CMS Announces Rural Health Strategy

Clocktree

The Centers for Medicare & Medicaid Services (CMS) launched the agency’s first Rural Health Strategy this week, to help improve access to high quality, affordable healthcare in underserved rural communities. One of the key components of the strategy is to advance telehealth and telemedicine. ” Read the complete 5-point strategy at CMS.gov.

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.

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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).

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

CMS to release Medicare Advantage encounter data as part of new data-driven strategy

FierceHealthIT

CMS is making good on its promise to release encounter data that it collects from Medicare Advantage plans. The agency was scheduled to release the data last year, but concerns over accuracy caused them to pull back, disappointing researchers. CMS also announced that it will publicly release data for Medicaid and CHIP plans next year

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. These insights have driven AMA’s digital health strategy since.

5 Digital Strategies for Healthcare Providers to Adopt During the COVID-19 Situation

Perficient

Furthermore, the Coronavirus (COVID-19) legislation is waiving some of the restrictions for Medicare telehealth coverage in outbreak areas. COVID-19 Healthcare Chatbots Digital Strategies healthcare healthcare providers telehealth

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.

Patients Growing Health Consumer Muscles Expect Digital Services

Health Populi

Do not assume that older people, and especially “younger older” Medicare members between 65 and 74 don’t increasingly feel this way.

Why It's Time to Embrace Telemedicine

eVisit

What’s this new thing called Telemedicine? For starters, it’s not new! I t’s more than 40 years old and was developed as a way to use improvements in communication technology to bring quality medical diagnoses and care to individuals in remote parts of the world.

Medicaid’s Telehealth Expansion Waiver Changes ACO Restrictions

Telebehavioral Health Institute

For years now, the CMS and Medicare have been open to recognizing telehealth. For instance, Medicare limits its coverage to rural Health Professional Shortage Areas (HPSA). Blog Reimbursement Strategies: Increasing Authorization & Payment TMHI Certification Program Accountable Care Organizations Centers for Medicare & Medicaid Services How to Stay Out of Hot Water: Telehealth Documentation!

Industry Voices—Why insurers will need to keep up with Amazon and Google to succeed in Medicare Advantage

FierceHealthIT

Here are three strategies to embrace data-based strategies and build modern, digital customer experiences

Person-Centered Strategies: Health Savings Accounts

CMS.gov

Person-Centered Strategies: Health Savings Accounts. Person-Centered Strategies: Health Savings Accounts. 1] Having an HSA can create an incentive to save and invest for future health care needs as well as retirement; while any withdrawals you make for qualified medical expenses, including expenses while covered by Medicare are tax free, once you reach age 65, non-medical withdrawals from your HSA (such as using HSA funds to buy a house) are taxed just like regular income.

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. AMA created the report in partnership with Manatt Health Strategies.

How The Rapid Shift To Telehealth Leaves Many Community Health Centers Behind During The COVID-19 Pandemic

Henry Kotula

For Medicare, the Centers for Medicare and Medicaid Services (CMS) expanded access to telehealth beyond designated rural areas, loosened HIPAA requirements around telehealth platforms, and instituted parity in reimbursement with in-person visits. [link].

Centers for Medicare & Medicaid Services to consider future policies through 'rural lens'

FierceHealthIT

The strategy, which highlights tactics such as improving access to telemedicine, is meant to avoid unintended consequences of policy and program implementation in rural health settings, officials said

One in Five Patients Asked Doctors for Lower-Cost Medication Last Year

BHM Healthcare Solutions

Editor’s Note: Increasing costs for prescriptions is creating a long-term financial impact on Medicare Part D and its beneficiaries. Using an alternative therapy was the least common strategy to lower drug costs, with 5.4 Women were more likely than men to use each of these strategies. Increasing costs for prescriptions is creating a long-term financial impact on Medicare Part D and its beneficiaries.

ThoughtLeaders: Prognosis for Medicare and Commercial ACOs

E-CareManagement

A number of pundits are citing the systemic failure of ACOs, after additional Pioneer ACOs announced withdrawal from the program – Where do you weigh in on the prognosis for Medicare and Commercial ACOs over the next several years?” Henry Loubet Chief Strategy Officer Keenan. While these Medicare ACO programs did not perform as well as hoped, there were many factors affecting savings and quality improvements including geography and diversity of the populations served.

Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

He would like to think that his government relations strategy is less contentious than the usual sort of journalist interaction with government officials. 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.

Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

He would like to think that his government relations strategy is less contentious than the usual sort of journalist interaction with government officials.

Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

He would like to think that his government relations strategy is less contentious than the usual sort of journalist interaction with government officials.

Most Americans Blame Drug Companies, Insurers, and Hospitals for High Health Care Costs

Health Populi

The most-agreed strategy would be to advance prevention of future disease and to ensure that people live healthier lives, cited by 84% of Americans, and fully 8 of 10 people across political party. After this strategy, few solutions have this level of agreement across party divides.

CMS unveils 5 'pillars' to curbing fraud, waste in Medicare 

FierceHealthIT

To curb Medicare fraud, the Trump administration is designing a five-pronged integrity strategy for the program.

