By Cynthia Henry – As the healthcare industry adapts to economic and regulatory changes, Medicare Advantage stands out as a cost-effective model consistently delivering value to beneficiaries. Compared to traditional fee-for-service Medicare, MA excels in financial efficiency and quality outcomes, making it a resilient choice for enrollees and a strategic asset for payers.
Read More
By Judith Graham – Medical research has shortchanged women for decades. This is particularly true of older women, leaving physicians without critically important information about how to best manage their health.
Medicare Promoting Interoperability Program calendar year 2023 Hardship Exception application period is now open and deadline to submit is August 31, 2024 for eligible hospitals and November 30, 2024 for critical access hospitals.
By Phil Galewitz & Holly K. Hacker – At least two-thirds of Medicare enrollees have two or more chronic health conditions, federal data shows. That makes them eligible for a federal program that, since 2015, has rewarded doctors for doing more to manage their health outside office visits.
By Sarah Jane Tribble – Federal lawmakers face a year-end deadline to solidify or scuttle an array of covid-era payment changes for telehealth services that include allowing people to stay in their homes to see a doctor or therapist.
On April 10, 2024, CMS issued the fiscal year 2025 Medicare hospital inpatient prospective payment system and long-term care hospital prospective payment system proposed rule. The proposed rule would update Medicare fee-for-service payment rates and policies for inpatient hospitals and LTCHs for FY 2025.
By Rae Ellen Bichell – As one of the nation’s more than 1,000 federally designated primary care shortage areas, Costilla County has many carrots to dangle in front of medical providers willing to practice there, including federal student loan repayments, bonus Medicare payments, and expedited visas for foreign clinicians.
By Julie Apppleby – Don Smith remembers the moment he awoke in an intensive care unit after 13 days in a medically induced coma. His wife and daughter were at his bedside, and he thought it had been only a day since he arrived at the emergency room with foot pain.
By Robert Daley – In the eight years since MACRA, the law has been a strong step in the right direction. ACOs account for the majority of Medicare’s advanced APMs, using incentives to hire care managers to provide personal care to their sickest patients.