By Arielle Zionts – Rural hospital leaders are questioning whether they can continue to afford to do business with Medicare Advantage companies, and some say the only way to maintain services and protect patients is to end their contracts with the private insurers.
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By Lauren Barca, MHA, RN – The headlines for 2025 Medicare, Medicaid, and dual-eligible programs are rife with concerns about proposed changes. While those worries were certainly a topic of discussion at AHIP’s recent Medicare, Medicaid, Duals, and Commercial Markets Forum in Baltimore, Maryland, they weren’t the only story.
By Jim Tate – Medicare has a long history of taking bold actions. In 2003 electronic claims submission was mandated. In 2011, CMS established the EHR Incentive Programs to promote the adoption and meaningful use of certified electronic health record technology.
A bipartisan group of 10 House members introduced a bill recently to stop the 2.83 percent cut in Medicare payments to physician practices this year while providing a 2 percent payment update, aiming to stabilize physician practices and protect patients’ access to care.
The Hospital Quality Reporting System is now open and accepting calendar year 2024 Medicare Promoting Interoperability Program data submissions and attestations from eligible hospitals and critical access hospitals.
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.
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.