Fierce Healthcare

APRIL 23, 2024

Medicare patients who are women tend to have better outcomes when they see female physicians than male doctors, and male patients can benefit too. If you’re feeling ill, you might want to see a female physician. A new report looks at possible reasons for such differences.

Doctors 130

Doctors Medicare 130

Fierce Healthcare

OCTOBER 19, 2023

A new analysis backed by doctor lobbying groups suggest that physician-owned hospitals could have fueled about $1.1

Hospitals 361

Hospitals Doctors Medicare 361

HIT Consultant

MARCH 11, 2024

What You Should Know: – Nearly 70% of Medicare patients would be comfortable doing annual wellness visits (AWVs) via telehealth from home, according to the results of a consumer survey by KeyCare , an Epic-based virtual care company.

Medicare 52

Medicare Doctors Prevention Healthcare Providers 52

Healthcare ECONOMIST

MARCH 28, 2022

Fierce Healthcare reports that in 2022 Medicare Advantage enrollment is continuing to grow at the expense of traditional fee-for-service Medicare. They write that: Medicare Advantage plans signed up another 2.3 …total 2022 enrollment in Medicare grew by 1 million beneficiaries, a spike of 1.6% over 2021.

Medicare 88

Medicare Doctors Healthcare Medicaid 88

p3care

JANUARY 8, 2024

A MIPS eligibility check is a must for every TIN or practice for which you’re submitting Medicare claims. As stated earlier, your Medicare Part claims and PECOS data are something else. After evaluating this data during two determination periods (12 months each), CMS determines the volume of care you provide to Medicare beneficiaries.

Medicare 263

Medicare Nursing Doctors Healthcare 263

Health Care Dive

OCTOBER 31, 2023

Regulators on Monday proposed a long-awaited rule tying payments for hospitals and doctor’s offices in three popular Medicare programs to compliance with data-sharing regulations.

Regulations 184

Regulations Doctors Medicare Hospitals 184

Home Health Care

AUGUST 30, 2021

CommonSpirit Health carved out $136 million in savings to Medicare for 2020, while also improving overall outcomes for hundreds of thousands of beneficiaries, the company recently announced. CommonSpirit Health is a participant in the Medicare Shared Savings Program (MSSP), which began back in 2012 after being designed by the U.S.

Medicare 116

Medicare Rehabilitation Home Care Accountable Care 116

Health Care Dive

SEPTEMBER 7, 2022

Multiple groups representing doctors oppose Medicare payment reductions at a time when physician practices face escalating costs.

Prevention 278

Prevention Doctors Medicare 278

Health Populi

MAY 21, 2020

Doctors maintain their top status as U.S. However, as patients continue to be concerned about exposure to COVID-19, 3 in 5 are concerned about being at-risk to the virus in their doctor’s office, according to research from the Alliance of Community Health Plans (ACHP) and AMCP , the Academy of Managed Care Pharmacy.

Doctors 159

Doctors Urgent Care Medicare Medicaid 159

Healthcare It News

APRIL 5, 2024

Based on its initial investigation, the following information may have been accessed by hackers: name, address, birth date, email, telephone number, marital status, Aboriginal status, Medicare number, referring doctor, and type of diabetes.

Medicare 255

Medicare Hospitals Accountability Doctors 255

Healthcare ECONOMIST

MARCH 28, 2024

One reason is that reimbursement rates for Medicaid are lower than for Medicare or commercial insurance. 2024) –cleverly named “ A Denial a Day Keeps the Doctor Away “–shows that reimbursement denials by Medicaid are much higher than for Medicare or commercial insurance. for Medicare and 2.4%

Medicaid 97

Medicaid Doctors Medicare 97

HIT Consultant

JANUARY 26, 2023

Mighty Health is the the first all-in-one daily health program designed for adults ages 50 and up—covers more than 9 million Americans nationwide through partnerships with leading Medicare Advantage and commercial health plans. The app has supported more than 200,000 individuals to date, with exciting plans for expansion and new offerings.

Medicare 85

Medicare Accountability Doctors Healthcare 85

Etactics

JUNE 29, 2023

And those who work with the elderly and disabled in a nursing home setting will likely find themselves working with Medicare. While Medicare may not fully cover a stay in a nursing home, depending on an individual's circumstances, they can still qualify for partial coverage. Medicare coverage depends on: State and federal laws.

