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.

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

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.

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.

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.

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!

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.

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.

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.

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

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.

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.

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.

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.

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.

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.

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.

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.

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

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

Love ACA Provisions, Not the ACA – KFF Poll Reveals American Voters’ Views on Health Care Reform

Health Populi

In fact, enthusiasm for a Medicare-for-All plan fell in this month’s KFF poll from 56% favoring M4A in April 2019 dropping to 51% in July. The most favored public plan is Medicare, beloved by 83% of Americans, where Medicaid is favored by 75% of people.

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].

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.

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.

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.

Large Employers’ Focus on Prescription Drugs: Costs, Coupons and Communication

Health Populi

In this post, I’ll dive deep into the study’s Section VII on Pharmacy Costs and Strategies. Co-pay accumulators are being discussed across health plan types, including government-sponsored plans like Medicare along with commercial health insurance programs.

What We Know We Know About ZIP Codes, Food, and Deaths of Despair – HealthConsuming Explains, Part 3

Health Populi

The growth of public sector incentives in Medicare for social supports, and growth of value-based payment in commercial plans, are forces nudging health care providers toward bundling SDoH services into targeted programs.

Healthcare groups urge ONC to focus on interoperability, usability to reduce EHR burdens

Healthcare Guys

Healthcare and health IT industry groups are urging the Office of the National Coordinator for Health IT (ONC) to put a greater focus on usability and creating a better alignment of workflow and documentation requirements in their responses to a federal draft strategy on reducing the regulatory burden on clinicians caused by technology.EHR burdens have been a near-constant complaint from physicians that see the technology as an impediment to their relationship with patients.

Spring 2019: Healthcare Updates to Know

Advanced Medical Reviews

The Center for Medicare & Medicaid Services has posted new data on projected national health expenditures for 2018-2027. In addition, higher fee-for-service payment updates are expected to result in faster Medicare spending growth.

Add Behavioral Data to Social Determinants For Better Patient Understanding

Health Populi

To optimize communication strategies for attracting Medicare Advantage enrollment , a Mid-Atlantic health plan studied the media and social consumption patterns for older people, learning that the target population was more tech-savvy than presumed.