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

Health Populi

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. adults surveyed, 50% believed that Medicare is free.

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

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A Profile of People in Medicare Advantage Plans – HealthMine’s Survey of “Digital Immigrants”

Health Populi

There are over 60 million enrollees in Medicare in 2019, and fully one-third are in Medicare Advantage plans. Medicare is adding 10,000 new beneficiaries every day in the U.S. Younger Medicare beneficiaries are more digitally engaged (connected) than their older peers.

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 shift from Resource Utilization Group (RUG) IV to PDPM moves the skilled nursing reimbursement model away from therapy provision as its main driver.

Peerfit raises $18M from Virgo Investment Group

Mobi Health News

Along with expanding its brand and business, the new funding will also go toward support of the company's Medicare Advantage product, Peerfit Move

New bill would codify Medicare reimbursement for telehealth services

Healthcare IT News - Telehealth

introduced new legislation this week that would provide for permanent Medicare payments for telehealth services at federally qualified health centers and rural health clinics. Since then, multiple groups have pushed the agency to make such changes permanent.

Physician groups satisfied with improved payment for E/M codes, reduced documentation in new Medicare rule

FierceHealthIT

Up in arms a year ago, physician groups found a lot to like in Medicare’s new approach to evaluation and management (E/M) services finalized in the 2020 physician fee schedule

DaVita group to pay $270M to settle Medicare Advantage false claims probe with DOJ

FierceHealthIT

A medical care group that is part of dialysis giant DaVita Inc. will pay $270 million to resolve claims it provided inaccurate information that caused Medicare Advantage plans to receive inflated Medicare payments

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.

340 organizations tell Congress to make telehealth permanent

Henry Kotula

While federal agencies can address some of these policies going forward, the Centers for Medicare and Medicaid does not have the authority to make changes to Medicare reimbursement policy for telehealth under current law, stakeholders said. [link].

Doctors jump into political fray with advocacy group to protect Medicare, ACA

FierceHealthIT

A group of more than 50 doctors from 14 states are launching a national effort and hope to mobilize other physicians and engage voters in a political advocacy campaign aimed at protecting Medicare and affordable healthcare

Seniors Satisfied With Medicare Supplemental Plan

BHM Healthcare Solutions

Editor’s Note: Medicare Advantage organizations (MAOs) continue to do a poor job of maintaining accurate provider directories—and it’s landing some in hot water with the federal government. Financial Medicare and Medicaid Medicaid Medicare payment models Value Based Payments

Health IT groups happy with the omnibus

Morning eHealth

Verma previews Medicare agenda — Calls for MACRA reform fall on deaf ears

UnitedHealth: MA plan holders save nearly 40% more compared to fee-for-service Medicare beneficiaries

FierceHealthIT

Medicare Advantage plan holders spent nearly 40% less than their counterparts in Medicare’s fee-for-service program, according to a new analysis from UnitedHealth Group

Telehealth group practice offers free care to seniors nationwide during crisis

Healthcare IT News - Telehealth

CCS Healthcare provides telehealth services to any Medicare recipient for free. CCS Healthcare is a telehealth practice that has been delivering telehealth care extensively throughout Western Pennsylvania and New Jersey since 2016.

Physician groups say decision by CMS to pay for patient visits via telephone will help revenue-strapped practices

FierceHealthIT

Major physician groups said the decision by the Centers for Medicare & Medicaid Services to start paying physicians for patient visits that take place by telephone will help physician practices stay open by providing them with needed revenue

Physician groups remain split over CMS proposal to allow direct Medicare billing

FierceHealthIT

The Centers for Medicare & Medicaid Services heard both pros and cons on its proposal to allow physicians to bill Medicare patients directly

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.

Lawmakers introduce bipartisan measure to expand Medicare coverage for telehealth

FierceHealthIT

Healthcare industry groups collectively cheered bipartisan, bicameral legislation introduced on Wednesday that aims to expand Medicare coverage for telehealth services.

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.

UnitedHealth beats Q1 projections, but Medicare for All talk starts stock sell-off

FierceHealthIT

UnitedHealth Group’s revenue jumped by 9% in the first quarter of 2019, buoyed by significant growth in Medicare Advantage.