Nursing 52

Nursing Medicare Home Care Medicaid 52

Home Health Care

MARCH 28, 2022

Florida Blue Medicare — the state’s Blue Cross and Blue Shield Medicare plan — is collaborating with Emcara Health to offer eligible members access to home-based primary care. Florida Blue Medicare’s focus on primary care in the home stems from the fact that the Medicare population calls for it.

Primary Care 83

Primary Care Medicare Home Care Nursing 83

Triage Health Law

JANUARY 11, 2023

Pursuant to federal regulations that took effect on January 1, 2023, individuals who lose Medicaid coverage will be granted a special enrollment right to enroll in Medicare Part B coverage. [1] Medicare Part A covers hospital services. Medicare Part B covers doctors visits, outpatient services and certain other services. [2]

Medicaid 59

Medicaid Medicare Regulations Doctors 59

Home Health Care

NOVEMBER 30, 2021

With Medicare Advantage (MA) enrollment on the rise, home health providers need to be primed to adapt to the changing market. MA has played a larger role in the Medicare program over the last several years. who are entering Medicare-eligibility age, according to Neuman. “We Additionally, enrollment increased by 9.5%

Medicare 105

Medicare Doctors Home Care Nursing 105

Sheppard Health Law

SEPTEMBER 28, 2023

The Centers for Medicare & Medicaid Services (“CMS”) released the final rule on risk adjustment data validation (“RADV”) audits of Medicare Advantage (“MA”) organizations (the “Final Rule”) on January 30, 2023. MAOs will be required to remit improper payments identified during RADV audits in a manner specified by CMS.

Medicare 52

Medicare Accountability Medicaid Doctors 52

Healthcare It News

MARCH 2, 2023

WHY IT MATTERS The dual team study published by Epic found that 60% of the time, the virtual primary care telehealth appointments held between March 1, 2020, and October 15, 2022, did not result in subsequent doctors visits. "Americans are having a harder time securing an appointment with a doctor than 10 years ago," he pointed out.

Primary Care 263

Primary Care Doctors Telemedicine Medicaid 263

Home Health Care

AUGUST 31, 2021

Medicare patients with diabetes are more likely to be sent back to the hospital if they do not receive home health services within two days of discharge from an acute setting, new research has found. Centers for Medicare & Medicaid Services (CMS). Smith worked on the project during her doctoral studies at Rutgers.

Medicare 98

Medicare Hospitals Nursing Accountability 98

p3care

NOVEMBER 14, 2022

In addition, GW and GV are HCPCS Level II Medicare Hospice Modifiers. How Does Medicare process the GV and GW modifiers? The Hospice contractor should receive claims from doctors who work for Hospice. In this case, the procedure was carried out for the sickness in question by a doctor not associated with Hospice.

Hospice Care 100

Hospice Care Doctors Medicare Healthcare 100

Healthcare It News

MAY 31, 2023

" The fourth theme to emerge was that telemedicine held both positive and negative effects on both doctors and patients. Meanwhile, other respondents said doctors worked beyond normal hours, supported patient technical issues and were left to judge when a virtual visit was appropriate for a patient's need.

Telemedicine 295

Telemedicine Primary Care Regulations Doctors 295

Sequence Health

NOVEMBER 16, 2021

One of these hoops is getting Medicare coverage for transitional care services like physical therapy following surgery, skilled nursing after hospitalization, and long-term rehabilitation programs. Today, we will take a look at how to get Medicare coverage for transitional care management services for your patients.

Medicare 52

Medicare Physical Therapy Rehabilitation Hospitals 52

Sheppard Health Law

DECEMBER 10, 2021

The Protecting Medicare and American Farmers from Sequester Cuts Act ( S. The Act includes: A one-year increase in the Medicare PFS of 3%; A delay in resuming the 2% Medicare sequester for three months, followed by a reduction to 1% for three months; and. 610 ) was approved by the U.S. Senate on December 9, 2021.

Medicare 52

Medicare Prevention Doctors Hospitals 52

Health Care Law Blog

APRIL 16, 2024

In recent years, Michigan has been home to two of the largest sexual abuse scandals involving doctors in history: the sexual abuse committed by Larry Nassar while employed by Michigan State University and the sexual abuse committed by Robert Anderson while employed by the University of Michigan.

Doctors 52

Doctors Medicaid Medicare Hospitals 52

Home Health Care

NOVEMBER 14, 2022

Care Compare – the all-in-one search tool for consumers seeking home health, hospice and other Medicare-reimbursed health care services – will now include new information on providers’ relationships with doctors and clinicians. Centers for Medicare & Medicaid Services (CMS) announced the update on Monday.

