Medicare

How a Virtual Care Mindset Leads to Greater Patient Acceptance and Sustainable Telehealth Growth

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Sandeep Pulim, MD, Chief Medical Officer at Bluestream Health There’s no question that the demand for telehealth and virtual care has grown exponentially over the last twelve months. With that growth has come a fundamental shift in the attitude toward virtual care. No longer do… Read More »How a Virtual Care Mindset Leads to Greater Patient Acceptance and Sustainable Telehealth Growth

Medicare eats the world

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In 2020, Medicare premiums and cost sharing were estimated to consume 24 percent of the average Social Security benefit, up from 14 percent in 2000. The Medicare Trustees estimate that in another 20 years, these costs will consume 31 percent of the average Social Security… Read More »Medicare eats the world

SNF-at-Home Concept Earning ‘Very Positive Feedback’ in Congress, Among Special Interest Groups

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An innovative care concept designed to keep patients at home and out of skilled nursing facilities (SNFs) is reportedly gaining ground in Congress and among special interest groups. The concept — known as “Choose Home” — is a type of SNF-at-home model that leverages both… Read More »SNF-at-Home Concept Earning ‘Very Positive Feedback’ in Congress, Among Special Interest Groups

Unite Us Nabs $150M, Reaching $1.6B Valuation to Address Social Determinants of Health

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What You Should Know: –   Unite Us, the tech company creating coordinated care networks nationwide, has just announced a $150M Series C round of funding led by ICONIQ Capital, bringing its valuation at $1.65 billion.   – Unite Us is leading the care transformation movement towards whole-person health… Read More »Unite Us Nabs $150M, Reaching $1.6B Valuation to Address Social Determinants of Health

ICYMI: Bipartisan lawmakers urge new administration to oppose changes to six protected classes policy

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On January 19, 2021 – the last full day of the Trump administration – CMS released a Part D Payment Modernization Model Request for Applications (RFA) for calendar year 2022. This model would provide “formulary flexibility” by exempting participating Part D plans from some of… Read More »ICYMI: Bipartisan lawmakers urge new administration to oppose changes to six protected classes policy

2% Cut to Home Health Agencies, Other Medicare Providers Nearing Unwanted Return

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Among its many provisions, last year’s Coronavirus Aid, Relief and Economic Security (CARES) Act pressed pause on the government’s 2% payment cut to all Medicare-reimbursed health care providers. The “sequestration holiday” was immediately seen as a common-sense lifeline for cash-strapped home health providers on the… Read More »2% Cut to Home Health Agencies, Other Medicare Providers Nearing Unwanted Return

Analysis: Spending on Health Care Would Drop by an Estimated $352 Billion in 2021 if Private Insurance Used Medicare Rates to Reimburse Hospitals and Other Health Care Providers

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Total health care spending for people with private health insurance would be an estimated $352 billion lower in 2021 if private insurers used Medicare rates to pay hospitals and other health care providers, rather than the substantially higher rates they currently pay, a new KFF… Read More »Analysis: Spending on Health Care Would Drop by an Estimated $352 Billion in 2021 if Private Insurance Used Medicare Rates to Reimburse Hospitals and Other Health Care Providers

Limiting Private Insurance Reimbursement to Medicare Rates Would Reduce Health Spending by About $350 Billion in 2021

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This analysis estimates the total annual reduction in health care spending by employers and privately insured individuals that would result from having private insurers reimburse hospitals and other health care providers at Medicare rates. In total, we estimate spending for the privately insured population would… Read More »Limiting Private Insurance Reimbursement to Medicare Rates Would Reduce Health Spending by About $350 Billion in 2021

States Have Made Progress in Vaccinating Older Adults Against COVID-19 in Recent Weeks, But No State Has Vaccinated At Least Half of its Older Population

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Twenty-two states and the District of Columbia have vaccinated at least one-third of their residents who are 65 and older against COVID-19, an updated KFF analysis finds, but no state has crossed the threshold of vaccinating 50 percent or more of its older population. The share… Read More »States Have Made Progress in Vaccinating Older Adults Against COVID-19 in Recent Weeks, But No State Has Vaccinated At Least Half of its Older Population

