INDUSTRY INSIGHTS YOUR PEERS ARE READING
CMS is proposing to implement several sections of the Bipartisan Budget Act of 2018, including expanding telehealth benefits under Medicare Advantage plans MORE
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 MORE
Q: Per Medicare regulations, do the providers at a distant site have to be hospital-based or can they be in a private setting – for example, a group of pulmonologists who want to create a telehealth system on their own? Also, all telehealth services must meet the Medicare established set of criteria for reimbursement. Click here to visit the Medicare Eligibility Analyzer site. To review CCHP information on Medicare, go to: [link]. Medicare MORE
Accountable care organizations in the Medicare Shared Savings Programs have saved Medicare $2.7 billion to date, including $859 million in 2016, according to a new analysis commissioned by NAACOS. That's $1.1 billion more than CMS estimates MORE
Optum comes back swinging in employment war — Comments on EHRs and clinician burden MORE
The article The Political Plausibility of Medicare for All appeared first on electronichealthreporter.com. Editorial Ken Perez Medicare for All OmnicellThis content is copyrighted strictly for Electronic Health Reporter. By Ken Perez, vice president of healthcare policy, Omnicell, Inc. MORE
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Medicare and Medicaid are better than private insurers at keeping spending per beneficiary low, a finding that has crucial implications for the current health policy debate, according to a new report. MORE
At HIMSS19, ACT | The App Association's Brian Scarpelli will lay out the details of what he calls a "sea change" in CMS' policy toward remote patient monitoring MORE
Specifically, special attention should be paid to the business’s billing practices, and current Medicare policies and procedures concerning coverage and claims determinations To safeguard your business from payment interruption, providers and suppliers should ensure they have effective compliance measures in place. MORE
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To mitigate SDoH risks for older Americans, Medicare has begun to pay for services that promote coordinated care. In the health care world, it is now commonly accepted that genes contribute less than half of the influence on peoples’ health status. MORE
As previously discussed, in the United States traditional fee-for-service system of Medicare, use of the telehealth benefit is limited to rural Health Professional Shortage Areas (HPSA). MORE
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. MORE
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. MORE
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. MORE
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. MORE
Also: Smoking cessation app trial wins $2.7 million research grant; favorable study results for One Drop MORE
November 1, 2018 the Centers for Medicare and Medicaid (CMS) made a significant step in overcoming this obstacle. It announced its finalization of “ Revisions to Payment Policies under the Medicare Physician Fee Schedule, Quality Payment Program and Other Revisions to Part B for CY 2019 ”. MORE
The Centers for Medicare & Medicaid Services plans to cover an emerging immunotherapy for cancer patients, it announced on Friday. CMS intends to allow Medicare to pay for chimeric antigen receptor (CAR) T-cell therapy, in which oncologists use a patient’s own immune system to attack a tumor MORE
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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 MORE
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Medicare Related Topics TeleMental Health blog
DECEMBER 21, 2018
As previously discussed, in the United States traditional fee-for-service system of Medicare, use of the telehealth benefit is limited to rural Health Professional Shortage Areas (HPSA).
Mobi Health News
JANUARY 28, 2019
The app lets those on Medicare search for products and services to see if they are covered
Morning eHealth
JANUARY 28, 2019
Optum comes back swinging in employment war — Comments on EHRs and clinician burden
Electronic Health Reporter
NOVEMBER 28, 2018
The article The Political Plausibility of Medicare for All appeared first on electronichealthreporter.com. Editorial Ken Perez Medicare for All OmnicellThis content is copyrighted strictly for Electronic Health Reporter. By Ken Perez, vice president of healthcare policy, Omnicell, Inc.
BHM Healthcare Solutions
JANUARY 29, 2019
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. 13-16, 2018, surveyed 1,021 interviewees on their perception of Medicare for All proposals.
Morning eHealth
JANUARY 17, 2019
Verma’s extremely online price transparency push — Event dispatches
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The cHealth Blog
NOVEMBER 16, 2017
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.
FierceHealthIT
FEBRUARY 14, 2019
The Medicare at 50 Act, introduced earlier this week, is already getting pushback from healthcare organizations that were hoping to either expand Medicare options to all or, on the flip side, keep the coverage primarily for those 65 and over
BHM Healthcare Solutions
OCTOBER 2, 2018
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
BHM Healthcare Solutions
JUNE 26, 2018
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% The growth of Medicare Advantage as a program (it accounts for a third of Medicare enrollees and spending), and the 9.3%
FierceHealthIT
JANUARY 28, 2019
CMS' new "What's covered" app, available on iOS and Android devices, allows users to quickly look up whether Medicare covers a certain device or procedure
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Healthcare Informatics
OCTOBER 29, 2018
CMS is proposing to implement several sections of the Bipartisan Budget Act of 2018, including expanding telehealth benefits under Medicare Advantage plans
FierceHealthIT
DECEMBER 11, 2018
Accountable care organizations in the Medicare Shared Savings Programs have saved Medicare $2.7 billion to date, including $859 million in 2016, according to a new analysis commissioned by NAACOS. That's $1.1 billion more than CMS estimates
Mobi Health News
JANUARY 30, 2019
The Greenoaks Capital-led round is expected to close within the next couple of weeks
Mobi Health News
NOVEMBER 1, 2018
CMS Administrator Seema Verma said that the remote monitoring change and others would promote care innovation and reduce provider burden
FierceHealthIT
OCTOBER 16, 2018
Echoing her boss’s op-ed last week, Centers for Medicare & Medicaid Services Administrator Seema Verma devoted an unusually long time in one speech to why a popular progressive proposal would not work
FierceHealthIT
NOVEMBER 19, 2018
Medicare Advantage enrollment is expected to increase from 34% of the Medicare population in 2018 to 42% in 2028. Yet CBO forecasts that spending on those enrollees will grow from $200 billion to $580 billion over the same time period
Health Populi
FEBRUARY 11, 2019
To mitigate SDoH risks for older Americans, Medicare has begun to pay for services that promote coordinated care. In the health care world, it is now commonly accepted that genes contribute less than half of the influence on peoples’ health status.
