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.

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.

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

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

Health Care and the Democratic Debates – Part 1 – Medicare For All, Rx Prices, Guns and Mental Health

Health Populi

Elizabeth Warren assertively and transparently backed Bernie Sander’s Medicare for All proposal. Let’s take on pharma, allow negotiations of prices under Medicare.

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.

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.

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.

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.

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.

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

Medicare diabetes program’s paltry numbers

Morning eHealth

Cerner snaps up AbleVets — Progress on SDOH data standards

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.

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

Costs, Consumerism, Cyber and Care, Everywhere – The 2019 Health Populi TrendCast

Health Populi

Greater attention paid to the social determinants of health, by payors (both public in Medicaid and Medicare, and in private sector benefit plans) will promote peoples’ access to care, services and social support outside of traditional, legacy healthcare nodes.

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

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

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 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.

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

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

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.

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.

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 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.

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

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.

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

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.

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.

MedPAC recommends primary care, encounter data policy fixes

FierceHealthIT

The Medicare Payment Advisory Commission is urging Congress to adopt reforms to improve the quality of Medicare Advantage encounter data and boost beneficiaries’ access to primary care.

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.

CMS launching pilot program to give providers direct access to claims data

FierceHealthIT

The Centers for Medicare & Medicaid Services is launching a pilot program to put claims data directly into the hands of healthcare providers and clinicians through application programming interfaces via the Medicare Blue Button program

Medicare Told to Cover CGMs in Ruling

Insulin Nation

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. The Medicare-insuring contractor denied the claim.

Health Is Social – The Social Determinants of Health at HIMSS19

Health Populi

This year at HIMSS19, we can take part in at least two dozen education sessions preaching and teaching the centrality of SDOH in patient care and revenue cycle management, and exhibitors who are bringing SDOH data elements and analytics into the electronic health record.