FierceHealthIT

JUNE 13, 2023

Legislators and policymakers have put payments to Medicare Advantage (MA) plans under the microscope, and new analysis highlights why. Legislators and policymakers have put payments to Medicare Advantage plans under the microscope, and new analysis highlights why.

Medicare 122

Medicare 122

FierceHealthIT

NOVEMBER 18, 2020

Analysis finds 64% more Medicare Advantage plans offer expanded supplemental benefits for 2021. Wed, 11/18/2020 - 16:07.

Medicare 140

Medicare 140

FierceHealthIT

MARCH 26, 2020

A new analysis gave the first details on how the COVID-19 outbreak could impact Medicare spending, potentially increasing costs past $100 billion through 2021.

Medicare 127

Medicare 127

FierceHealthIT

JULY 13, 2023

Approximately 22% of gross Medicare Part D spending can be attributed to 10 top-selling prescription drugs, according to analysis from KFF. | A new analysis shows a small number of prescription drugs disproportionately make up Medicare Part D spending.

Medicare 98

Medicare 98

FierceHealthIT

SEPTEMBER 23, 2021

KFF: Analysis finds out-of-pocket spending on dental, hearing in Medicare far outweighs vision benefits. Thu, 09/23/2021 - 16:22.

Medicare 98

Medicare 98

FierceHealthIT

JULY 26, 2023

Most Medicare Advantage (MA) enrollees use one or more supplemental benefits, with most health plan members using multiple benefits, according to a newly released report from the Elevance Health Pu | Extra benefits from Medicare Advantage plans are highly utilized by enrollees, which improves health outcomes among at-risk populations, new analysis (..)

Medicare 98

Medicare 98

FierceHealthIT

DECEMBER 2, 2019

Accountable care organizations lowered Medicare spending by $755 million from 2013 to 2017, a new analysis found.

Medicare 95

Medicare Accountable Care 95

FierceHealthIT

SEPTEMBER 22, 2020

ASCs projected to save Medicare more than $73B in next decade: analysis. Tue, 09/22/2020 - 11:12.

Medicare 85

Medicare 85

FierceHealthIT

APRIL 8, 2024

Health insurers are gearing up to release their first-quarter results over the next several weeks, and a new analysis from Fitch Ratings finds that ongoing concern about utilization in Medicare Adv | A new analysis from Fitch Ratings finds that ongoing concern about utilization in Medicare Advantage has made for a cloudy outlook.

Medicare 64

Medicare 64

Healthcare IT News - Telehealth

JANUARY 11, 2023

Guth also said that Medicaid program respondents also indicated that they are awaiting federal guidance to inform their long-term telehealth policy decisions, such as Medicare policies.

Telehealth 134

Telehealth Medicare Healthcare IT Public Health 134

FierceHealthIT

DECEMBER 27, 2023

A hospital’s acquisition by a private equity firm is linked to a rise in adverse events despite the pool of lower risk patients they tend to admit, according to a Medicare Part A claims analysis pu | Hospital-acquired adverse events among Medicare beneficiaries were 25% higher within the three years after a private equity acquisition compared to control (..)

Medicare 136

Medicare 136

FierceHealthIT

JANUARY 21, 2020

Medicare Advantage plan holders spent nearly 40% less than their counterparts in Medicare’s fee-for-service program, according to a new analysis from UnitedHealth Group.

Medicare 126

Medicare 126

Health Populi

JUNE 5, 2022

In 2006 the Medicare Part D program was implemented, covering older Americans for prescription drugs for the first time. Medicare further drove expansion of generic drug utilization, with co-pays for generics lower for Medicare enrollees than branded drugs. While these four actions to lower drug costs garner over 80% of U.S.

Medicare 374

Medicare Health Policy Pharmaceuticals 374

DrKumo Remote Patient Monitoring

FEBRUARY 13, 2024

Disclaimer: This blog article, “Mastering Remote Patient Monitoring Reimbursement: A Guide to Medicare Billing Success,” offers general information and is not a substitute for professional advice. Medicare, as a crucial player in healthcare reimbursement, plays a pivotal role in facilitating the adoption of RPM.

Medicare 40

Medicare HIPAA Interoperability healthcare technology 40

FierceHealthIT

DECEMBER 11, 2018

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. billion more than CMS estimates.

Medicare 104

Medicare Accountable Care 104

FierceHealthIT

SEPTEMBER 20, 2019

Expanding options for dental care in Medicare is a popular idea, but policymakers could take several avenues toward this goal, according to a new analysis.

Medicare 104

Medicare 104

FierceHealthIT

APRIL 1, 2024

Spending on GLP-1 drugs in Medicare Part D has spiked massively over the past several years, according to a new analysis from KFF.

Medicare 64

Medicare 64

FierceHealthIT

DECEMBER 11, 2023

A new analysis shows that if Medicare had negotiated the price of 10 of the most expensive Part D drugs in 2021, seniors’ out-of-pocket drug costs would have decreased by 23% from $1,250 to $967.