3 Ways to Boost Patient Confidence with Real-Time Contactless Communication

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Ford Blakely, SVP & GM, Medallia Zingle Although the vaccine’s rollout is slowly underway, Covid cases worldwide are continuing to reach all-time highs as new mutations make the virus even more contagious than ever before. Not surprisingly, patients’ concerns about visiting their healthcare providers in… Read More »3 Ways to Boost Patient Confidence with Real-Time Contactless Communication

Webinar: Improving value-based care through data-driven insights—lessons from Florida Blue Medicare

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It’s clear that rewarding providers for value, not volume, of services reduces unnecessary and costly care, but transitioning from the traditional fee-for-service model is challenging. Providers respond best to a transparent, data-driven approach in which “value” is clearly and objectively defined. But how can health… Read More »Webinar: Improving value-based care through data-driven insights—lessons from Florida Blue Medicare

Countless Homebound Patients Still Wait for Covid Vaccine Despite Seniors’ Priority

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This story also ran on CNN. It can be republished for free. Opening another front in the nation’s response to the pandemic, medical centers and other health organizations have begun sending doctors and nurses to apartment buildings and private homes to vaccinate homebound seniors. Boston… Read More »Countless Homebound Patients Still Wait for Covid Vaccine Despite Seniors’ Priority

Vytalize Health Acquires Patient Financial Experience Platform MedPilot

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What You Should Know: – Vytalize Health acquires patient financial experience platform MedPilot to accelerate data-driven engagement technology to its ACO’s Medicare population. – An alumnus of the Cedars-Sinai Accelerator, MedPilot’s platform has already helped over 1 million patients to date and boasts a 97%… Read More »Vytalize Health Acquires Patient Financial Experience Platform MedPilot

The COVID-19 Pandemic Has Hit People of Color the Hardest, Including Among People With Medicare

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The COVID-19 pandemic has underscored the stark racial and ethnic health inequities in the U.S., including among Medicare beneficiaries. Among this group, people of color, including older adults and others on Medicare, account for disproportionate shares of COVID-19 cases, hospitalizations and deaths, according to data… Read More »The COVID-19 Pandemic Has Hit People of Color the Hardest, Including Among People With Medicare

Racial and Ethnic Health Inequities and Medicare

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This chart collection draws on primary and secondary data analyses by KFF and other sources to examine the characteristics, experiences, and outcomes of the Medicare population by race and ethnicity

A Status Report on Prescription Drug Policies and Proposals at the Start of the Biden Administration

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This brief provides a status update on prescription drug final rules advanced by the Trump Administration in its final months related to Medicare, importation, and 340B pricing for insulin and epinephrine, and an overview of key drug pricing proposals related to Medicare and prescription drug… Read More »A Status Report on Prescription Drug Policies and Proposals at the Start of the Biden Administration

In-Home Care Providers ConcertoHealth, Perfect Health Merge to Form ‘ConcertoCare’

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Two in-home care providers — ConcertoHealth and Perfect Health — announced Wednesday that their organizations have merged. Together, the companies will operate under the name “ConcertoCare.” Aliso Viejo, California-based ConcertoHealth is a value-based care provider organization that delivers a variety of home-based care services. The… Read More »In-Home Care Providers ConcertoHealth, Perfect Health Merge to Form ‘ConcertoCare’

4 Vital Health Issues — Not Tied to Covid — That Congress Addressed in Massive Spending Bill

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This story also ran on NPR. It can be republished for free. Late last month, before President Joe Biden took office and proposed his pandemic relief plan, Congress passed a nearly 5,600-page legislative package that provided some pandemic relief along with its more general allocations to fund the… Read More »4 Vital Health Issues — Not Tied to Covid — That Congress Addressed in Massive Spending Bill

Addressing the Risk of Medicare Trust Fund Insolvency

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In this Viewpoint for the Journal of the American Medical Association (JAMA), KFF’s Tricia Neuman and co-author Richard G. Frank of Harvard Medical School explain that the looming 2024 insolvency of the Medicare Hospital Insurance Trust Fund cannot be ignored for long.

Trump’s Pardons Included Health Care Execs Behind Massive Frauds

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At the last minute, President Donald Trump granted pardons to several individuals convicted in huge Medicare swindles that prosecutors alleged often harmed or endangered elderly and infirm patients while fleecing taxpayers. “These aren’t just technical financial crimes. These were major, major crimes,” said Louis Saccoccio,… Read More »Trump’s Pardons Included Health Care Execs Behind Massive Frauds

New CMS rule to enable immediate coverage for FDA-designated ‘breakthrough’ devices

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The agency has finalized a rule that allows it to provide immediate Medicare coverage for FDA-approved products that are deemed “breakthrough devices.” The new coverage process would enable seniors to get access to these devices more quickly, but some provider and payer groups are concerned… Read More »New CMS rule to enable immediate coverage for FDA-designated ‘breakthrough’ devices

Net Health Acquires Post-Acute Analytics Platform PointRight – M&A

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What You Should Know: –  Net Health acquires post-acute market analytics platform PointRight to deepen the company’s analytics capabilities, post-acute presence, and support for SNF networks. Net Health, a provider of cloud-based software for specialty medical providers across the continuum of care, today announced that… Read More »Net Health Acquires Post-Acute Analytics Platform PointRight – M&A

January 14 Web Event: A Shot in the Arm For Long-Term Care Facilities? Early Lessons from the COVID-19 Vaccine Rollout to High Priority Populations

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With the pandemic taking a heavy toll among older Americans, the Centers for Disease Control and Prevention and most states have placed a high priority on vaccinating residents and staff of long-term care facilities. People in nursing homes and other long-term care settings account for… Read More »January 14 Web Event: A Shot in the Arm For Long-Term Care Facilities? Early Lessons from the COVID-19 Vaccine Rollout to High Priority Populations

MA Beneficiaries See Nearly 20% Fewer Home Health Days Than Traditional Medicare Peers

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Under the Trump administration, federal health care policymakers have long been vocal about the ability of Medicare Advantage (MA) to lower costs and improve outcomes among vulnerable populations. A recent report from the Washington, D.C.-based Better Medicare Alliance (BMA) and consulting firm Avalere Health is… Read More »MA Beneficiaries See Nearly 20% Fewer Home Health Days Than Traditional Medicare Peers

30 Executives Share Top Healthcare Predictions & Trends to Watch in 2021

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As we close out the year, we asked several healthcare executives to share their predictions and trends for 2021. Kimberly Powell, Vice President & General Manager, NVIDIA Healthcare Federated Learning: The clinical community will increase their use of federated learning approaches to build robust AI models across various… Read More »30 Executives Share Top Healthcare Predictions & Trends to Watch in 2021

For Better Patient Care Coordination, We Need Seamless Digital Communications

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Catherine Thomas: Co-Founder and VP, Customer Engagement, careMESH  Peter Tippett MD, PhD: Founder and CEO, careMESH A recent Advisory Board briefing examined the annual Centers for Medicare & Medicaid Services (CMS) Readmission penalties.  Of the 3,080 hospitals CMS evaluated, 83% received a penalty for payments to… Read More »For Better Patient Care Coordination, We Need Seamless Digital Communications

End of year Part D reading List

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Happy Holidays, Part D readers, and thank you for following along this year as we explored the impact of Medicare Part D and the important role the program plays for seniors and those with disabilities.

American Academy of Home Care Medicine Urges CMS to Reconsider Rate Cut for Home-Based Primary Care

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At the beginning of the month, the Centers for Medicare & Medicaid Services (CMS) released the final rule for the 2021 Medicare Physician Fee Schedule. Since then, the rule has drawn criticism for the payment cuts CMS made to home-based primary care visits, a move… Read More »American Academy of Home Care Medicine Urges CMS to Reconsider Rate Cut for Home-Based Primary Care

New analysis finds stark difference in coverage of breast cancer medicines for seniors in the United States and England

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In the United States, seniors and people with disabilities enjoy broad coverage of physician-administered medicines under Medicare Part B because the program relies on market competition to balance access, innovation and cost control. But the same cannot be said for patients in other countries. In… Read More »New analysis finds stark difference in coverage of breast cancer medicines for seniors in the United States and England

Cityblock Health Reaches $1B Valuation, Raises $160M to Address Systemic Healthcare Inequity