FierceHealthIT
FEBRUARY 15, 2019
The Centers for Medicare & Medicaid Services plans to cover an emerging immunotherapy for cancer patients, it announced on Friday. CMS intends to allow Medicare to pay for chimeric antigen receptor (CAR) T-cell therapy, in which oncologists use a patient’s own immune system to attack a tumor
BHM Healthcare Solutions
APRIL 10, 2018
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
eVisit
NOVEMBER 19, 2018
November 1, 2018 the Centers for Medicare and Medicaid (CMS) made a significant step in overcoming this obstacle. It announced its finalization of “ Revisions to Payment Policies under the Medicare Physician Fee Schedule, Quality Payment Program and Other Revisions to Part B for CY 2019 ”.
BHM Healthcare Solutions
AUGUST 7, 2018
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.
Mobi Health News
DECEMBER 5, 2018
At HIMSS19, ACT | The App Association's Brian Scarpelli will lay out the details of what he calls a "sea change" in CMS' policy toward remote patient monitoring
BHM Healthcare Solutions
JUNE 5, 2018
Editor’s Note: Increasing costs for prescriptions is creating a long-term financial impact on Medicare Part D and its beneficiaries. Total Medicare reimbursement for all brand-name drugs ballooned 77 percent from 2011 to 2015.
FierceHealthIT
JANUARY 30, 2019
CMS is looking to further expand options for Medicare Advantage plans to provide supplementary benefits to beneficiaries with chronic conditions.
FierceHealthIT
JANUARY 4, 2019
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.
Healthcare Guys
OCTOBER 26, 2018
Specifically, special attention should be paid to the business’s billing practices, and current Medicare policies and procedures concerning coverage and claims determinations To safeguard your business from payment interruption, providers and suppliers should ensure they have effective compliance measures in place.
BHM Healthcare Solutions
AUGUST 7, 2018
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.
FierceHealthIT
FEBRUARY 4, 2019
Ride-hailing service Lyft has been in the healthcare space for the past several years, and it sees Medicare Advantage plans as a key demographic for its health platform
FierceHealthIT
FEBRUARY 11, 2019
Medicare and Medicaid are better than private insurers at keeping spending per beneficiary low, a finding that has crucial implications for the current health policy debate, according to a new report.
Telehealth Blog
MAY 24, 2018
Q: Per Medicare regulations, do the providers at a distant site have to be hospital-based or can they be in a private setting – for example, a group of pulmonologists who want to create a telehealth system on their own? Also, all telehealth services must meet the Medicare established set of criteria for reimbursement. Click here to visit the Medicare Eligibility Analyzer site. To review CCHP information on Medicare, go to: [link]. Medicare
Health Populi
DECEMBER 25, 2018
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.
FierceHealthIT
JANUARY 22, 2019
Medicare reimbursement isn’t cutting it for many physician practices. Some 67% of medical practices said that 2019 Medicare payment rates will not cover the cost of their delivering care to patients, according to an MGMA Stat poll
FierceHealthIT
FEBRUARY 19, 2019
UnitedHealthcare announced it will increase the amount of data collected from digital devices as a tool against managing chronic illnesses
FierceHealthIT
JANUARY 10, 2019
Morgan Healthcare Conference this week: the boost from Medicare Advantage A common theme among insurers speaking at the J.P.
FierceHealthIT
DECEMBER 4, 2018
Nearly half of Medicare patients in long-term-care facilities have experienced some type of harm as the result of their care, endangering their health and increasing Medicare costs, according to a report from a government watchdog
FierceHealthIT
DECEMBER 11, 2018
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
Mobi Health News
FEBRUARY 20, 2019
Also: Smoking cessation app trial wins $2.7 million research grant; favorable study results for One Drop
FierceHealthIT
NOVEMBER 14, 2018
A nuanced legal battle over Medicare Advantage overpayments rages on. CMS will appeal a September ruling invalidating a 2014 rule with huge implications for insurers, including UnitedHealth
Insulin Nation
MAY 10, 2016
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.
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