How Does Medicare Cover Telemedicine?

Electronic Health Reporter

Roberts, a Medicare insurance expert and co-founder, Boomer Benefits. The article How Does Medicare Cover Telemedicine? Roberts Medicare Part B outpatient coverage Part C Medicare Advantage plan Patient co-pays and co-insurance under Part B telehealth telemedicine

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.

Contract Year 2020 Medicare Advantage and Part D Flexibility Final Rule

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. The article Contract Year 2020 Medicare Advantage and Part D Flexibility Final Rule appeared first on electronichealthreporter.com. Illegal copying is prohibited.

What Does It Take To Earn Top Medicare Advantage Ratings?

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. The article What Does It Take To Earn Top Medicare Advantage Ratings? Editorial Abhinav Shashank Innovaccer Medicare Star Ratings social determinants of health

The Political Plausibility of Medicare for All

Electronic Health Reporter

The article The Political Plausibility of Medicare for All appeared first on electronichealthreporter.com. Editorial Ken Perez Medicare for All OmnicellThis content is copyrighted strictly for Electronic Health Reporter.

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.

Medicare Holds Out Promise of Health Record Access Revolution

Society for Participatory Medicine

The possible new mandates, buried in a 479-page Federal Register “Notice of Proposed Rule Making” from the Centers for Medicare & Medicaid Services (CMS), could become part of hospital “conditions of participation” in Medicare.

Prescription Drug Costs In America Through the Patient Lens, via IQVIA, GoodRx and a New $2 Million Therapy

Health Populi

In 2018, we saw more incentives to inspire adherence to prescription drug regimens, particularly in Medicare Part D along with increasing focus by pharmacists and providers. For people enrolled in Medicare Part D, 20% faced over $500 in OOP costs. Americans consumed 17.6

What Is the Patient Driven Payment Model: How Skilled Nursing Providers Can Get Ahead of PDPM

Electronic Health Reporter

The Patient Driven Payment Model (PDPM) is more than just a new name attached to Medicare payment reform. The article What Is the Patient Driven Payment Model: How Skilled Nursing Providers Can Get Ahead of PDPM appeared first on electronichealthreporter.com.

CMS Issues Final Rule for the 2020 Annual Notice of Benefit and Payment Parameters

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. The Centers for Medicare & Medicaid Services (CMS) released the final annual Notice of Benefit and Payment Parameters for the 2020 benefit year, also known as the 2020 Payment Notice.

The 340B Drug Pricing Program: A Federal Court Enters the Fray

Electronic Health Reporter

The article The 340B Drug Pricing Program: A Federal Court Enters the Fray appeared first on electronichealthreporter.com. Editorial 340B Drug Pricing Program 340B program Ken Perez Medicaid and Medicare Part B Medicare Hospital Outpatient Prospective Payment System Omnicell

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

Health Populi

And here’s the notorious tweet about her use of the f-word, and the link to the article in the Tucson Weekly which reported on the day talked about McSally’s enthusiasm for cutting down the Affordable Care Act with her Republican colleagues in the House.

Heart Health at #CES2019 – Food and Tech as Medicine

Health Populi

An important example of this self-care approach is the evidence-based Ornish food regimen which is reimbursed by Medicare (as a form of cardiac rehabilitation). Self-care is the new health care as patients, now consumers at greater financial risk for medical spending, are learning.

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.

Will Foot Ulcer Treatment Survive Medicare Rollback?

Insulin Nation

A state-of-the-art wound therapy that prevents amputations is under threat from proposed cuts in Medicare reimbursement rates, according to regenerative medicine experts. Apligraf, pictured here, is a dressing made of living cells used to help heal diabetic foot ulcers.

Comparison Is the New Key To Excellence: What Health Plans Can Do To Boost Enrollments

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. The article Comparison Is the New Key To Excellence: What Health Plans Can Do To Boost Enrollments appeared first on electronichealthreporter.com. Editorial Abhinav Shashank Anthem–Cigna merger Innovaccer Medicare Advantage Star RatingsIllegal copying is prohibited. By Abhinav Shashank, CEO, Innovaccer.

How Walmart Could Bolster Healthcare in the Community

Health Populi

Here’s a New York Times article from 2014 discussing the company’s vision for expanding primary care. Walmart has been a health/care destination for many years.

CMS: Advance Agenda For Rural Health and “Unleash Medical Innovation”

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. The proposed rule would update Medicare payment policies for hospitals under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System […].

How Skilled Nursing Facilities Need To Prepare For Value-Based Care

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. The article How Skilled Nursing Facilities Need To Prepare For Value-Based Care appeared first on electronichealthreporter.com. Editorial long-term care Medicare fee-for-service skilled nursing

America’s Physician Groups Responds to CMS MA 2020 Advance Notice

Electronic Health Reporter

The article America’s Physician Groups Responds to CMS MA 2020 Advance Notice appeared first on electronichealthreporter.com. Editorial America’s Physician Groups Don Crane Medicare Advantage Risk Adjustment Processing System

Key Takeaways From CMS/ONC Officials Regarding New Interoperability Proposed Rule

Electronic Health Reporter

The article Key Takeaways From CMS/ONC Officials Regarding New Interoperability Proposed Rule appeared first on electronichealthreporter.com. Editorial 21st Century CURES Act Centers for Medicare & Medicaid Services Don Rucker Eric D.