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What You Should Know: – Cityblock Health, a transformative, value-based healthcare provider focused on improving healthcare outcomes for marginalized communities, today announced a $160M Series C round, bringing its total raised to $300M. – Cityblock is a care delivery trailblazer working to right the injustices… Read More »Cityblock Health Reaches $1B Valuation, Raises $160M to Address Systemic Healthcare Inequity

Elation Health Nabs $40M for Clinical-First Solution to Power Independent Primary Care

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What You Should Know: – Elation Health, which provides an easy-to-use and affordable clinical technology platform for more than 7 million independent primary care clinicians serving 14M+ patients – including an EHR raises $40M in Series C funding from Al Gore’s sustainable investment firm, Generation… Read More »Elation Health Nabs $40M for Clinical-First Solution to Power Independent Primary Care

CMS’ new Geo care delivery model: 5 things to know

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The new Geographic Direct Contracting Model aims to improve quality of care and slash costs for Medicare beneficiaries across an entire region. It involves setting up risk-sharing arrangements where participants will be responsible for the total cost of care for beneficiaries in the region.

Options to Make Medicare More Affordable For Beneficiaries Amid the COVID-19 Pandemic and Beyond

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Medicare provides significant health and financial protections to more than 60 million Americans, but there are gaps in coverage and high cost-sharing requirements that can make health care difficult to afford. This report analyzes several policy options that could help make health care more affordable… Read More »Options to Make Medicare More Affordable For Beneficiaries Amid the COVID-19 Pandemic and Beyond

House Bill Looks to Keep Medicare Sequestration ‘Holiday’ in Place for Home Health Agencies, Others

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U.S. Representatives Brad Schneider (D-Ill.) and David McKinley (R-W.Va.) introduced the Medicare Sequester COVID Moratorium Act last week. If passed, the bill would extend the temporary suspension of Medicare sequestration payment reductions, giving home health agencies and other providers more financial flexibility headed into an… Read More »House Bill Looks to Keep Medicare Sequestration ‘Holiday’ in Place for Home Health Agencies, Others

5 Steps for Interoperability Excellence for Healthcare Providers

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Shanti Wilson, Consultant, Freed Associates  As if 2020 couldn’t be any more challenging for healthcare providers, new federal rules on interoperability and patient access, granting patients direct access to their healthcare data, begin taking effect this November and continue into 2022. These rules, while ultimately beneficial… Read More »5 Steps for Interoperability Excellence for Healthcare Providers

MedPAC: ‘Dynamic’ Home Health Industry Is Evolving into ‘Multiple Types of Care’

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The home health industry is in a “dynamic state” and evolving into “multiple types of care,” according to the Medicare Payment Advisory Commission (MedPAC). As a result, health care policymakers should start thinking about how to redesign the traditional home health benefit to make it… Read More »MedPAC: ‘Dynamic’ Home Health Industry Is Evolving into ‘Multiple Types of Care’

CommonHealth App Connects to 230 Health Systems to Share Health Data – including COVID Test and Vaccine Status

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What You Should Know: – CommonHealth has connected to 230 health systems in the United States, allowing patients to gather, manage and share their health and test data, including COVID test and vaccination status. By the end of this month, CommonHealth will connect to more… Read More »CommonHealth App Connects to 230 Health Systems to Share Health Data – including COVID Test and Vaccine Status

COVID-19: How Can Payers Prepare for Mandates and Support Pandemic Relief Efforts

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Elizabeth Bierbower, Former President of Humana’s Group & Specialty Division Healthcare can achieve optimum efficiency when patients are at the center of care. When patients have the necessary information to navigate their care journey, they will choose the path to high-quality care at the lowest… Read More »COVID-19: How Can Payers Prepare for Mandates and Support Pandemic Relief Efforts

Hospital Sustainability Demands that Revenue Integrity Move Front and Center

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Vasilios Nassiopoulos, VP of Platform Strategy and Innovation, Hayes Razor-thin operational margins coupled with substantial and ongoing losses related to COVID-19 are culminating in a perfect storm of bottom-line issues for U.S. hospitals and health systems. A study commissioned by the American Hospital Association (AHA) found that… Read More »Hospital Sustainability Demands that Revenue Integrity Move Front and Center

