HHS Aims To Deliver Value-Based Transformation In Primary Care

Electronic Health Reporter

The CMS Primary Cares Initiative will […]. The article HHS Aims To Deliver Value-Based Transformation In Primary Care appeared first on electronichealthreporter.com. This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited.

Iora Health's digitally-backed primary care attracts another $100M

Mobi Health News

Cambridge, Massachusetts-based Iora Health, a digitally-enabled primary care provider that focuses on the senior Medicare population, announced yesterday that it has closed $100 million in Series E financing. This brings the company’s total funding to at least $223.5 million

MedPAC recommends primary care, encounter data policy fixes

FierceHealthIT

The Medicare Payment Advisory Commission is urging Congress to adopt reforms to improve the quality of Medicare Advantage encounter data and boost beneficiaries’ access to primary care.

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

But this was Round 2 of the debate, with ten more White House aspirants sharing views — sometimes sparring — on issues of immigration, economic justice, climate change, and once again health care playing a starring role from the start of the two-hour event.

When Will Self-Service Come to Health Care?

Health Populi

At least one in three people who have tried out virtual health care have done so because they use technology in all aspects of life and want to do the same with their healthcare. Open up regulatory regimes to enable cross-State border care, “untethered from the in-person context”

Study: Primary care accounts for a fraction of overall Medicare spend 

FierceHealthIT

Despite an industry focus on the benefits of primary care, spending on such services makes up just a fraction of Medicare spending, according to a new study.

Alignment Healthcare partners with house call app Heal to offer in-home primary care

FierceHealthIT

Doctor house call app Heal is partnering with health plan Alignment Healthcare to enable some California plan members to have in-home primary care. The partnership expands Heal's services to the Medicare population in its home market of Los Angeles

Telehealth In 2030 – Notes From the Future At #ATA19 with Safavi, Holt, Bathina and Swafford

Health Populi

Telemedicine used to be about solving access to no care,” Kaveh introduced the conversation. Now, it’s about serving people who already have care through different mechanisms.”. Deepthi from Humana offered three considerations concerning how care will transform.

Industry Voices—A look at how providers could fare in CMS' new primary care payment models

FierceHealthIT

The Center for Medicare & Medicaid Innovation strikes again with an innovative program designed to reduce Medicare program expenditures while improving the quality of care, healthcare attorney Kathleen Premo writes

Heart Health at #CES2019 – Food and Tech as Medicine

Health Populi

Self-care is the new health care as patients, now consumers at greater financial risk for medical spending, are learning. An important example of this self-care approach is the evidence-based Ornish food regimen which is reimbursed by Medicare (as a form of cardiac rehabilitation).

Having Health Insurance Is A Social Determinant of Health

Health Populi

Health care, broadly defined, drove many people to the polls voting with feet and ballots to protect their access to a health plan covering a pre-existing condition or to protest the cost of expensive prescription drugs. Medicare enrollees, too, would face higher payments.

How Walmart Could Bolster Healthcare in the Community

Health Populi

Walmart has been a health/care destination for many years. A decade later, can Walmart re-imagine primary care the way the company did low-cost medicines? Here’s a New York Times article from 2014 discussing the company’s vision for expanding primary care.

Marketing Health To Consumers in the Age of Retail Disruption

Health Populi

The gist of my remarks will be to focus on the evolving retail health ecosystem, with my HealthConsuming lens on health/care, everywhere. THINK: Geek Squad meets health/care and IoT for home health.

Heart-Love – Omron’s Holy Grail of Blood Pressure Tracking on the Wrist

Health Populi

Health Populi’s Hot Points: In WPP’s Health & Wellness @CES write-up on the event, they observe that we’re moving “from quantifying the self to caring for the self.”

Survey: Half of primary care doctors aren't aware of chronic care reimbursement

FierceHealthIT

A majority of primary care physicians say they are unable to adequately address the needs of their patients with multiple chronic conditions. But many are also unaware of a Medicare program that will reimburse them for services that help keep tabs on those patients between doctor visits

Doctors Say EHRs Are Good for Storage, But Risky for Patient Relationships and Burnout

Health Populi

These insights come out of a survey conducted among primary care providers by The Harris Poll for Stanford Medicine, published to coincide with the medical school’s convening of the EHR National Symposium held on June 4, 2018.