Rehabilitation 102

Rehabilitation Medicare Nursing Doctors 102

Healthcare It News

AUGUST 25, 2022

healthcare providers to their patients, launched a pharmaceutical pilot to identify doctors whose patient treatment plans are at risk of lapsing due to costs. The company found that machine learning was able to accurately predict healthcare providers with at-risk patients due to loss of insurance coverage, including Medicare coverage gaps.

Pharmaceuticals 251

Pharmaceuticals Healthcare Providers Doctors Medicare 251

Healthcare It News

MAY 4, 2023

In addition, the project will form a new digital health workforce by training doctors, nurses and allied health professionals in both hospital and primary care. It will use the health information taken from regular monitoring to promote clinical decisions and actions that will improve patient well-being and outcomes.

Primary Care 209

Primary Care Integration Doctors Nursing 209

Health Populi

AUGUST 21, 2019

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. Medicare Advantage enrollment is fast-growing, shown in the first chart where over 22 million people were in MA plans in January 2019.

Medicare 81

Medicare Regulations Doctors Hospitals 81

Home Health Care

AUGUST 3, 2023

Aside from seeing success with home-based clinical capabilities, Cigna is also seeing positive growth when it comes to its Medicare Advantage (MA) business. Cigna is both an insurer and a health care services company. The company’s MA business grew 12% year over year. It also included a caregiver support program in certain markets. “By

Medicare 98

Medicare Primary Care Doctors Nursing 98

HIT Consultant

APRIL 11, 2022

What You Should Know: – Vytalize Health raises over $50 million to advance its value-based care platform for seniors helping primary care doctors strengthen relationships with their patients through data-driven, holistic, and personalized care. Specializing in Medicare Value-Based Care Programs. Recent Growth. ” .

Primary Care 98

Primary Care Medicare Doctors Integration 98

Home Health Care

MARCH 19, 2024

The Centers for Medicare & Medicaid Services (CMS) announced a new voluntary model Tuesday – centered around primary care providers – that could offer home-based care providers more opportunity to dive into risk-based care. NAACOS has been advocating for this approach, which will bolster primary care practices in ACOs.

Primary Care 84

Primary Care Medicare Accountable Care Medicaid 84

Health Populi

NOVEMBER 1, 2023

“Do personal health trackers belong in the doctor’s office?” Thus, the responses shared here were collected among a relatively more health-engaged consumer who has also been keen to use wearable health technologies in their approaches to self-care outside of the doctor’s office. ” Software Advice wondered.

Health Data 163

Health Data Doctors Health Technology Patient Experience 163

p3care

NOVEMBER 12, 2021

ACO or Accountable Care Organization is a group of doctors, hospitals, medical centers, and other healthcare providers. They are usually responsible for people under Medicare, which allows those patients access to a more coordinated care type that is cost-effective. Primary care doctors and specialists. How Does It Work?

Doctors 130

Doctors Accountability Healthcare Providers Accountable Care 130

p3care

NOVEMBER 12, 2021

ACO or Accountable Care Organization is a group of doctors, hospitals, medical centers, and other healthcare providers. They are usually responsible for people under Medicare, which allows those patients access to a more coordinated care type that is cost-effective. Primary care doctors and specialists. How Does It Work?

Doctors 130

Doctors Accountability Healthcare Providers Accountable Care 130

Healthcare It News

FEBRUARY 15, 2023

In the past, many of these innovations were limited in coverage and use to Medicare seniors. In fact, fewer individuals than ever visit their primary care doctor on a regular basis – even if they have insurance. While a doctor’s office can oversee a screening, results often take days or weeks to process.

Healthcare 333

Healthcare Prevention Health Technology Doctors 333

Health Populi

AUGUST 24, 2020

Eight percent of doctors have closed their practices as a result of COVID-19, tallying about 16,000 closed practices. 4 in 10 doctors saw patient volumes fall by at least 26%, which the Foundations noted could be difficult or impossible for most physician practices to sustain for more than a few months.

Telemedicine 154

Telemedicine Doctors Medicare Primary Care 154

p3care

DECEMBER 19, 2022

Persons such as Doctors, Dentists, Lawyers, Accountants, Veterinarians, Contractors, and Subcontractors who work in an independent trade, or business and provide their services to the public are generally independent contractors and self-employed. For doctors, it’s a big deal. Who Is An Independent Contractor? Mortgage Insurance.

Accountability 130

Accountability Doctors Medicare Regulations 130