8 Ways Advanced Analytics Can Help You Decide If Telehealth Should Be Temporary or Permanent

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Prasad Dindigal, Vice President, Healthcare & Life Sciences, EXL. Over the past few months, primarily as a result of the COVID-19 pandemic, telehealth has gone from a “nice-to-have” to a “must-have” for healthcare providers. The surge of COVID-19 patients in the spring, coupled with “stay-at-home”… Read More »8 Ways Advanced Analytics Can Help You Decide If Telehealth Should Be Temporary or Permanent

‘Our Work Begins with Getting COVID Under Control’: What a Biden Administration Means for Home-Based Care

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After one of the closest and most hotly contested campaigns in modern history, President-Elect Joe Biden addressed the nation on Saturday from an outdoor platform in Wilmington, Delaware. While it’s far too early to say what the first 100 days of a Biden administration will… Read More »‘Our Work Begins with Getting COVID Under Control’: What a Biden Administration Means for Home-Based Care

If They Sweep on Election Day, Dems Still Face a Challenge Meeting Health Promises

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Democrats are favored to win both chambers of Congress after years of campaign-trail promises about health care. But with a pandemic, a more conservative Supreme Court and lingering disagreements between progressives and moderates, it could be difficult for Democrats to turn those promises into law.… Read More »If They Sweep on Election Day, Dems Still Face a Challenge Meeting Health Promises

Medicare to cover all FDA-approved Covid-19 vaccines

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CMS’ interim rule states that Medicare will cover Covid-19 vaccines approved by the FDA, including those receiving emergency use authorization, in a reversal from its usual policy. The vaccine will be made available at no cost to Medicare beneficiaries.

How Many Physicians Have Opted-Out of the Medicare Program?

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This analysis examines the extent to which non-pediatric physicians have opted out of the Medicare program. The analysis finds that few physicians have opted out of Medicare, with the share of opt-out physicians varying by specialty.

CMS promises a plan for Medicare to cover coronavirus vaccine

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Medicare doesn’t currently cover drugs approved under emergency use designations. But  CMS Administrator Seema Verma said the agency was coming up with a plan to make sure Medicare beneficiaries were covered once a coronavirus vaccine is developed.

Humana, Fresenius Medical Care Expand Partnership to Improve Care Coordination for Medicare Advantage Members

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What You Should Know: – Humana Inc. and Fresenius Medical Care North America (FMCNA) today announced an agreement to broaden their collaboration toward improving the health of eligible Humana Medicare Advantage members – The agreement between Humana and Fresenius Medical Care North America goes into… Read More »Humana, Fresenius Medical Care Expand Partnership to Improve Care Coordination for Medicare Advantage Members

Innovaccer Unveils Risk Adjustment Solution For Improved Coding Accuracy

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What You Should Know: – Innovaccer unveils new risk adjustment solution to help providers better segment their population to refine the risk scoring process and improve coding accuracy and efficiency, thereby improving performance on risk-based contracts. – The solution utilizes Artificial Intelligence (AI) and Natural… Read More »Innovaccer Unveils Risk Adjustment Solution For Improved Coding Accuracy

Half of Patients Referred to Home Health Don’t Receive Services — But Providers Can Change That

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Home health is often utilized as a recovery tool when patients transition out of the hospital because of its ability to improve outcomes. But many of the Medicare beneficiaries who receive referrals after being discharged aren’t actually receiving these services. Overall, the past several decades… Read More »Half of Patients Referred to Home Health Don’t Receive Services — But Providers Can Change That

Lower Flu Vaccination Rates Among Black, Hispanic, and Low-Income Seniors Suggest Challenges for COVID-19 Vaccination Efforts

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People 65 and older, who have been hardest hit by COVID-19 in terms of hospitalizations and deaths, are also at high risk of severe flu illness and are more likely to die of the flu than younger people. This analysis explores variation in the rate… Read More »Lower Flu Vaccination Rates Among Black, Hispanic, and Low-Income Seniors Suggest Challenges for COVID-19 Vaccination Efforts

Revel, NovuHealth Merge to Create Largest Healthcare Member Engagement Platform

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What You Should Know: – NovuHealth and Revel merge to bring together NovuHealth’s personalized healthcare loyalty programs with Revel’s applied behavioral research and health action technologies.  – Together, Revel and NovuHealth work with more than 50 healthcare organizations, including seven of the top 10 largest… Read More »Revel, NovuHealth Merge to Create Largest Healthcare Member Engagement Platform

