FierceHealthIT

APRIL 26, 2023

OIG audit reveals lack of data sharing led to $128M in duplicate payments by Medicare, VA aburky Wed, 04/26/2023 - 13:01

Medicare 124

Medicare 124

FierceHealthIT

JULY 31, 2023

Hundreds of thousands of beneficiaries are caught up in a Medicare program contractor breach that compromised the personal information of millions of people, according to statements and filings rel | Medicare program contractor Maximus Federal Services, which uses MOVEit for file sharing, told CMS that beneficiaries' sensitive data may have been (..)

Medicare 75

Medicare 75

FierceHealthIT

FEBRUARY 2, 2023

GAO: Data on use of Medicare Advantage supplemental benefits are lacking pminemyer Thu, 02/02/2023 - 13:55

Medicare 98

Medicare 98

Clear Arch Health

JANUARY 10, 2024

Providing value-based, member-centric care t o address Social Determinants of Health (SDoH) - via remote health monitoring services - can mitigate adverse impact to patients, and may help to ensure Medicare Advantage plan success. Use this actionable intelligence to create services that can be tailored to suit specific patient needs.

Medicare 91

Medicare Connected Health 91

FierceHealthIT

NOVEMBER 16, 2021

Improper Medicare payments down $20.7B since 2014, CMS data show. Tue, 11/16/2021 - 07:15.

Medicare 129

Medicare 129

Healthcare IT Today

FEBRUARY 22, 2023

There’s widespread consensus that payments to Medicare Advantage Organizations (MAOs) are a mess. These programs, which care for more than 30 million of the nearly 64 million Medicare enrollees , operate on the cutting edge of health care and suffer serious problems in data collection and billing.

Medicare 92

Medicare Medical Billing Healthcare IT Health IT 92

FierceHealthIT

FEBRUARY 21, 2023

CMS data: Medicare Advantage enrollment now more than 31M pminemyer Tue, 02/21/2023 - 14:21

Medicare 88

Medicare 88

FierceHealthIT

OCTOBER 7, 2021

New data show Medicare Advantage beneficiaries had lower hospitalization, mortality rates for COVID-19. Thu, 10/07/2021 - 12:36.

Medicare 128

Medicare 128

FierceHealthIT

AUGUST 17, 2023

A recent survey from eHealth, an independent Medicare insurance adviser, released new data that shows 84% of respondents believe Medicare needs reform, but just 12% think changes should impact thei | A new survey shows that while seniors acknowledge Medicare reform is critical to the program's future, they expect to receive benefits at the cost (..)

Medicare 98

Medicare eHealth 98

FierceHealthIT

AUGUST 26, 2020

OIG warns Medicare Advantage encounter data have gaps in information critical to oversight. Wed, 08/26/2020 - 12:46.

Medicare 133

Medicare 133

FierceHealthIT

SEPTEMBER 11, 2023

million people in Medicaid, Medicare, and Affordable Care Act plans, was ordered to shore up its data protection systems. Care, which provides coverage for about 2.9

HIPAA 126

HIPAA Medicare 126

Healthcare IT News - Telehealth

MARCH 30, 2022

Department of Health and Human Services Office of Inspector General released a study examining how Medicare beneficiaries used telehealth during the first year of the COVID-19 pandemic. "Telehealth was critical for providing services to Medicare beneficiaries during the first year of the pandemic," read the report.

Medicare 135

Medicare Telehealth Mental health Healthcare IT 135

FierceHealthIT

SEPTEMBER 14, 2020

CMS planning to fully rely on encounter data for Medicare Advantage risk adjustment in 2022. Mon, 09/14/2020 - 18:08.

Medicare 121

Medicare 121

Healthcare IT Today

OCTOBER 18, 2023

Previous articles in this series showed why social determinants of health (SDoH) are the hottest recent addition to data used by the medical industry. We’ve explored how SDoH data is defined and shared. It uses data collected from patients as well as ZIP code or census block data on populations.

Health Data 120

Health Data Public Health Life Science Medicare 120

Digital Health Wire

JUNE 25, 2023

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. As a result, risk-adjusted expenditures for the 16.9M

Medicare 52

Medicare Health Policy Digital Health 52

Healthcare IT News - Telehealth

JUNE 12, 2020

introduced new legislation this week that would provide for permanent Medicare payments for telehealth services at federally qualified health centers and rural health clinics. introduced a bill that would mandate a study on the effects of telehealth, noting that data informs policy changes. " WHY IT MATTERS. Robin Kelly, D-Ill.,

Medicare 207

Medicare Telehealth Primary Care Nursing 207

Digital Health Global

FEBRUARY 13, 2023

Centers for Medicare & Medicaid Services has approved coverage for Dexcom G7, the most accurate, 1 easy-to-use CGM system that helps people with diabetes gain greater control of their health. 2-6 The approval of Medicare coverage for Dexcom G7 further solidifies Dexcom as the most covered and reimbursed CGM brand on the market.

