Editor's Note: Kyle Stapp is the Program Director at Eligibility.com where he oversees the educational center inside Eligibility.com and works daily with program applicants to answer their questions. His programs include Medicare, Unemployment and more. Follow him on Twitter at @kyle_stapp or connect with him on LinkedIn.According to the Center for Medicare and Medicaid Services (CMS), 32% of Medicare beneficiaries are enrolled in a Medicare Advantage plan, amounting to 17.1 million people. This
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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant
At The Heart & Soul of MACRA Is Waste
Ms. Jeannie is a 65 years old woman, slightly overweight with mild hypertension that is perfectly controlled. Ms. Jeannie is the office manager at Dr. Abrams, the pediatrician down the hall, who’s been taking care of your kids since you moved here. Ms. Jeannie called earlier because her allergies are killing her today and she’s out of refills for her blood pressure meds anyway. After an uneventful 15 minutes, and a brief chat in the hallway, Ms. Jeannie pays her $15 copay and heads back to work.
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Cigna, