Health Care and the Democratic Debates – Part 1 – Medicare For All, Rx Prices, Guns and Mental Health

Health Populi

Elizabeth Warren assertively and transparently backed Bernie Sander’s Medicare for All proposal. Let’s take on pharma, allow negotiations of prices under Medicare.

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.

Health Care and the Democratic Debates – Round 2 – Battle Royale for M4All vs Medicare for All Who Want It – What It Means for Industry

Health Populi

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.

$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

VSee

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.

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

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 To Run Pilot Giving Providers Access To Medicare Claims Data

Healthcare IT Today

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.

Industry Voices—If you build It, Medicare coverage should come

FierceHealthIT

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.

Medicare for All and more

Morning eHealth

RUSH Act back — Usability migraines continue

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.

In Wednesday’s second Democratic debate, 7 of 10 candidates support Medicare for All

Henry Kotula

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].

Humana raises 2019 guidance as Medicare Advantage enrollment grows

FierceHealthIT

Humana is projecting that an additional 480,000 to 500,000 people will enroll in its Medicare Advantage plans this year

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).

CMS: Medicare will begin to cover CAR T-cell therapies in some facilities

FierceHealthIT

Medicare will begin covering the growing collection of immunotherapy drugs referred to as CAR T-cell therapy for cancer patients being treated in some healthcare facilities, the Centers for Medicare and Medicaid Services announced Wednesday

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

FierceHealthIT

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

Survey: As Medicare population booms, MA plans eye growth opportunities

FierceHealthIT

Business is booming in Medicare Advantage, and many insurers operating in that market say they have plans to grow, according to a new survey

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

CMS launches Medicare info mobile app

Morning eHealth

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

EHR 117

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

Rand: Private insurance pays more than twice what Medicare does

FierceHealthIT

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.

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.

CMS may overpay Medicare Advantage plans by billions, study finds 

FierceHealthIT

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.

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

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.

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.

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

FierceHealthIT

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

White House mulling order that would slash Medicare drug prices: report

FierceHealthIT

The White House is weighing an executive order that could significantly cut drug prices in Medicare.

Harvard researchers: 'Medicare for All' wouldn't overwhelm hospitals

FierceHealthIT

There seems to be no data that support the belief that there could be a surge in hospital use if the government implements "Medicare for All

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

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.

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

FierceHealthIT

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

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

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.

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

FierceHealthIT

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

Humana boosts projected Medicare Advantage enrollment for 2019

FierceHealthIT

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