions from top executives

Henry Kotula

The exploding elderly population, in combination with a shrinking workforce to fund Medicare/Medicaid and Social Security, will force our health system to ration care in new ways. These realities will increase the role of primary care as the needed coordinator of health services for patients. David Rahija.

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Having Health Insurance Is A Social Determinant of Health

Health Populi

The millions of people covered by employer-sponsored health plans would also be impacted: the ACA baked in assurances for lifetime caps on personal health spending, as well as guarantees for covering pre-existing conditions. Medicare enrollees, too, would face higher payments.