Browsing Tag
Medicare
10 posts
Medicare $$ Needed to Help State-Licensed Emergency Centers Survive, Lawmakers Told
Emergency Medicine > Emergency Medicine — "This model doesn't work" without it, says emergency center CEO by Joyce Frieden , Washington Editor, MedPage Today March 19, 2024 If freestanding emergency centers (FECs) are to survive and help underserved rural communities, they should be allowed to receive Medicare and Medicaid reimbursement, which they cannot currently do
Covid and Medicare Payments Spark Remote Patient Monitoring Boom
Billy Abbott, a retired Army medic, wakes at 6 every morning, steps on the bathroom scale, and uses a cuff to take his blood pressure. The devices send those measurements electronically to his doctor in Gulf Shores, Alabama, and a health technology company based in New York, to help him control his high blood pressure.
Many Medicare Patients Travel 50-Plus Miles for Neurology Visits
Neurology > General Neurology — Telemedicine can improve access to care, researchers argue by Judy George, Deputy Managing Editor, MedPage Today September 15, 2023 Nearly one in five Medicare beneficiaries who saw a neurologist traveled long distances for their office visit, 2018 cross-sectional data suggested. Out of over 563,000 Medicare beneficiaries with a neurologist visit
Medicare scams with tests for covid can generate other frauds
La cobertura de Medicare para las pruebas caseras de covid-19 finalizó hace pocos días, pero las estafas generadas por este beneficio temporal podrían tener consecuencias persistentes para las personas mayores. Los defensores de Medicare que realizan un seguimiento del fraude han observado un aumento de quejas entre los beneficiarios que recibieron pruebas que nunca solicitaron.
Medicare 2024 hospital inpatient PPS rule gives 2.8% raise | Modern Healthcare
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Medicare Advantage Plans Fielded 35 Million Prior Auth Requests in 2021
Special Reports > Features — Two million requests denied; reasons for denial remain elusive, according to a new report by Sophie Putka, Enterprise & Investigative Writer, MedPage Today February 3, 2023 Last Updated February 6, 2023 Over 35 million prior authorization requests were submitted to Medicare Advantage insurers in 2021, according to a new report
Practice Management > Reimbursement — Two proposals discussed at the commission's December meeting would increase physician pay by Joyce Frieden, Washington Editor, MedPage Today December 9, 2022 WASHINGTON -- Medicare needs to pay physicians more, especially those who treat low-income patients, members of the Medicare Payment Advisory Commission (MedPAC) said at their December meeting. "There's
Centene says Medicare Advantage star scores worse than expected
Centene’s quality scores for its Medicare Advantage plans came in worse than its executives expected, jeopardizing the insurer's revenue in 2024. Federal regulators assess Medicare Advantage plans’ quality through star ratings, which span a five-point scale. Plans that achieve a score of four stars or higher receive bonuses, which insurers rely on to offer generous benefits
Nation’s Top Medicare Advantage Insurers Reported by Medicare Insurance Association
Los Angeles, CA, March 13, 2022 --(PR.com)-- UnitedHealthcare was the nation’s leading provider of Medicare Advantage plans according to a report shared today by the American Association for Medicare Supplement Insurance.“UnitedHealthcare accounted for 27 percent of all MA plans followed by Humana with 18 percent,” shares Jesse Slome, director of the Medicare insurance advocacy organization. “As…
Medicare Will Not Fully Cover Aduhelm, the Controversial—and Costly—Alzheimer’s Disease Drug
Medicare said Tuesday it will limit coverage of a $28,000-a-year Alzheimer’s drug whose benefits have been widely questioned, a major development in the nation’s tug-of-war over the fair value of new medicines that offer tantalizing possibilities but come with prohibitive prices. The initial determination from the Centers for Medicare and Medicaid Services means that patients…