Medicare 98

Medicare 98

FierceHealthIT

JANUARY 15, 2020

The Center for Medicare and Medicaid Innovation will only save Medicare nearly half of what the Congressional Budget Office projected, according to a new analysis.

Medicare 82

Medicare 82

FierceHealthIT

DECEMBER 5, 2019

Hospitals got $201 billion in Medicare fee-for-service payments in 2018, a 3.6% increase from 2017 as Medicare is footing the bill for higher drug prices, a new analysis found.

Medicare 86

Medicare 86

FierceHealthIT

SEPTEMBER 25, 2023

While digital health still holds plenty of promise in healthcare, the lack of cohesion between Medicare, Medicaid and commercial health plans about just what digital services should be covered is a | Just how commercial plans cover digital health codes varies greatly, often leaving physicians confused about treatment options and patients uncertain (..)

Digital Health 72

Digital Health Medicare 72

FierceHealthIT

OCTOBER 19, 2023

A new analysis backed by doctor lobbying groups suggest that physician-owned hospitals could have fueled about $1.1

Medicare 144

Medicare 144

FierceHealthIT

DECEMBER 2, 2019

Only a small share of Medicare Advantage and Part D beneficiaries switched their health plans during the 2016 and 2017 open enrollment, even though plan options have expanded, a new analysis finds.

Medicare 78

Medicare 78

FierceHealthIT

JULY 16, 2019

Most of the legacy health organizations—both payer and provider—would stand to lose substantially under a ‘Medicare for All’ system, but a select few could thrive, according to a new analysis.

Medicare 93

Medicare 93

FierceHealthIT

MARCH 13, 2018

Doctors who write the most opioid prescriptions get paid the most money from the pharmaceutical companies that manufacture the drugs, an analysis by CNN and researchers at Harvard University found.

Pharmaceuticals 75

Pharmaceuticals Medicare 75

FierceHealthIT

AUGUST 9, 2023

Hospitals nationwide charge payers more than double for healthcare services covered under commercial plans than they do for the same insurer’s Medicare Advantage (MA) plans, according to a recent J | A new analysis of hospitals' posted prices finds major differences in charged prices by plan, even when the hospital, insurer and service are all (..)

Medicare 98

Medicare 98

Digital Health Global

APRIL 5, 2024

The report provides forecasts by application, distribution channel, and country alongside a rigorous market analysis and executive guidance. This latest analysis is expected to be of significant interest to stakeholders, healthcare providers, and investors looking to understand and capitalize on this rapidly growing market segment.

BioTech 88

BioTech Digital Health Medicare Telehealth 88

FierceHealthIT

JULY 12, 2018

A new analysis from Avalere shows Medicare Advantage patients have fewer inpatient stays, ER visits and avoidable hospitalizations than fee-for-service beneficiaries, despite higher rates of social and economic risk factors.

Medicare 75

Medicare 75

FierceHealthIT

SEPTEMBER 18, 2023

city with the most racially segregated hospital market, according to a newly released Lown Institute analysis built on 2021 Medicare and Census data. | New Orleans stands as the U.S.

Medicare 64

Medicare 64

Telebehavioral Health Institute

NOVEMBER 17, 2022

Of all the payors consistently funded to expand telehealth in the immediate future, Medicare stands head and shoulders above many others. On October 8, the Center for Medicare and Medicaid Services (CMS) released the final CY 2023 Medicare Physician Fee Schedule (PFS) rule.

Medicare 40

Medicare Telehealth Mental health Public Health 40

FierceHealthIT

DECEMBER 6, 2019

Average list prices for emergency medicine and anesthesiology, the most common sources of surprise billing, outpaced annual growth compared to all other specialties, a new analysis finds.

Medicare 84

Medicare 84

Health Populi

JULY 26, 2022

Iora Health has focused on the Medicare-enrolled population, distinct from ONEM’s target patient market of younger, employed consumers. According to the team’s analysis, Amazon is not yet active in AR/VR, med-tech/biotech, or insurance (but see more on that below via Mike McSherry’s observations). Probably not.

Primary Care 411

Primary Care Digital Health BioTech Medicare 411

FierceHealthIT

MARCH 7, 2018

Eliminating the protected classes of medications for Medicare Part D plans could give insurers more leverage to negotiate rebates but may have a limited financial payoff, according to a new analysis.

Medicare 61

Medicare 61

FierceHealthIT

MARCH 16, 2018

As Medicare Advantage grows in popularity, America’s Health Insurance Plans says it is vital that the Centers for Medicare & Medicaid Services fix the flaws in its funding formula to maintain the program’s stability.

Medicare 45

Medicare 45

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

FierceHealthIT

MARCH 28, 2018

Condition-specific readmission rates do not offer a fair proxy for overall hospital quality, according to a new analysis of federal data.

Medicare 49

Medicare 49

Healthcare IT Today

MARCH 1, 2023

Looks like a great opportunity for those with experience with data analysis. You may be just the right candidate for this or other roles. If this looks like a position that would interest you, check out the full details for the job and how to apply.

Health IT 130

Health IT eHealth Meaningful Use Health Information 130