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.

$1.2 Billion International Telemedicine Medicare Fraud Crackdown

Telebehavioral Health Institute

Billion International Telemedicine Medicare Fraud Crackdown appeared first on TBH Institute Blog. Blog Medicare fraud telemedicine Medicare fraud

Medicare ACOs Improving Care Coordination With Health IT, But Still Have Work To Do

Healthcare IT Today

A recent study by the HHS Office of Inspector General suggests that Medicare ACOs coordinate care more effectively when they have the right health IT tools in place, particularly when ACO members share one EHR platform and have access to a robust HIE.

Telemedicine Coverage Through Medicare


Thankfully, Medicare has made strides to help seniors get the doctor visits they need, even if. Featured Post Tips & Techniques cms telemedicine elderly care insurance Medicare and Medicaid telemedicine senior care telehealth for seniorsBeing able to get to and from doctor visits can become challenging the older we get, especially if it’s a specialist visit out of town. This is unfortunate since as we age, we may require visits more often.

How Does Medicare Cover Telemedicine?

Electronic Health Reporter

Roberts, a Medicare insurance expert and co-founder, Boomer Benefits. The article How Does Medicare Cover Telemedicine? Roberts Medicare Part B outpatient coverage Part C Medicare Advantage plan Patient co-pays and co-insurance under Part B telehealth telemedicine

CMS launches first-ever consumer-facing app, for Original Medicare beneficiaries

Mobi Health News

The app lets those on Medicare search for products and services to see if they are covered

New CMS ruling expands telehealth access to Medicare Advantage patients

Mobi Health News

The new ruling will expand access geographical and plans will have more flexibility in payment models.

eHealth: Medicare Advantage premiums drop 33% during latest enrollment period


A new report from eHealth looks at the costs and reactions from enrollees of Medicare’s latest open enrollment period

What Does It Take To Earn Top Medicare Advantage Ratings?

Electronic Health Reporter

The article What Does It Take To Earn Top Medicare Advantage Ratings? Editorial Abhinav Shashank Innovaccer Medicare Star Ratings social determinants of healthThis article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited.

Medicare Next Generation ACO Model Telehealth Expansion Waiver

Telebehavioral Health Institute

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).

Poll finds 49% of doctors support ‘Medicare For All’


In a recent poll of healthcare workers, almost half of physicians said they support “Medicare for All." But overall, healthcare professionals are almost equally divided over the proposal to replace private health insurance with a new, federally financed healthcare system

Rand: Private insurance pays more than twice what Medicare does


times higher than the rates Medicare would have paid, according to a new Rand Corp. The prices paid to U.S. hospitals by private insurers are about 2.4 study.

CMS may overpay Medicare Advantage plans by billions, study finds 


Medicare Advantage members often account for less healthcare spending before they switch plans, meaning the government may be significantly overpaying MA insurers, according to a new study.

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.

CMS launches Medicare info mobile app

Morning eHealth

Optum comes back swinging in employment war — Comments on EHRs and clinician burden

EHR 117

Contract Year 2020 Medicare Advantage and Part D Flexibility Final Rule

Electronic Health Reporter

On April 5, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates the Medicare Advantage (MA or Part C) and Medicare Prescription Drug Benefit (Part D) programs by promoting innovative plan designs, improved quality, and choices for patients.

OIG: Medicare ACOs have yet to realize full potential of health IT


Medicare accountable care organizations aren't using electronic health records to their potential, a new report shows.

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

Most new Medicare beneficiaries opt for fee-for-service over MA: study 


Though more baby boomers are aging into Medicare, relatively few are choosing Medicare Advantage plans as their entry point to the program, a new study shows.

CMS finalizes rule for remote patient monitoring reimbursement under Medicare

Mobi Health News

CMS Administrator Seema Verma said that the remote monitoring change and others would promote care innovation and reduce provider burden

Medicare Plan Could Save $73 Billion

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. or Canada, Medicare could have saved nearly $73 billion in 2018, according to a new study published in Health Affairs. For the study, researchers analyzed 79 medicines that Medicare Part D spent the most on that did not have competition from lower-cost generic alternatives.

CMS finalizes Medicare Advantage and Part D Payment Policies

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. Under the rule, Medicare Advantage health plans will see a 2.53

Humana boosts projected Medicare Advantage enrollment for 2019


Humana announced a strong start in Q1 2019, driven by better than expected the growth in Medicare Advantage

Medicare Advantage insurtech startup Clover Health raises $500M

Mobi Health News

The Greenoaks Capital-led round is expected to close within the next couple of weeks

Legislators continue 'Medicare-for-All' debate at House hearing


The political posturing in Congress over "Medicare for All" continued Wednesday at the latest hearing on the implications of a single-payer system.

Study pours cold water on idea that teaching hospitals are more costly for Medicare patients


Overall care costs were similar or lower at teaching hospitals versus non-teaching hospitals for Medicare beneficiaries undergoing common procedures

Medicare: Cover CGMs Now!

Insulin Nation

Unfortunately, Medicare policy hasn’t kept up with evolving diabetes technology, and policymakers have left out CGMs from the list of reimbursable diabetes devices. There have been several petitions circulating to pressure lawmakers to make Medicare cover CGMs.

eHealth's online Medicare enrollment up 69% in Q4 2018


An increasing share of eHealth’s Medicare Advantage and Medicare Supplement customers are now enrolling for coverage online

Nearly Half of Adults Unfamiliar with ‘Medicare for All’

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. 13-16, 2018, surveyed 1,021 interviewees on their perception of Medicare for All proposals.

‘Medicare-for-all’ compounds Medicare’s current problems, Verma says


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

KFF: Two-thirds of Medicare recipients lack dental coverage


Almost two-thirds of Medicare recipients, 37 million people, don’t have dental coverage, according to a recent report from the Kaiser Family Foundation (KFF

CMS Proposes to Expand Telehealth Benefits Under Medicare Advantage Plans

Healthcare Informatics

CMS is proposing to implement several sections of the Bipartisan Budget Act of 2018, including expanding telehealth benefits under Medicare Advantage plans

The Political Plausibility of Medicare for All

Electronic Health Reporter

The article The Political Plausibility of Medicare for All appeared first on 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.

4 in 10 Medicare beneficiaries expected to be on Medicare Advantage plans by 2028


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

Big changes are coming to Medicare reimbursement for connected health

Mobi Health News

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

ACOs saved Medicare $2.7B to date, outpacing CMS estimates


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

House hearing tackles both sides of Medicare for All debate


Perspectives on both sides of the single-payer debate met at a hearing on the House version of Medicare for All on Tuesday

Trump administration finalizes Medicare Advantage telehealth benefit policy


Medicare Advantage (MA) plans will be able to add additional telehealth benefits starting in plan year 2020 under a final rule announced by the Trump Administration on Friday afternoon.

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.

Industry Voices—Are Medicare insurers ready for the digital future?


It’s clear that the industry has to do better as Medicare beneficiaries seek to navigate their way in the digital age