article thumbnail

Medicare Advantage’s Favorable Selection Problem

Digital Health Wire

Medicare Advantage plans could be on track to reach over $75B in overpayments this year – nearly 3x prior estimates – causing researchers at the USC Schaeffer Center for Health Policy and Economics to issue a pressing call for policy reform. Favorable selection at its finest.

article thumbnail

A Few #HealthPolicyValentines

Healthcare IT Today

HealthPolicyValentines pic.twitter.com/nZx2DcTCGI — MA Health Policy Commission (@Mass_HPC) February 13, 2024 Medicare could never negotiate your cost because you are priceless. Less fragmented health data. We hope you’ll enjoy a nice break this Valentine’s day. What does that mean for patients?

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

Healthcare 2030: Are We Consumers, CEOs, Health Citizens, or Castaways? 4 Scenarios On the Future of Health Care and Who We Are – Part 2

Health Populi

Presidential elections to that point, and that the last retiring Baby Boomer enrolls in Medicare that year. Let’s take a walk with “Quincy” through each of the four worlds to see how their health care experience might play out across the key driving forces. In 2030, every Boomer will have been eligible for Medicare.

HC 182
article thumbnail

Billing Medicare and Private Payers for Telehealth Visits: What to Expect Post-Public Health Emergency

Healthcare IT News - Telehealth

By Tyler Williams, Directory of Strategy, AR Optimization, ZOLL Data Systems. Prepare Now for Anticipated Changes to Medicare and Private Payer Rules. The Centers for Medicare and Medicaid Services (CMS) is expected to issue new rules for telehealth in the release 2021 Physician Fee Schedule later this year.

article thumbnail

Featured Health IT Job: Data Scientist

Healthcare IT Today

Today, we’re featuring the Data Scientist position that was recently posted on Healthcare IT Central. Design, implement, maintain and enhance data workflows, quality assurance protocols, analytical processes, and reporting products (i.e. We like to regularly feature a healthcare IT job that might be of interest to readers.

article thumbnail

Value-Based Health Care Needs All Stakeholders at the Table – Especially the Patient

Health Populi

[Note: I may be biased as a University of Michigan graduate of both the School of Public Health and Rackham School of Graduate Studies in Economics]. health care, patient assistance programs, Medicare Advantage plans, and the bundling of proven high-value preventive services into the Affordable Care Act.

article thumbnail

Add Behavioral Data to Social Determinants For Better Patient Understanding

Health Populi

Health agencies will have to become at least as sophisticated as other consumer/retail industries in analyzing a variety of data that helps uncover root causes of human behavior,” Gartner recommended in 2017. That’s because “health” is not all pre-determined by our parent-given genetics.