INDUSTRY INSIGHTS YOUR PEERS ARE READING
Countless medical devices and other healthcare technologies are forced to languish when they are authorized for sale by the Food and Drug Administration (FDA) but not covered by Medicare. MORE
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. 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
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. MORE
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. MORE
There’s another major finding the Democratic Presidential candidates should keep in mind: only 14% of Democrats and Democratic-leaning Independents would only vote for a candidate who would replace the ACA with Medicare for All. MORE
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. MORE
Sanders, noting his call for big new government benefits like universal health care through Medicare for All and free college tuition. Senator Harris, too, mentioned government benefits like free college and Medicare for All as her health plan preference. MORE
Optum comes back swinging in employment war — Comments on EHRs and clinician burden MORE
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 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
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
The Justice Department in April brought charges against 24 defendants including Stockett for their role in a $424 million conspiracy to defraud Medicare and receive illegal kickbacks. Medicare paid brace suppliers more than $200 million for these claims, according to the Justice Department. 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. 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. MORE
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The new ruling will expand access geographical and plans will have more flexibility in payment models. MORE
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. MORE
A new report from eHealth looks at the costs and reactions from enrollees of Medicare’s latest open enrollment period MORE
Billion International Telemedicine Medicare Fraud Crackdown appeared first on TBH Institute Blog. Blog Medicare fraud telemedicine Medicare fraud MORE
CMS FHIR API Health Data Sharing Healthcare Interoperability hl7 Medicare Claims Data MyHealthEDataIn another step in fleshing out its interoperability efforts, CMS has announced plans to launch a pilot program giving clinicians access to claims data. MORE
Elizabeth Warren assertively and transparently backed Bernie Sander’s Medicare for All proposal. Let’s take on pharma, allow negotiations of prices under Medicare. 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. The “Medicare Advantage Quality Payment Relief Act” was introduced on April 8, 2019 by Reps. This policy is inconsistent with the broader goals of rewarding high quality performance and continued improvement in the delivery of care to people eligible for Medicare.”. MORE
40 Do not assume that older people, and especially “younger older” Medicare members between 65 and 74 don’t increasingly feel this way. MORE
Seven support Medicare for All. Unlike many of his Democratic rivals, Biden does not support full Medicare for All. As in Medicare, costs would be reduced through negotiating for lower prices from hospitals and other providers. [link]. MORE
Medicare Related Topics Health Populi
AUGUST 28, 2019
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.
Health Populi
AUGUST 21, 2019
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.
Health Populi
JUNE 27, 2019
Elizabeth Warren assertively and transparently backed Bernie Sander’s Medicare for All proposal. Let’s take on pharma, allow negotiations of prices under Medicare.
Health Populi
JUNE 24, 2019
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.
BHM Healthcare Solutions
JULY 23, 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. The post Medicare Appeals Backlog Reduced 20% appeared first on BHM Healthcare Solutions.
Health Populi
JUNE 28, 2019
Sanders, noting his call for big new government benefits like universal health care through Medicare for All and free college tuition. Senator Harris, too, mentioned government benefits like free college and Medicare for All as her health plan preference.
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VSee
APRIL 3, 2019
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.
Healthcare IT Today
JUNE 11, 2019
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.
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
OCTOBER 21, 2019
Cerner snaps up AbleVets — Progress on SDOH data standards
Electronic Health Reporter
MARCH 4, 2019
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
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BHM Healthcare Solutions
MARCH 5, 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. Financial Medicare and Medicaid Medicaid Medicare payment models Value Based Payments
FierceHealthIT
OCTOBER 8, 2019
Medicare is overpaying for graduate medical education—the money used to train residents—which could be used to address physician shortages, according to a new study
FierceHealthIT
SEPTEMBER 5, 2019
CMS issued a final rule that gives the agency new powers to combat Medicare, Medicaid and CHIP waste and fraud
Morning eHealth
FEBRUARY 27, 2019
RUSH Act back — Usability migraines continue
Henry Kotula
SEPTEMBER 9, 2019
The Justice Department in April brought charges against 24 defendants including Stockett for their role in a $424 million conspiracy to defraud Medicare and receive illegal kickbacks. Medicare paid brace suppliers more than $200 million for these claims, according to the Justice Department.
Mobi Health News
APRIL 8, 2019
The new ruling will expand access geographical and plans will have more flexibility in payment models.
FierceHealthIT
AUGUST 26, 2019
A new poll found that 70% of people agree dental benefits should be included in Medicare, as few Medicare Advantage plans include it as an extra benefit
BHM Healthcare Solutions
APRIL 2, 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. Under the rule, Medicare Advantage health plans will see a 2.53
BHM Healthcare Solutions
MAY 7, 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. 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.
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.
Healthcare IT Today
AUGUST 6, 2019
CMS FHIR API Health Data Sharing Healthcare Interoperability hl7 Medicare Claims Data MyHealthEDataIn another step in fleshing out its interoperability efforts, CMS has announced plans to launch a pilot program giving clinicians access to claims data.
Telebehavioral Health Institute
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 30, 2019
The Greenoaks Capital-led round is expected to close within the next couple of weeks
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%
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
Health Populi
SEPTEMBER 12, 2019
There’s another major finding the Democratic Presidential candidates should keep in mind: only 14% of Democrats and Democratic-leaning Independents would only vote for a candidate who would replace the ACA with Medicare for All.
Henry Kotula
JULY 31, 2019
Seven support Medicare for All. Unlike many of his Democratic rivals, Biden does not support full Medicare for All. As in Medicare, costs would be reduced through negotiating for lower prices from hospitals and other providers. [link].
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
FierceHealthIT
JULY 31, 2019
Humana is projecting that an additional 480,000 to 500,000 people will enroll in its Medicare Advantage plans this year
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
Health Populi
OCTOBER 8, 2019
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.
Morning eHealth
JANUARY 28, 2019
Optum comes back swinging in employment war — Comments on EHRs and clinician burden
FierceHealthIT
MAY 30, 2019
A new report from eHealth looks at the costs and reactions from enrollees of Medicare’s latest open enrollment period
FierceHealthIT
OCTOBER 3, 2019
President Donald Trump will sign an executive order to give Medicare Advantage plans more flexibility and reduce regulations for certain medical professionals
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
FierceHealthIT
AUGUST 15, 2019
Countless medical devices and other healthcare technologies are forced to languish when they are authorized for sale by the Food and Drug Administration (FDA) but not covered by Medicare.
Health Populi
OCTOBER 15, 2019
Do not assume that older people, and especially “younger older” Medicare members between 65 and 74 don’t increasingly feel this way.
Insulin Nation
AUGUST 27, 2014
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.
BHM Healthcare Solutions
APRIL 9, 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. The “Medicare Advantage Quality Payment Relief Act” was introduced on April 8, 2019 by Reps. This policy is inconsistent with the broader goals of rewarding high quality performance and continued improvement in the delivery of care to people eligible for Medicare.”.
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