Three reasons why repealing the Part D non-interference clause is a bad idea

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For more than a decade, Medicare Part D has provided seniors affordable and comprehensive prescription drug coverage. Its unique, market-based structure has kept overall Part D program costs far below initial projections, coming in at nearly $350 billion less than the Congressional Budget Office’s initial… Read More »Three reasons why repealing the Part D non-interference clause is a bad idea

Independence Blue Cross, Signify Launches Social Determinants of Health Network in Philly

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What You Should Know: – Independence Blue Cross and Signify Health launches social determinants of health network, CommunityLink to connect data from multiple CBOs to integrate social directly into medical care in the Philadelphia area. – CommunityLink represents one of the first examples nationwide of… Read More »Independence Blue Cross, Signify Launches Social Determinants of Health Network in Philly

Trump Is Sending Fast, Cheap COVID Tests to Nursing Homes — But There’s a Hitch

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The Trump administration’s latest effort to use COVID-19 rapid tests — touted by one senior official as a “turning point” in arresting the coronavirus’s spread within nursing homes — is running into roadblocks likely to limit how widely they’ll be used. Federal officials are distributing… Read More »Trump Is Sending Fast, Cheap COVID Tests to Nursing Homes — But There’s a Hitch

GOP Senate Ad Misrepresents Mont. Governor’s Stance on Rural Hospitals, Public Option

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An attack ad, which was released in mid-July, states that Montana Gov. Steve Bullock, a Democratic candidate for the Senate, supports a government-run health care program that would wreak havoc on the state’s health care infrastructure. “Bullock’s health care plan will force rural hospitals to… Read More »GOP Senate Ad Misrepresents Mont. Governor’s Stance on Rural Hospitals, Public Option

OIG: Medicare Overpaid $267M for Hospital In-Patient Claims with Post-Acute Transfers to Home Health Services

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Hospitals improperly coding for post-discharge services contribute to hundreds of millions of dollars in Medicare overpayments. And the majority of incorrect payments are often related to home health services. That’s according to a new audit report from the Department of Health and Human Services (HHS)… Read More »OIG: Medicare Overpaid $267M for Hospital In-Patient Claims with Post-Acute Transfers to Home Health Services

Business Is Booming for Dialysis Giant Fresenius. It Took a $137M Bailout Anyway.

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As the coronavirus pandemic paralyzed most nonemergency medical practices this spring, the dialysis business, vital to the survival of patients with kidney disease, rolled ahead and in some cases grew. Yet when the Trump administration sent billions in federal relief funds to medical organizations, at… Read More »Business Is Booming for Dialysis Giant Fresenius. It Took a $137M Bailout Anyway.

COVID-19 Underscores Why Certain Aspects of the American Healthcare System Should Change Forever

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Irv Lichtenwald, President & CEO of Medsphere Systems Corporation In the late 1940s, the United Kingdom was busily reassembling country and what remained of the empire in the aftermath of World War II. Among many revelations, the war had convinced Britain’s leaders of the need… Read More »COVID-19 Underscores Why Certain Aspects of the American Healthcare System Should Change Forever

Primary care startup Oak Street Health goes public for $328M

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Oak Street Health, which operates primary care centers for Medicare patients, went public on Thursday for $328 million. Its capitation payment model has helped the company continue on where many clinics have struggled during the Covid-19 pandemic.

Trump executive order targets rural telehealth expansion

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The executive order would call on the Department of Health and Human Services to develop a new pilot payment model for rural hospitals, and would set up a task force to improve broadband infrastructure in rural communities.

