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Fixing Medicare Advantage Payments

Healthcare IT Today

There’s widespread consensus that payments to Medicare Advantage Organizations (MAOs) are a mess. Here, we adopt a position sympathetic to the hurdles facing Medicare Advantage plans and look at how they are trying to improve the quality of data.

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Medicare Advantage Plans Using AI to Deny Care

Digital Health Wire

It’s a tough week to be working PR at Medicare Advantage plans after STAT put out an in-depth investigation revealing that payors are using “unregulated predictive algorithms under the guise of scientific rigor” to cut off care for seniors. Digital Health digital health medicare advantage

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Navigating The Modern Medicare-Digital Care Landscape

Electronic Health Reporter

The article Navigating The Modern Medicare-Digital Care Landscape appeared first on electronichealthreporter.com. Editorial Medicare coverage telehealthThis article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. Telemedicine is rapidly defining the modern medical landscape, with thousands of patients moving away from in-person meetings to video consultation.

Medicare 193
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How To Market to Medicare Patients

Electronic Health Reporter

The article How To Market to Medicare Patients appeared first on electronichealthreporter.com. Editorial How To Market to Medicare Patients Ways to Market to Medicare PatientsThis article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. Nowadays our lives are engulfed with advertisements from gigantic billboards on the streets to our TVs to pop-ups online. That saturation can make useful information hard to find.

Medicare 133
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Medicare Is Cutting 2022 FFS Payments 9.75% & Raising CCM Reimbursements by 54%

Medicare has made its priorities clear, urging healthcare systems and medical practices to provide proactive CCM. Learn how to scale your CCM program in 60 days with no capital investment & no new practitioners in this FREE step-by-step CCM 2022 eBook.

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Health Insurance in Aisle 3: Why a Grocery Chain is Working on Medicare

Health Populi

“You can trust us to help you find the right Medicare coverage for you and your lifestyle,” the tagline reads. It is, specifically, Midwest Heritage, Hy-Vee’s banking, insurance and investments subsidiary, that will implement the Medicare Aisle program.

Medicare 317
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2021 Medicare Advantage Plan Intelligence: An Early Look

Electronic Health Reporter

The Centers for Medicare and Medicaid Services (CMS) in recent months predicted both lower premiums and richer benefits for Medicare Advantage (MA) […]. The article 2021 Medicare Advantage Plan Intelligence: An Early Look appeared first on electronichealthreporter.com.

Medicare 155
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How To Choose The Best Medicare Plan

Electronic Health Reporter

Medicare supplements in Florida are available from a wide list of providers. But how do you choose the best Medicare plan? Medicare Decisions Anyone who is interested in signing up for Medicare has many decisions […].

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Study: Medicare remote patient monitoring use surges during pandemic

Mobi Health News

Researchers found remote patient monitoring use among Medicare beneficiaries increased from 91 claims per 100,000 enrollees in February 2020 to 594 claims per 100,000 enrollees in September 2021

Medicare 247
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What Biden's proposed budget means for Medicare Advantage

FierceHealthIT

What Biden's proposed budget means for Medicare Advantage rking Thu, 03/09/2023 - 16:16

Medicare 115
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Medicare-certified hospitals must supply ownership data

FierceHealthIT

Medicare-certified hospitals must supply ownership data. fdiamond. Tue, 12/20/2022 - 16:46

Medicare 128
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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 telemedicineThis content is copyrighted strictly for Electronic Health Reporter. By Danielle K.

Medicare 115
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Better Medicare Alliance launches bid to get rid of potential Medicare Advantage pay cut

FierceHealthIT

Better Medicare Alliance launches bid to get rid of potential Medicare Advantage pay cut rking Wed, 02/15/2023 - 15:34

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MDaudit Annual Benchmark Report Reveals 82% of Claim Denials Are Associated With Medicare

Electronic Health Reporter

With 82% of 2022 claims denials associated with Medicare, and third-party audit volume rapidly climbing, hospitals and health systems are under intense pressure to protect and grow revenues. This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited.

Medicare 103
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Analysis: Medicare Advantage plans more likely to deny inpatient claims

FierceHealthIT

Analysis: Medicare Advantage plans more likely to deny inpatient claims pminemyer Thu, 02/16/2023 - 14:16

Medicare 131
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House progressive bill wants to take Medicare out of Medicare Advantage's name

FierceHealthIT

House progressive bill wants to take Medicare out of Medicare Advantage's name. rking. Thu, 10/13/2022 - 16:45

Medicare 133
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Growing Support for Medicare for All – But Do People Really Understand What It Means?

Health Populi

These two surveys are: The Morning Consult’s poll published today finding growing support among Democratic voters for Medicare for All as the centerpiece for health reform in America; and, A recent study from Eligibility.com on “Medicare Myths Explained,” with the tagline, “How much do you know about Medicare?” Let’s start with the Morning Consult poll results, which compare support for Medicare for All from January 2019 and August 2019.

Medicare 248
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CMS data: Medicare Advantage tops 30M

FierceHealthIT

CMS data: Medicare Advantage tops 30M. pminemyer. Tue, 01/17/2023 - 14:45

Medicare 111
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Does Medicare Pay For Routine Vision Care?

Electronic Health Reporter

Medicare is a lifeline for millions of Americans, ensuring that they have access to all sorts of treatments, as well as things like prescription drugs and vital supplies to keep them healthy and happy. The article Does Medicare Pay For Routine Vision Care? Editorial Medicare vision care Part BThis article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited.

