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

Health Populi

Two new data points converge that beg the question in the title of this post. 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.

UnitedHealthcare Offers Health Data Support For Medicare Advantage ACO

Healthcare IT Today

UnitedHealthcare has struck a deal with national physician group Privia Health under which it will offer more and better data on patients enrolled in the payer’s Medicare Advantage plans.

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CMS To Run Pilot Giving Providers Access To Medicare Claims Data

Healthcare IT Today

In another step in fleshing out its interoperability efforts, CMS has announced plans to launch a pilot program giving clinicians access to claims data. Ambulatory Analytics/Big Data Clinical EMR-EHR Health IT Company Healthcare IT IT Blue Button 2.0

Talk to Me About My Health, Medicare Advantage Beneficiaries Tell J.D. Power

Health Populi

Cost is the major reason why Medicare Advantage plan beneficiaries switch plans, but people who switch also tend to have lower satisfaction scores based on non-cost factors. Power’s 2019 Medicare Advantage Plan Study.

DOJ sues Anthem over Medicare fraud claims

FierceHealthIT

Anthem faces a federal lawsuit for submitting inaccurate diagnostic data to get a higher Medicare reimbursement

Medicare Members Are Health Consumers, Too – Our AHIP Talk About Aging, Digital Immigrants, and Personalizing Health/Care

Health Populi

That program has the potential to change our Medicare members manage meds at home to ensure better adherence, supporting better health outcomes and personal feelings of efficacy and control. [As

Alignment Healthcare closes $135M for tech-backed Medicare Advantage coverage

Mobi Health News

The Californa company will be strengthening its proprietary member-data platform and plan offerings

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.

The New Drug Companies Aren’t Drug Companies At All

Health Populi

This research organization will develop medicines targeting older adults — which makes sense because Clover Health’s target consumer market is Medicare Advantage beneficiaries.

CMS planning to further grow its use of encounter data in Medicare Advantage risk adjustment

FierceHealthIT

CMS is planning to up the amount of encounter data it uses to calculate Medicare Advantage risk scores to 75%, the agency said Monday

When Will Self-Service Come to Health Care?

Health Populi

This data point has informed my vision for self-care and the home as our health hub, bolstered in part through the research of Accenture from which this first graphic comes.

Medicare Advantage insurers to CMS: Rethink expanding use of encounter data in risk adjustment

FierceHealthIT

Medicare Advantage insurers are warning the Centers for Medicare & Medicaid Services that it should pump the brakes on its plan to expand the use of encounter data to calculate risk scores, as such data often has gaps or errors.

UnitedHealthcare expands digital data collection for Medicare beneficiares

FierceHealthIT

UnitedHealthcare announced it will increase the amount of data collected from digital devices as a tool against managing chronic illnesses

CMS to make Medicare Advantage data available to researchers

Morning eHealth

FDA draws strong, mixed reaction — U.S. Digital Service hands QPP back to CMS

Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

I caught up with Fred Trotter to talk about his work as a healthcare data journalist and about his service on the federal cybersecurity task force , which issued a report last year. He’s the co-author of O’Reilly’s first health IT book, Hacking Healthcare, and the 2015 recipient of the Healthcare Data Liberator of the Year award. His technical commentary and data journalism work is featured in several online and print journals including Wired, Forbes, U.S.

HHS Finalizes Interoperability and Information Blocking Rules, Providing Patients Better Access To Their Health Data

Electronic Health Reporter

Department of Health and Human Services (HHS) today finalized two transformative rules that will give patients unprecedented safe, secure access to their health data. The article HHS Finalizes Interoperability and Information Blocking Rules, Providing Patients Better Access To Their Health Data appeared first on electronichealthreporter.com. Azar Cures Act information blocking interoperability rule Medicare Blue Button 2.0

Medicare diabetes program’s paltry numbers

Morning eHealth

Cerner snaps up AbleVets — Progress on SDOH data standards

AMGA Endorses CMS Data-Sharing Initiatives

Electronic Health Reporter

AMGA has endorsed two new Centers for Medicare & Medicaid Services (CMS) initiatives that are designed to ensure providers have access to claims data. Expanding access to administrative claims data for providers and their patients has been a longstanding AMGA priority. The initiatives include Data at the Point of Care (DPC) and MyHealthEData. The article AMGA Endorses CMS Data-Sharing Initiatives appeared first on electronichealthreporter.com.

Health/Care Everywhere – Re-Imagining Healthcare at ATA 2019

Health Populi

Joining us on the panel will be Kaiser-Permanente as a prospective partner in such a retail health-to-services-to-home vision, underpinned by data and predictive analytics.

CMS data shows ACOs saved Medicare $314M in 2017

FierceHealthIT

New data released by CMS shows ACOs cut Medicare costs by hundreds of millions of dollars after accounting for shared savings payments. The National Association of ACOs said the data proves Track 1 ACOs are generating savings

Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

I caught up with Fred Trotter to talk about his work as a healthcare data journalist and about his service on the federal cybersecurity task force , which issued a report last year. You may ask: What is a data journalist? You may ask: What is a data journalist?

Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

I caught up with Fred Trotter to talk about his work as a healthcare data journalist and about his service on the federal cybersecurity task force , which issued a report last year. You may ask: What is a data journalist? You may ask: What is a data journalist?

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.

CMS to release Medicare Advantage encounter data as part of new data-driven strategy

FierceHealthIT

CMS is making good on its promise to release encounter data that it collects from Medicare Advantage plans. The agency was scheduled to release the data last year, but concerns over accuracy caused them to pull back, disappointing researchers. CMS also announced that it will publicly release data for Medicaid and CHIP plans next year

Medicare Reimbursement for Remote Monitoring Should Drive Adoption (What a long, strange trip it’s been….)

The cHealth Blog

The Centers for Medicare & Medicaid Services (CMS) released the 2018 Physician Fee Schedule about two weeks ago and there is at least one nugget in there that should speed the adoption of remote patient monitoring.

Medicare Opens the Door to Reimbursement for Remote Patient Monitoring

Digital Health Today

When CMS unveiled the first standalone reimbursement for Remote Patient Monitoring (“RPM”) by “unbundling” CPT Code 99091 in the 2018 Medicare Physician Fee Schedule , it opened the door to the widespread use of RPM services for patients and promised there was more to come.

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.

Verma says interoperability rule is coming, backs data sharing as a Medicare requirement

FierceHealthIT

She also said adding data-sharing requirements to Medicare Conditions of Participation is "much easier, to some degree, for hospitals and physicians

Harvard researchers: 'Medicare for All' wouldn't overwhelm hospitals

FierceHealthIT

There seems to be no data that support the belief that there could be a surge in hospital use if the government implements "Medicare for All

Solving the Challenge of High-volume Health Plan Chart Requests

Healthcare IT Today

From Medicare Risk Adjustment (MRA) requests to HEDIS requests, Affordable Care Act (ACA) records retrieval, RADV, DRG Audit, CIP and QIP: the alphabet soup of chart request types […]. The following is a guest article by Steve Mallinak, Senior Vice President of Operations at Ciox.

Wasted: $1 of Every $4 Spent on Health Care In America

Health Populi

Lack of interoperability of data systems is one area that’s improving, slowly. The Centers for Medicare and Medicaid Services (CMS) forecasts that prescription drug spending will be the fastest-growing cause of rising health spending by 2027.

CMS' Seema Verma: Medicare data sharing proposal is 'about the patient'

FierceHealthIT

A proposed rule change last month would require hospitals to share data as a requirement of participating in Medicare

UnitedHealthcare ramping up investment in virtual visits, home monitoring for 6M Medicare Advantage members

FierceHealthIT

Health insurance giant UnitedHealthcare is ramping up its investment in data analytics capabilities and digital tools to support the specific needs of its nearly 6 million Medicare Advantage members

Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

I caught up with Fred Trotter to talk about his work as a healthcare data journalist and about his service on the federal cybersecurity task force , which issued a report last year. He’s the co-author of O’Reilly’s first health IT book, Hacking Healthcare, and the 2015 recipient of the Healthcare Data Liberator of the Year award. His technical commentary and data journalism work is featured in several online and print journals including Wired, Forbes, U.S.

Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

I caught up with Fred Trotter to talk about his work as a healthcare data journalist and about his service on the federal cybersecurity task force , which issued a report last year. He’s the co-author of O’Reilly’s first health IT book, Hacking Healthcare, and the 2015 recipient of the Healthcare Data Liberator of the Year award. His technical commentary and data journalism work is featured in several online and print journals including Wired, Forbes, U.S.

Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

I caught up with Fred Trotter to talk about his work as a healthcare data journalist and about his service on the federal cybersecurity task force , which issued a report last year. He’s the co-author of O’Reilly’s first health IT book, Hacking Healthcare, and the 2015 recipient of the Healthcare Data Liberator of the Year award. His technical commentary and data journalism work is featured in several online and print journals including Wired, Forbes, U.S.

AHA report: Medicare, Medicaid underpaid hospitals by $76B in 2017 

FierceHealthIT

Many hospitals are making significant investments in community programs, despite losing nearly $77 billion in Medicare and Medicaid payments in 2017, according to new data from the American Hospital Association.

JAMA piece urges release of Medicare Advantage encounter data

FierceHealthIT

Despite concerns about the quality of Medicare Advantage encounter data, a new JAMA viewpoint piece argues that it's long past time to make that information available to researchers who want to study the ever-growing privatized Medicare program. After all, the authors argue, those same data are being used to calculate payments to insurers

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.

Security Holes in Medicaid Security Program Risks Patient Data

BHM Healthcare Solutions

Editor’s Note: Payers stay informed with information security trends to protect their patients’ data. Click HERE to learn how BHM’s investments into cyber-security protect your data. Maryland did not adequately follow federal requirements to secure its Medicaid data and information systems, according to an HHS Office of Inspector General report. Click HERE to learn how BHM’s investments into cyber-security protect your data.