Home-Based Medical Care Can Reduce Hospitalizations and Lower Costs — But It’s Still Underutilized

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While home-based medical care has been shown to reduce hospitalization rates and lower costs for both homebound and non-homebound populations alike, it continues to be drastically underutilized in the current health care ecosystem. As a result, there are millions of older Americans — especially those… Read More »Home-Based Medical Care Can Reduce Hospitalizations and Lower Costs — But It’s Still Underutilized

Humana Helps Fast-Track In-Home Primary Care Company Heal’s Growth with $100M Investment

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Health and well-being company Humana Inc. (NYSE: HUM) has spent the past few years adding to its health care services portfolio while aggressively investing around a home-based care strategy. The Louisville, Kentucky-based company has now revealed its latest step in that direction. On Wednesday, Humana… Read More »Humana Helps Fast-Track In-Home Primary Care Company Heal’s Growth with $100M Investment

W2O Acquires Discern Health to Strengthen Value-Based Care Capabilities

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What You Should Know: – W2O announced today the acquisition of Discern Health, a leading healthcare consultancy based in Washington, DC, and Baltimore, to strengthen its strategic capabilities in assisting clients with critical healthcare policy trends and value-based reimbursement models. – Discern Health brings experts with… Read More »W2O Acquires Discern Health to Strengthen Value-Based Care Capabilities

How ADT-Based E-Notifications Can Enable Better Safety for COVID-19 Patients

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Jay Desai, CEO & Co-Founder, PatientPing As COVID-19 continues to impact the country, providers across the continuum face new challenges delivering care and ensuring safety for their patients and themselves.  During this period, sharing real-time information about patients’ care encounters across provider types and care… Read More »How ADT-Based E-Notifications Can Enable Better Safety for COVID-19 Patients

Ambulance Crews and In-Home Care Providers Seek Collaboration — Not Competition

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As hospitals continue to experience overcapacity challenges due to the COVID-19 emergency, 911 ambulance crews and community paramedics have found themselves treating more patients at home. Historically, ambulance crews and community paramedics — both of which operate in the emergency medical services (EMS) space —… Read More »Ambulance Crews and In-Home Care Providers Seek Collaboration — Not Competition

House bill would cement Medicare telehealth changes

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A bill introduced to the U.S. House of Representatives on Thursday would permanently lift site restrictions for Medicare patients to access telehealth. During the pandemic, several restrictions on where telehealth visits could be conducted and what services were eligible were temporarily lifted.

How Could the Price of Remdesivir Impact Medicare Spending for COVID-19 Patients?

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This brief discusses how drugs provided in inpatient hospital settings are covered and reimbursed for beneficiaries in traditional Medicare under current law. This is relevant for Medicare spending on COVID-19 patients who receive Gilead’s new antiviral drug remdesivir. We discuss the implications for hospitals and… Read More »How Could the Price of Remdesivir Impact Medicare Spending for COVID-19 Patients?

8 in 10 Consumers Stated COVID-19 Made Telehealth “Indispensable” in Healthcare Delivery

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What You Should Know: – 8 in 10 consumers said COVID-19 made telehealth “an indispensable part of the healthcare system, according to a new study commissioned by Change Healthcare. – 2020 Change Healthcare – Harris Poll Consumer Experience Index reveals 65% said they plan to… Read More »8 in 10 Consumers Stated COVID-19 Made Telehealth “Indispensable” in Healthcare Delivery

We Are in Store for the Greatest Change to Our Healthcare System Since the Affordable Care Act. Here’s Why.

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By LOGAN CHO The COVID-19 pandemic has been harsher and lasted longer than many of us would have predicted. While our media has been inundated with updates on death tolls and economic depression, there has been little conversation of healthcare beyond the era of COVID-19.… Read More »We Are in Store for the Greatest Change to Our Healthcare System Since the Affordable Care Act. Here’s Why.

Doctor On Demand Raises $75M to Expand Comprehensive Virtual Care Platform

What You Should Know – Doctor On Demand raises $75M in Series D funding led by General Atlantic to expand comprehensive virtual care. – Doctor On Demand is seeing record usage this year – up 139% – for COVID-19 screenings, routine health issues, chronic conditions and behavioral health. San Francisco, CA-based Doctor… Read More »Doctor On Demand Raises $75M to Expand Comprehensive Virtual Care Platform

Comparing Private Payer and Medicare Payment Rates for Select Inpatient Hospital Services

This issue brief analyzes hospital payments paid by private payers and by Medicare for a selection of inpatient services, including services requiring similar inpatient treatments to those used for COVID-19. It finds that private insurance payments for such services vary widely and exceed Medicare payment… Read More »Comparing Private Payer and Medicare Payment Rates for Select Inpatient Hospital Services