Tech-Smart Seniors Have a Role To Play In Managing Rx Costs

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. The article Tech-Smart Seniors Have a Role To Play In Managing Rx Costs appeared first on electronichealthreporter.com. Editorial Chris Hakim eHealth Medicare

Testing Times for Healthcare Software: The Top 10 Issues

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. The article Testing Times for Healthcare Software: The Top 10 Issues appeared first on electronichealthreporter.com. Manish Mathuria Medicare Access and CHIP Reauthorization Act (MACRA) mobile health telehealth

HHS Aims To Deliver Value-Based Transformation In Primary Care

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. The article HHS Aims To Deliver Value-Based Transformation In Primary Care appeared first on electronichealthreporter.com. Illegal copying is prohibited.

ThoughtLeaders: Prognosis for Medicare and Commercial ACOs

E-CareManagement

A number of pundits are citing the systemic failure of ACOs, after additional Pioneer ACOs announced withdrawal from the program – Where do you weigh in on the prognosis for Medicare and Commercial ACOs over the next several years?” While these Medicare ACO programs did not perform as well as hoped, there were many factors affecting savings and quality improvements including geography and diversity of the populations served.

BPCI Advanced: Ensuring Successful Participation

Electronic Health Reporter

The article BPCI Advanced: Ensuring Successful Participation appeared first on electronichealthreporter.com. Editorial BPCI Advanced Bundled Payments for Care Improvement Medicare fee-for-service Remedy Partners Win Whitcomb

Texting patient information – The latest from CMS

Health Blawg

We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., Comments […] article was originally published on HealthBlawg and. We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., CMS has a communications problem.

HIE 95

Texting patient information – The latest from CMS

Health Blawg

We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., Comments […] article was originally published on HealthBlawg and.

HIE 78

Texting patient information – The latest from CMS

Health Blawg

We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., Comments […] article was originally published on HealthBlawg and.

HIE 78

Privacy Issues with Patient Portals

BHM Healthcare Solutions

It can be difficult to effectively document sensitive health information of pediatric patients and older adults whose family members have access to their patient portals without violating the patient’s privacy, according to a viewpoint article in AAP News and Journals. Healthcare IT Medicare and Medicaid Services Data hack Healthcare Data Breaches Healthcare Data Protection Medicaid

EHR 40

Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

Fred notes that the DocGraph dataset of Medicare physician relationships with patients is the largest graph dataset — i.e. a dataset organized with nodes and edges — using real-name data out there, and is one of the few “people” graphs that are open.

Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

Fred notes that the DocGraph dataset of Medicare physician relationships with patients is the largest graph dataset — i.e. a dataset organized with nodes and edges — using real-name data out there, and is one of the few “people” graphs that are open.

Texting patient information – The latest from CMS

Health Blawg

We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., Comments […] article was originally published on HealthBlawg and. We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., CMS has a communications problem.

HIE 60

Texting patient information – The latest from CMS

Health Blawg

We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., Comments […] article was originally published on HealthBlawg and. We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., CMS has a communications problem.

HIE 60

Texting patient information – The latest from CMS

Health Blawg

We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., Comments […] article was originally published on HealthBlawg and. We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., CMS has a communications problem.

HIE 60

Texting patient information – The latest from CMS

Health Blawg

We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., Comments […] article was originally published on HealthBlawg and. We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., CMS has a communications problem.

HIE 60

Breaking Down Next Gen ACO’s and the Telehealth Waiver

Health Recovery Solutions

The Center for Medicare and Medicaid Services’ (CMS) Next Generation ACO telehealth waiver allows for the expansion of telehealth implementation across the United States, regardless of geographic location.

ACO Lessons Learned: Revisiting the Timing of Downside Risk

E-CareManagement

The editor and publisher of Accountable Care News have been generous in allowing me to republish my article from the November 2014 issue. Click here to download a.pdf copy of the article.

Reducing unnecessary hip and knee replacements could save billions a year

FierceHealthIT

Recent research shows that capping payments for elective joint replacements could reduce annual Medicare spending by billions of dollars. In 2014, Medicare paid an average of $17,223 and $16,292, respectively, for hip and knee replacements. A new JAMA article notes that if those procedures cost the average Medicare rate of $13,000, the U.S.

AdhereHealth and Papa Partner To Tackle Barriers of Care, SDoH

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. A growing issue for millions of Americans enrolled in Medicare are SDoH, such as loneliness, food insecurity and transportation, any one of them impeding optimal healthcare and medication adherence.