EHR 240

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

Health Populi

Lester Holt, Savannah Guthrie, and Jose Diaz-Balart asked the ten candidates questions covering guns, butter (the economy), immigration, climate change, and of course, health care — what I’m focusing on in this post, the first of two-debate-days-in-a-row. health care.

Self-Care is Healthcare for Everyday People

Health Populi

This is my first of several posts discussing the self-care retail health phenomenon among consumers, and the business opportunity, as I’m spending the weekend with suppliers and retailers attending this meeting. This is self-care, healthcare.

A Tale of Two America’s for Health

Health Populi

Light blue to blue is a good thing; the grey area is negative for level of uninsured population and greater self-rationing health care services due to costs. If all states achieved the top rates of performance… 14 million fewer adults would skip care due to cost.

The $4 Trillion Health Economy of 2020

Health Populi

Three factors will drive healthcare costs to 2026: prices for medical goods and services, changes in income growth, and shifting enrollment from private health insurance to Medicare — driven by the aging of Boomers.

CVS + Aetna: Inflection Point in US Healthcare, Merger Approved Update

Health Populi

Previously in Health Populi, I’ve talked about the value of vertical integration for CVS to bring together the building blocks of retail pharmacy and pharmacist care, retail clinics, the PBM (Caremark), along with Aetna’s health plan member base and business.

Mission Revamp Healthcare 2019: Top Policies This year to Re-Imagine Healthcare

Electronic Health Reporter

Considering only since the beginning of 2019, the Centers for Medicare and Medicaid Services (CMS) and other federal agencies, such as the Office of National Coordinator of Health IT (ONC) and the Department of Health and […]. Editorial Abhinav Shashank Innovaccer MyHealthEData initiative Primary Cares Initiative Trusted Exchange Framework and Common Agreement (TEFCA This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited.

Bowing to physician pressure, CMS delays visit code changes

Henry Kotula

Yesterday the Center for Medicare & Medicaid Services (CMS) finalized the 2019 Physician Fee Schedule (PFS ), announcing they will delay implementation of changes to physician evaluation and management (E&M) codes until 2021.

Have you heard of the Emergency Triage, Treat, and Transport Model?

eVisit

In fact, the patient could be better served if they were transported to an urgent care clinic, their own primary care provider, or better yet, treated at the scene. Medicare telehealth Telemedicine urgent care CMS Ambulance CMMI

Costs, Consumerism, Cyber and Care, Everywhere – The 2019 Health Populi TrendCast

Health Populi

Here’s our trend-weaving of 4 C’s for 2019: costs, consumerism, cyber and care, everywhere… Health care costs will continue to be a mainstream pocketbook issue for patients and caregivers, with consequences for payors, suppliers and ultimately, policymakers.

CMS’ Rural Health Strategy Could Expand Medicare Telehealth Reimbursement

care innovations

Congress and the Centers for Medicare & Medicaid Services (CMS) have generated hope among health plans, insurers, providers and patients that Medicare telehealth reimbursement is set to expand significantly in the year ahead. A series of moves in recent months by the U.S.

Humana, Aledade team up to expand value-based care

FierceHealthIT

Humana is teaming with primary care company Aledade to expand access to value-based care for its Medicare Advantage members in three states

AMA Report: 6 Ways States Combat Opioid Epidemic

BHM Healthcare Solutions

Editor’s Note: Increasing costs for prescriptions is creating a long-term financial impact on Medicare Part D and its beneficiaries. The network supports primary care and community-based providers with a team of professionals, including certified recovery peer specialists.

Healthcare Is Local: Channeling Tip O’Neill in the 2018 Midterm Election Results

Health Populi

In these midterms, governors flipped from Republican to Democrat in Kansas, Maine and Wisconsin, all of whom promised to expand Medicaid through the Affordable Care Act. Doggett has been drafting legislation to allow the government such authority for drugs covered by Medicare Part D.