Five Ways a Good Digital Health Registry Addresses Healthcare System Needs

The Digital Health Corner

The Physician Quality Reporting System (PQRS) has been used since 2015 as a metric to determine negative Medicare payment adjustments to providers who do not meet quality standards. In addition, the aggregation of raw data can even potentially affect disease treatment strategies. Registries have traditionally been viewed as static repositories of data to be reviewed in a summary fashion after a predetermined time period.

Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

He would like to think that his government relations strategy is less contentious than the usual sort of journalist interaction with government officials. 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.

Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

He would like to think that his government relations strategy is less contentious than the usual sort of journalist interaction with government officials. 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.

Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

He would like to think that his government relations strategy is less contentious than the usual sort of journalist interaction with government officials. 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.

MARKET SHARE STILL MATTERS: 3 WAYS TO WIN

Henry Kotula

To win the market share battle, healthcare organizations must first redefine what it is (see the sidebar on new market share proxies ) and then build strategies that take advantage of the shifts in healthcare delivery. The key to this strategy is the consumer as the focal point of healthcare decision-making. “You need hospitals as anchors, but the strategy is very consumer-focused in providing access and convenience,” Dowling says. [link].

Social Determinants of Health Generate Drastic Cost Reductions

BHM Healthcare Solutions

The findings add to the growing body of evidence suggesting that support for social service programs and interventions can improve community health outcomes and reduce healthcare spending, especially among Medicare and Medicaid populations who are often challenged by social determinants of health.

CMS Encourages Eligible Suppliers to Participate in Expanded Medicare Diabetes Prevention Program Model

CMS.gov

CMS Encourages Eligible Suppliers to Participate in Expanded Medicare Diabetes Prevention Program Model. The Centers for Medicare & Medicaid Services (CMS) in April expanded the Medicare Diabetes Prevention Program (MDPP) , a national performance-based payment model offering a new approach to type 2 diabetes prevention in eligible Medicare beneficiaries with an indication of pre-diabetes.

Five Public Health Needs for Digital Health Technology

The Digital Health Corner

I have discussed threads between consumer and traditional healthcare digital strategies in previous pieces. digitalhealth digital health digital health technology education FDA fitness healthcare economics healthcare reform medical apps medical devices mHealth mobile health patient advocacy patient engagement pharma remote patient monitoring technology telehealth wireless health hcsm healthcare finance hospitals Medicare S4PM smartphone apps

2018 Medicare Fee-For-Service improper payment rate is lowest since 2010

CMS.gov

2018 Medicare Fee-For-Service improper payment rate is lowest since 2010. Administrator, Centers for Medicare & Medicaid Services. 2018 Medicare Fee-For-Service improper payment rate is lowest since 2010 Significant progress in saving $4.59B in estimated improper payments for the Medicare Fee-For-Service program. CMS also implemented a targeted review strategy that focused on provider education, assistance and burden reduction.

FHIR 20

Healthcare and the F-Word: Health Politics Rank High on November 6, 2018

Health Populi

Democrats are attacked if they are helping the ACA, Blendon believes, but referendums to take Federal money and expand Medicaid — without uttering the word, “Obamacare” — could be a pragmatic political strategy.

Just Associates To CMS/ONC: A “Technology Alone” Solution Can’t Resolve the Patient Matching Issues Impacting Interoperability

Electronic Health Reporter

Any patient matching improvement strategy must look beyond technology and emphasize the people and processes that play a critical, yet often overlooked, role in ensuring data integrity. shared with the Centers for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator for Health IT (ONC) […]. This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited.

The Single Greatest Hospital Success Indicator

Henry Kotula

The firm’s data, based on Healthcare Cost Report Information System (HCRIS) data from more than 200,000 Medicare Cost Reports filed by hospitals, nursing homes, home health agencies, and other providers since 1994, supports this contention overwhelmingly. [link].

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Funding Opportunity: Measure Development for the Quality Payment Program

CMS.gov

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Funding Opportunity: Measure Development for the Quality Payment Program. The Meaningful Measure Areas serve as the connectors between CMS goals under development and individual measures/initiatives that demonstrate how high quality outcomes for our Medicare, Medicaid, and CHIP beneficiaries are being achieved.

Paying more and getting less: As hospital chains grow, local services shrink

Henry Kotula

In 2015, the most recent year of data, these service reductions accounted for nearly half of the hospital closures recorded around the country, according to the Medicare Payment Advisory Commission. (By [link]. When most hospitals close, it’s plain to see.

Rising Drug Prices Immune to Market Forces

BHM Healthcare Solutions

Editor’s Note: Increasing costs for prescriptions is creating a long-term financial impact on Medicare Part D and its beneficiaries. Increasing costs for prescriptions is creating a long-term financial impact on Medicare Part D and its beneficiaries.

CMS.gov - Untitled Article

CMS.gov

Last April, I was proud to announce the Centers for Medicare & Medicaid Services’ (CMS’) five-part strategy to help ensure safety and quality in America’s nursing homes. The strategy is multi-faceted, focusing on Strengthening Oversight, Enhancing Enforcement, Increasing Transparency, Improving Quality, and Putting Patients Over Paperwork.

5 payer trends to watch in 2018

Henry Kotula

This has been especially true in ACA exchange plans and Medicare Advantage (MA). This will lead to more bundled payments that trigger at diagnosis rather than only at inpatient admission, which is already happening in Medicare, he said. [link]. Expect insurers to accelerate programs and policies that cut costs and to push for value-based contracting as consumers demand more transparency in healthcare pricing.