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Medicare Related Topics 
Bill Of Health
AUGUST 11, 2021
Medicare could lead this charge. Congress has an opportunity to reform Medicare in 2024, when the Trust Fund will become insolvent. Reforms to Medicare’s traditional coverage and reimbursement approaches that harness the digital revolution can help the program secure additional value.
Health Care Dive
DECEMBER 1, 2021
Hospital interests are sending letters to top congressional leadership and even launching ad campaigns in a bid to stave off pending Medicare cuts
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Health Care Dive
JANUARY 7, 2022
Competition for members was "very aggressive" as Humana's competitors came in with lower-priced plans and spent more on marketing to attract customers away, CEO Bruce Broussard said
Health Care Dive
AUGUST 17, 2021
Rich Fisher's promotion comes weeks after the insurer reported a $535 million quarterly loss but a 25% growth in its Medicare business
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 million people transitioning from traditional Medicare to MA.
Health Care Dive
DECEMBER 6, 2021
Virtual visits for Medicare beneficiaries went from hundreds of thousands pre-pandemic to tens of millions in 2020, with many beneficiaries using telehealth for the first time
Home Health Care
MAY 12, 2022
The home health industry’s battle with Medicare Advantage (MA) plans for fair rates has gone from a few stakeholders saying “the quiet part out loud” earlier this year to nearly every major provider in the country talking about the issue with regularity.
Healthcare ECONOMIST
SEPTEMBER 1, 2021
The 2021 Medicare Trustees Report–formerly known as the “ Annual Report of the Boards of Trustees of the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund “–had some grim news. Program overview Medicare covered 62.6
Healthcare ECONOMIST
APRIL 26, 2022
Medicare Part D plans have begun using preferred pharmacy networks in order to steer their beneficiaries to lower cost pharmacies. that compares Low Income Subsidy (LIS) Medicare beneficiaries and non-LIS beneficiaries. Health Insurance Managed Care Medicaid/Medicare Medicare Medicare Part D Pharmaceuticals PharmaciesA key question is, does this work? A paper by Xu et al. 2022) aims to answer this question using 2011-2016 data.
HIT Consultant
NOVEMBER 18, 2021
What You Should Know: – Easyhealth raises $135M to redesign Medicare with its end-to-end Medicare experience to help 50 million Medicare members find the best plan and support them through their healthcare journey. Redesigning The Medicare Experience.
Health Care Dive
DECEMBER 1, 2021
Hospital interests are sending letters to congressional leadership and even launching ad campaigns in a bid to stave off pending Medicare cuts
Home Health Care
APRIL 23, 2022
Compared to fee-for-service Medicare, seniors save close to $2,000 on average in total annual health care spending with Medicare Advantage (MA). Between 2018 and 2019, health care spending went up 5% for MA beneficiaries and 9% for fee-for-service Medicare beneficiaries.
Fierce Healthcare
MAY 18, 2022
CMS rolls out changes to Medicare website aimed at usability. rking. Wed, 05/18/2022 - 14:21
Health Care Dive
SEPTEMBER 1, 2021
The forecast is a bit of a bright spot for the otherwise grim financial prospects of the program, as experts worried COVID-19 would result in the fund that finances Medicare Part A running out of money faster than previously expected
Home Health Care
NOVEMBER 18, 2021
In-home support services are the most popular — and arguably impactful — supplemental benefit offered by Medicare Advantage (MA) plans under the primarily health-related category. Medicare Advantage Better Medicare Alliance Milliman
Home Health Care
APRIL 28, 2022
As was the case for much of 2021, the home health admissions growth we generated in Q1 came predominantly under our Medicare Advantage (MA) and managed care contracts,” Encompass Health President and CEO Mark Tarr said during a Thursday morning earnings call.