CPT Billing Codes reimburse for Care Coordination (Medicare)

Medicine and Technology

Let's face it: physicians spend a lot of time coordinating care for their older adult patients, especially when patients leave hospitals or nursing homes. These "transitions of care" are becoming increasingly important opportunities for primary care providers to check medication reconciliation, prevent readmission, and facilitate appropriate follow-up. AMA billing CPT Medicare

“Pathways to Success,” an Overhaul of Medicare’s ACO Program

CMS.gov

“Pathways to Success,” an Overhaul of Medicare’s ACO Program. Administrator, Centers for Medicare & Medicaid Services. Medicare Parts A & B. Pathways to Success,” an Overhaul of Medicare’s ACO Program. Today the Trump Administration announced our overhaul of the program for Accountable Care Organizations, or “ACOs,” in Medicare. ACOs serve a large number of Medicare beneficiaries – over 10.4

Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

Fred is a health care IT veteran, founder of CareSet Systems and the DocGraph Journal and an alum of multiple successful technical startups. Fred notes that the DocGraph dataset of Medicare physician relationships with patients is the largest graph dataset — i.e. a dataset organized with nodes and edges — using real-name data out there, and is one of the few “people” graphs that are open. Health Care Law and Consulting.

Major Players in Home Health Programs

Perficient

The Center for Medicare Services (CMS) oversees the Health Home Program, but each state has a Health Home Authority that creates and manages its HHP. Managed Care Plans (i.e., Healthcare Center for Medicare Services healthcare Home Health Programs Managed Care Plans

The The Five Biggest Areas of Opportunity for Digital Health

The Digital Health Corner

The National Cancer Institute’s definition of personalized medicine is “ … a form of medicine that uses information about a person’s genes, proteins, and environment to prevent, diagnose, and treat disease…” Personalized medicine is medical care directed in whole or part from information specific to an individual. The role of personally derived connected data (from sensors external or internal to the body) will also facilitate personalized medical care.

Specialist telemedicine platform saves Vista Community Clinic $1.8 million

Healthcare IT News - Telehealth

As a federally qualified health center, Vista Community Clinic is a safety net for its neighborhood, managing an uninsured or underinsured patient population – in this case, 58 percent Medicaid, 2 percent Medicare and 32 percent uninsured.

Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

Fred is a health care IT veteran, founder of CareSet Systems and the DocGraph Journal and an alum of multiple successful technical startups. Fred notes that the DocGraph dataset of Medicare physician relationships with patients is the largest graph dataset — i.e. a dataset organized with nodes and edges — using real-name data out there, and is one of the few “people” graphs that are open. Health Care Law and Consulting.

Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

Fred is a health care IT veteran, founder of CareSet Systems and the DocGraph Journal and an alum of multiple successful technical startups. Fred notes that the DocGraph dataset of Medicare physician relationships with patients is the largest graph dataset — i.e. a dataset organized with nodes and edges — using real-name data out there, and is one of the few “people” graphs that are open. Health Care Law and Consulting.

Rationing Care in America: Cost Implications Getting to Universal Health Coverage

Health Populi

That percentage of people who delay medical cost based on the expense has remained stable since 2006: between 29 and 31 percent of Americans have self-rationed care due to cost for over a decade. Consider the 2020 Presidential elections and calls for universal health care.

Payer, provider trends to watch in 2019

Henry Kotula

The coming year for healthcare will see the industry reckon with some of the massive changes set in motion last year, such as megamergers like CVS-Aetna and Cigna-Express Scripts and a judge’s declaration that the Affordable Care Act is no longer constitutional. [link].

Telehealth Research Used to Support New Policy Initiatives for Expansion

care innovations

In Fierce Healthcare’s report of the first telehealth study , which author Matt Kuhrt describes as a letter published in the latest Journal of the American Medical Association , researchers found a “ notable uptick in the use of telemedicine among primary care physicians between 2015 and 2017.”.