Medicare 88

Medicare Digital Health 88

Healthcare IT Today

MARCH 1, 2023

Today, we’re featuring the Healthcare Data Analyst position that was recently posted on Healthcare IT Central. We like to regularly feature a healthcare IT job that might be of interest to readers. This position was posted by New York eHealth Collaborative and is in New York. This role has a hybrid work schedule.

Health IT 136

Health IT eHealth Meaningful Use Health Information 136

Digital Health Global

SEPTEMBER 19, 2023

Award Winning AI-Powered Risk Stratification – Free For All Medicare ACOs The first new product launching is ClosedLoop’s ACO-Predict , the industry’s first free solution for AI-powered population health risk stratification. With ACO-Predict we are bringing AI-powered prediction to every Medicare patient in the country.

Medicare 88

Medicare Accountable Care Digital Health 88

FierceHealthIT

APRIL 26, 2018

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.

Medicare 95

Medicare 95

FierceHealthIT

OCTOBER 6, 2020

Hospitals that don't submit daily COVID-19 data could lose participation in Medicare, Medicaid. Tue, 10/06/2020 - 17:31.

Medicare 91

Medicare 91

FierceHealthIT

MARCH 5, 2019

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.

Medicare 90

Medicare 90

Healthcare IT News - Telehealth

OCTOBER 25, 2023

CMS should get more information from Medicare users to help address their health disparities, suggests Ann Maxwell, deputy inspector general for evaluations at the U.S. Department of Health and Human Services Office of Inspector General.

Medicare 107

Medicare 107

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

Healthcare IT Today

NOVEMBER 26, 2019

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. The agreement builds on the payer’s relationship with Privia’s ACO, which has been in place since 2017.

Medicare 56

Medicare Health Data Healthcare IT Leadership 56

FierceHealthIT

MARCH 26, 2020

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

Medicare 140

Medicare 140

Healthcare IT Today

FEBRUARY 22, 2023

Today, we’re featuring the Lead Data Architect – Healthcare position that was recently posted on Healthcare IT Central. You will work across our ecosystem, ensuring consistency or representation and accuracy of data dictionaries. We like to regularly feature a healthcare IT job that might be of interest to readers.

Health IT 94

Health IT HIPAA Medicare EMR 94

FierceHealthIT

JANUARY 6, 2020

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

Medicare 87

Medicare 87

FierceHealthIT

AUGUST 30, 2018

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.

Medicare 72

Medicare 72

FierceHealthIT

OCTOBER 21, 2021

CMS, CMMI officials seek more data from Medicare Advantage plans on impact of health equity. Thu, 10/21/2021 - 14:00.

Medicare 58

Medicare 58

DrKumo Remote Patient Monitoring

APRIL 11, 2024

In this digital age, where technology is advancing at an unprecedented pace, the Centers for Medicare Services (CMS) plays a crucial role in regulating and supporting RPM services. This framework includes guidelines for healthcare providers on documenting RPM encounters, securing patient data, and adhering to billing requirements.

Medicare 40

Medicare Telehealth Health Data Mobile Health 40

Health Populi

DECEMBER 9, 2019

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 Those born before 1985 are generally considered as digital immigrants, so people aging into Medicare today are certainly in that cohort.

Medicare 156

Medicare Digital Health Patient Experience Connected Health 156

Health Populi

JUNE 24, 2019

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. Power surveyed 3,233 members of Medicare Advantage plans in January through March 2019. For the research, J.D.

Medicare 140

Medicare 140

Telebehavioral Health Institute

JANUARY 12, 2023

In January 2023, the Centers for Medicare & Medicaid Services (CMS) rolled out a new telehealth “indicator” to make information about Medicare telehealth providers on publically-available clinician profile pages more readily available. Medicare Telemedicine Snapshot Data File. 2021 (2021). 2021 (2021).

Medicare 52

Medicare Telehealth Telemedicine Public Health 52

FierceHealthIT

NOVEMBER 28, 2018

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

Interoperability 84

Interoperability Medicare 84

Healthcare IT Today

SEPTEMBER 29, 2022

Today, we’re featuring the Healthcare Data Analyst position that was recently posted on Healthcare IT Central. We like to regularly feature a healthcare IT job that might be of interest to readers. This position was posted by New York eHealth Collaborative and is in New York. This role has a hybrid work schedule.

Health IT 98

Health IT eHealth Meaningful Use Health Information 98

Healthcare IT Today

JANUARY 5, 2023

Today, we’re featuring the Healthcare Data Analyst position that was recently posted on Healthcare IT Central. We like to regularly feature a healthcare IT job that might be of interest to readers. This position was posted by New York eHealth Collaborative and is in New York. This role has a hybrid work schedule.

Health IT 91

Health IT eHealth Meaningful Use Health Information 91