Health Care Dive
DECEMBER 8, 2021
The new findings published in Health Affairs suggest the quality bonus program doesn't move the needle on quality despite a significant federal investment — hinting the American people may not be getting enough bang for their buck
Health Care Dive
SEPTEMBER 22, 2021
The watchdog calls out 20 private insurers, which it does not name, and urges CMS to conduct greater oversight
Fierce Healthcare
OCTOBER 21, 2021
Better Medicare Alliance: MA adds $32.5B in value to Medicare. rking. Thu, 10/21/2021 - 16:23
Home Health Care
APRIL 21, 2022
Home health operators should dig in even further ahead of the Medicare reimbursement battle coming later this year. Centers for Medicare & Medicaid Services (CMS) released its 2023 proposed payment rule for the nursing home industry earlier this month.
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. Centers for Medicare and Medicaid Services (CMS).
HIT Consultant
JANUARY 24, 2022
We are proud to expand our partnership with Cigna to improve the overall quality of life, including pain reduction and a return to previous functionality for the Medicare Advantage population,” said Dustin Eggers, EVP and chief commercial officer of RecoveryOne. “We
Health Care Dive
JANUARY 11, 2022
The program will only cover Aduhelm, which the FDA controversially approved last June, for patients enrolled in clinical trials
Home Health Care
JANUARY 20, 2022
Many of the in-home supplemental benefits offered by Medicare Advantage (MA) plans are new. The post Evaluating Home Care’s Progress in Medicare Advantage appeared first on Home Health Care News. Featured HHCN+ Medicare Advantage Anthem ATI Advisory Centene Cigna healthAlign Humana In
Health Care Dive
SEPTEMBER 14, 2021
AdvaMed said the repeal of the Medicare Coverage of Innovative Technology rule is the wrong decision for patients. Analysts noted the reimbursement pathway could be resurrected in Cures 2.0 legislation
Fierce Healthcare
MARCH 1, 2022
Better Medicare Alliance: 99.9% of Medicare Advantage plans offering supplemental benefits. rking. Tue, 03/01/2022 - 14:41
Briggs Healthcare
APRIL 21, 2022
CMS has provided MLN4761491 – Medicare Modernization of Payment Software Fact Sheet (5-pages in length) for providers submitting institutional claims to Medicare Administrative Contractors (MACs). Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare.
Health Care Dive
NOVEMBER 15, 2021
The 15% jump in Part B premiums for 2022 is a case study in how just one expensive medication can affect the spending of millions in the U.S.
Home Health Care
APRIL 18, 2022
One of the most important Centers for Medicare & Medicaid Services (CMS) leaders – Dr. Meena Seshamani – is optimistic about the future of the home health care industry. Seshamani is the deputy administrator at CMS and the director of the Center for Medicare.
Kaiser Health News
FEBRUARY 8, 2022
The penalties — a 1% reduction in Medicare payments over 12 months — are based on the experiences of Medicare patients discharged from the hospital between July 2018 and the end of 2019, before the pandemic began in earnest.
Fierce Healthcare
APRIL 28, 2022
OIG dings Medicare Advantage plans for use of prior authorization. pminemyer. Thu, 04/28/2022 - 13:17
Home Health Care
MARCH 20, 2022
Home health agencies and other Medicare-reimbursed health care providers are just a couple weeks away from the return of sequestration. The post Medicare Sequestration’s Return Puts Home Health Agencies in Financial Jeopardy appeared first on Home Health Care News.
Fierce Healthcare
MAY 13, 2022
RAND: Private plans paid hospitals 224% more than Medicare rates. rking. Fri, 05/13/2022 - 15:26
Healthcare ECONOMIST
MARCH 7, 2022
To measure how these capabilities impacted Medicare spending, the authors linked the NSHOS responses with 2017 Medicare beneficiary fee-for-service claims data based on physicians’ Taxpayer Identification Numbers (TIN). Economics - General Medicare Physician CompensationAccording to a paper by Rodriguez et al.
Health Care Dive
DECEMBER 6, 2021
The American Clinical Laboratory Association wants lawmakers to stave off Jan. 1 cuts for nearly 600 lab tests. A stopgap bill late last week did not include a reprieve, but Cowen analysts are optimistic a legislative fix will be found
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