Growing Support for Medicare for All – But Do People Really Understand What It Means?

Health Populi

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.

Medicare Members Are Health Consumers, Too – Our AHIP Talk About Aging, Digital Immigrants, and Personalizing Health/Care

Health Populi

That program has the potential to change our Medicare members manage meds at home to ensure better adherence, supporting better health outcomes and personal feelings of efficacy and control. [As If you’re at AHIP, come hear Nicole and me brainstorm the results of this study.

A Profile of People in Medicare Advantage Plans – HealthMine’s Survey of “Digital Immigrants”

Health Populi

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.

Study suggests Medicare overpaying $1.28B annually to support residency programs

FierceHealthIT

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

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.

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. Power study.

Study: More Medicare Patients Dying At Home

BHM Healthcare Solutions

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%

Most new Medicare beneficiaries opt for fee-for-service over MA: study 

FierceHealthIT

Though more baby boomers are aging into Medicare, relatively few are choosing Medicare Advantage plans as their entry point to the program, a new study shows.

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.

CONNECT for Health Act would expand Medicare coverage for telehealth

Clocktree

Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 has bipartisan Senate and House support and would expand telehealth services through Medicare. The CONNECT for Health Act of 2019 builds on the progress made in recent years to increase the use of telehealth through Medicare. Require a study to explore more ways to expand telehealth services so that more people can access health care services in their own homes.

Physicians overestimate time that translates to their Medicare payments, study finds

FierceHealthIT

Physicians overestimate the time it takes to perform procedures that are then used to calculate how they get paid under the Medicare physician fee schedule, a new study found

New Study on Lowering Opioid Prescription Challenges

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 study , published Aug. Increasing costs for prescriptions is creating a long-term financial impact on Medicare Part D and its beneficiaries.

Study identifies persistently high-cost Medicare patient trends

FierceHealthIT

Persistently high-cost Medicare patients tend to be younger, members of racial or ethnic minority groups, dual-eligible Medicaid patients or suffering from end-stage renal disease, a new study reports

Study pours cold water on idea that teaching hospitals are more costly for Medicare patients

FierceHealthIT

Overall care costs were similar or lower at teaching hospitals versus non-teaching hospitals for Medicare beneficiaries undergoing common procedures

Study: Medicare compliance costing psychiatric facilities nearly $2B a year

FierceHealthIT

A new study released by the National Association for Behavioral Healthcare reveals that inpatient psychiatric facilities are spending vast amounts of their budgets to comply with CMS regulations

RAND study: Medicare buy-in could jack up premiums for younger people in ACA plans

FierceHealthIT

Though a Medicare buy-in plan would likely lower costs for older adults, it could lead to higher premiums for younger people in the exchanges, according to a new report.

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

Medicare Advantage plans grow more comfortable with supplemental benefits in 2020: study

FierceHealthIT

The number of Medicare Advantage plans offering an expanded supplemental benefit in 2020 increased to 364 from 102 for 2019, as plans become more comfortable with the added flexibility, a new study found

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.

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. study. The prices paid to U.S. hospitals by private insurers are about 2.4

Medicare, Medicaid better than private insurers at containing costs, study finds 

FierceHealthIT

Medicare and Medicaid are better than private insurers at keeping spending per beneficiary low, a finding that has crucial implications for the current health policy debate, according to a new report.

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.

UnitedHealthcare, Peerfit push deeper into Medicare Advantage markets, and more digital health news briefs

Mobi Health News

million research grant; favorable study results for One Drop Also: Smoking cessation app trial wins $2.7

Medicare Advantage Plans Grow With Star Ratings

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

New Health Affairs Study: Medicare’s Readmissions Reduction Program Less Effective Than Widely Believed

Healthcare Informatics

A study of the data involved in the Medicare program’s mandatory readmissions reduction program has found the results of the program to be considerably weaker than they appear at first sight

Patients Growing Health Consumer Muscles Expect Digital Services

Health Populi

Survata conducted the study for Cedar among 1,607 online U.S. These study respondents had also visited a doctor or hospital and paid a medical bill in the past year. Healthcare Consumer Experience Study.

MU Study Suggests That A Health IT Divide May Be Emerging Among Physicians

Healthcare IT Today

Ambulatory Clinical EMR-EHR Healthcare IT IT Role Health IT Digital Divide MACRA meaningful use Medicare MIPS Physician MU Attestation SK&A

Wasted: $1 of Every $4 Spent on Health Care In America

Health Populi

A study in JAMA published this week analyzed research reports that have measured waste in the U.S. 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.

White Medicare patients transported to closest ED more often than blacks, Hispanics

FierceHealthIT

White Medicare patients are more likely to be transported to the closest emergency department than their black or Hispanic counterparts, according to a new study out of Boston University’s School of Medicine

As healthcare costs rise, small business owners are taking an interest in ‘Medicare for All’: survey 

FierceHealthIT

Small business owners are struggling to address rising healthcare costs and are open to a swath of ideas to mitigate these expenses—including “Medicare for All,” a new study shows.

Counties with greatest well-being for seniors cost Medicare thousands less, study finds

FierceHealthIT

Medicare spends nearly $1,000 less per beneficiary in counties where residents are not only healthy, but happy and satisfied with their lives

Medicare Advantage outperforms fee-for-service in cost, care for dual eligibles

FierceHealthIT

For dually eligible beneficiaries, Medicare Advantage plans outperform Medicare fee-for-service plans, according to a new study from Avalere

Medicare Drug Prices Up Despite Decrease in Prescriptions

BHM Healthcare Solutions

Editor’s Note: Increasing costs for prescriptions is creating a long-term financial impact on Medicare Part D and its beneficiaries. It also compares the potential for bias through simulations to some other common approaches to such comparisons across studies.

Study: 60% of America’s Seniors Are Avoiding Healthcare Costs

BHM Healthcare Solutions

Editor’s Note: There is a growing need to educate seniors on their healthcare costs options, and increase their Medicare knowledge. Respondents admitted to a lack confidence in their knowledge of Medicare.

Study: Patients treated by fraudulent providers often most vulnerable

FierceHealthIT

million Medicare beneficiaries were treated by providers who committed fraud or abuse—and many of these patients were from vulnerable populations, according to a new study. Between 2012 and 2015, 1.2

Generics more expensive than branded drugs on Part D, study says

FierceHealthIT

Some seniors must pay up to $1,000 more for certain generic drugs compared to the brand-name version in Medicare Part D, according to a new study

More Evidence of Self-Rationing as Patients Morph into Healthcare Payors

Health Populi

Several new studies reveal that more patients are feeling and living out their role as health care payors as medical spending vies with other household line items. Health Populi’s Hot Points: In addition to these two consumer studies, we can add to this context the latest read on the U.S.

The Promise of Telehealth for Older People – the U-M National Poll on Healthy Aging

Health Populi

This month’s October 2019 study finds a cohort of Boomers and older peers few of whom have actually used telemedicine — only one in seven people over 50 said their providers offered care via telehealth, and only 4% of people had a telehealth visit in the past year.

NEJM study says independent physician ACOs saved Medicare more than hospital-integrated ACOs

FierceHealthIT

While physician group ACOs saved Medicare millions, hospital-integrated ACOs cost the program even more than usual, the Harvard-based researchers found

Study finds 2/3 of healthcare providers aren’t familiar with changes to telehealth reimbursement

Clocktree

On November 1, 2018, the Centers for Medicare & Medicaid Services (CMS) issued an update to payment policies and payment rates for services provided under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2019. We’ve referenced studies in the past that show a large majority of patients (67% – 82%) are interested in telehealth services, or would be if they were available.