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Better Medicare Alliance: MA adds $32.5B in value to Medicare

FierceHealthIT

Better Medicare Alliance: MA adds $32.5B in value to Medicare. rking. Thu, 10/21/2021 - 16:23

Medicare 124
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Medicare Advantage patients account for fewer avoidable hospitalizations. Here's why

FierceHealthIT

Medicare Advantage patients account for fewer avoidable hospitalizations. Here's why rking Mon, 02/27/2023 - 17:41

Medicare 116
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Insurers seeing highest margins in Medicare Advantage: KFF study

FierceHealthIT

Insurers seeing highest margins in Medicare Advantage: KFF study pminemyer Tue, 02/28/2023 - 16:03

Medicare 111
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Medicare 101 for Digital Health Part 1: What is Medicare and how did it get this way?

Mobi Health News

An Intro to Medicare - and how Digital Health companies can impact the nation’s biggest payer

Medicare 280
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HHS releases new guidance implementing key Medicare drug rebate program

FierceHealthIT

HHS releases new guidance implementing key Medicare drug rebate program rking Thu, 02/09/2023 - 16:01

Medicare 111
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Medicare Advantage, telehealth expansion allies to helm key House panels

FierceHealthIT

Medicare Advantage, telehealth expansion allies to helm key House panels. rking. Tue, 01/10/2023 - 17:25

Medicare 119
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Studies comparing Medicare Advantage, traditional Medicare don't capture enough racial, ethnic data: analysis

FierceHealthIT

Studies comparing Medicare Advantage, traditional Medicare don't capture enough racial, ethnic data: analysis. fdiamond. Fri, 09/30/2022 - 09:54

Medicare 105
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Genetic testing lab owner convicted in $463M Medicare fraud case

FierceHealthIT

Genetic testing lab owner convicted in $463M Medicare fraud case. fdiamond. Thu, 12/15/2022 - 14:14

Medicare 122
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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. Medicare Advantage enrollment is fast-growing, shown in the first chart where over 22 million people were in MA plans in January 2019. The most-trusted touch-point among Medicare Advantage members, by far, is the doctor or care provider valued by virtually everyone polled (94%).

Medicare 206
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What Is The Best Insurance To Get With Medicare?

Electronic Health Reporter

Getting the best insurance for Medicare will require in-depth research to obtain a better idea of the best options available. The article What Is The Best Insurance To Get With Medicare? Editorial Best Supplement Insurance Companies of 2021 Medicare insurance

Medicare 103
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Survey: Employers rein in health benefits for pre-Medicare and Medicare-eligible retirees

FierceHealthIT

Survey: Employers rein in health benefits for pre-Medicare and Medicare-eligible retirees. fdiamond. Wed, 10/12/2022 - 15:37

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Becerra charges insurer claims of Medicare Advantage pay cuts 'categorically false'

FierceHealthIT

Becerra charges insurer claims of Medicare Advantage pay cuts 'categorically false' rking Fri, 02/17/2023 - 10:13

Medicare 124
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Medicare RPM FAQs: Everything You Need to Know About Medicare and RPM

Health Recovery Solutions

reimbursement cpt billing codes payment medicareSince the pandemic, more and more healthcare organizations and patients are recognizing the benefits of remote patient monitoring (RPM), such as improved care, cost savings, and patient outcomes.

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CMS data: Medicare Advantage enrollment now more than 31M

FierceHealthIT

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

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Contributed: Expanding Medicare Advantage in rural America starts with improving access to care

Mobi Health News

From hospital closures to physician shortages, provider scarcity is a big challenge when it comes to expanding Medicare Advantage in rural communities

Medicare 206
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Staying Competitive in an Expanding Medicare Advantage Market

FierceHealthIT

Staying Competitive in an Expanding Medicare Advantage Market jpiatt Wed, 03/01/2023 - 10:38

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KFF: Medicare Advantage enrollment reaches more than 28M in 2022, nearly half of total Medicare population

FierceHealthIT

KFF: Medicare Advantage enrollment reaches more than 28M in 2022, nearly half of total Medicare population. rking. Thu, 08/25/2022 - 15:49

Medicare 111
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Providers join insurers in calls for changes to controversial Medicare Advantage pay rule

FierceHealthIT

Providers join insurers in calls for changes to controversial Medicare Advantage pay rule rking Tue, 03/07/2023 - 14:23

Medicare 114
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SCAN launches new Medicare Advantage plan for LGBTQ+ seniors

FierceHealthIT

SCAN launches new Medicare Advantage plan for LGBTQ+ seniors. pminemyer. Mon, 10/17/2022 - 17:22

Medicare 124
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Aledade Raises $123 Million Series E to Accelerate Growth in Medicare Advantage and Support Primary Care Physicians With Expanded Services

Healthcare IT Today

Ambulatory Health IT Company Healthcare IT Regulations ACOs Aledade Aledade Care Solutions Farzad Mostashari Fidelity Management & Research Company Health IT Funding Health IT Fundings Health IT Investment Medicare ACOs Medicare Advantage OMERS Growth Equity Primary Care Teresa Lee

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AbbVie's Humira among 27 drugs subject to Medicare drug price inflation cap rebates

FierceHealthIT

AbbVie's Humira among 27 drugs subject to Medicare drug price inflation cap rebates rking Tue, 03/14/2023 - 19:50