MA plans post higher gross margins than individual, group markets: KFF

FierceHealthIT

Average gross margins for Medicare Advantage plans were double those of plans in the individual and commercial group markets, with MA plans buoyed by bonus payments, according to a new analysis

Physician Practice Roundup—Medical groups disagree over diabetes guidelines; Physician groups urge CMS to strengthen Medicare Advantage

FierceHealthIT

Medical groups disagree over diabetes guidelines; Physician groups urge CMS to strengthen Medicare Advantage and more physician practice news from around the web

A group of Republicans has unveiled its healthcare plan. Here is what's new and what isn't

FierceHealthIT

The Republican Study Committee, a group of 145 House GOP lawmakers, rolled out a new healthcare plan to counter Democrats’ call for “Medicare for All

Hospitals press Congress to end or pause Medicare sequester cuts as they brace for coronavirus impact

FierceHealthIT

Hospital groups want Congress to suspend the 2% cut to Medicare installed with the sequester to instill a "much-needed jolt" of confidence for hospitals

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

Health Populi

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. A study in JAMA published this week analyzed research reports that have measured waste in the U.S.

Doctors Without Patients: ‘Our Waiting Rooms Are Like Ghost Towns’

Henry Kotula

For 50 years, the group has been seeing families like Kelli Rutledge’s. The group’s four doctors and two nurse practitioners quickly adapted to the coronavirus pandemic, sharply cutting back clinic hours and switching to virtual visits to keep patients and staff safe.

What we’ve learned from the telemedicine explosion

Henry Kotula

Some insurers have hinted at pulling back on payment, although they will have a hard time doing so as long as Medicare maintains “parity” with in-person visits. [link].

UnitedHealth expects to add 700K Medicare Advantage members in 2020

FierceHealthIT

UnitedHealth Group reported net fourth-quarter earnings of $3.5 billion, up from $3 billion in the prior-year quarter

UnitedHealth report: Connecting Medicare patients with ‘high-value’ docs could save billions 

FierceHealthIT

Ensuring Medicare patients are treated by “high-value” physicians could lead to billions in savings for the program, according to a new report from UnitedHealth Group.

What $285,000 Can Buy You in America: Medical Costs for Retirees in 2019

Health Populi

Health care is creating a “retirement cost gap” for pre-retirees, Fidelity’s Steven Feinschreiber, senior vice president of the Financial Solutions Group, is quoted on the company’s website.

DOJ joins lawsuit accusing Sutter Health of Medicare Advantage fraud

FierceHealthIT

Federal prosecutors have intervened in a newly unsealed whistleblower lawsuit accusing Sutter Health of submitting unsupported diagnosis codes to Medicare Advantage plans, which inflated payments. The lawsuit comes weeks after DaVita's medical group paid $270 million to resolve similar allegations

As ‘Medicare for All’ debate gains steam, many Americans are on the fence: survey 

FierceHealthIT

Though support or opposition for “Medicare for All” is dominating the 2020 primary headlines, a large group of Americans is more ambivalent about the proposal, a new survey shows.

NBGH: Large employers have serious reservations about 'Medicare for All'

FierceHealthIT

For the first time, the National Business Group on Health polled large employers about Medicare expansion plans including a single-payer “Medicare-for-All” system as part of its annual report examining their healthcare strategies.

Healthcare Roundup—Alaska out of Medicaid funds; groups warn SNAP cuts will hit Medicare, Medicaid

FierceHealthIT

Plus, more than a dozen groups are warning that cuts to SNAP will lead to higher Medicare and Medicaid costs Maine Gov. Paul LePage continues to drag his feet on Medicaid expansion, while Alaska also struggles with Medicaid funds.

Health IT, mental health groups back bill to eliminate telehealth restrictions for opioid treatment

FierceHealthIT

Health IT and behavioral health groups are backing Senate legislation that would allow Medicare beneficiaries to receive opioid addiction treatment via telehealth. The groups told lawmakers current restrictions “significantly limit the number of telebehavioral health visits available in Medicare

Mostly praise, but some criticism for changes proposed by CMS to Medicare payments, MIPS

FierceHealthIT

There was a lot for physicians to like in a proposed rule for 2020 Medicare payment rates and changes to the Merit-based Incentive Payment System, but one group said proposed changes will not push practices to transition to value-based care

The New Drug Companies Aren’t Drug Companies At All

Health Populi

The health/care ecosystem continues to morph as the stakeholder groups themselves are blurring across and outside of their core businesses. Today’s example of this is Clover Health, which launched Clover Therapeutics this week.

AHIP, other industry groups call for phased approach to CMS interoperability rule

FierceHealthIT

America's Health Insurance Plans—and many other healthcare industry groups—is urging the Centers for Medicare & Medicaid Services (CMS) to take a phased approach to its proposed interoperability rule, saying the proposed 2020 implementation timeline is "unrealistic

Opposition to ‘Medicare for All’ remains, but the AMA drops out of coalition fighting single-payer system

FierceHealthIT

While it continues to oppose “Medicare for All,” the American Medical Association has dropped out of a coalition organized to fight the healthcare proposal.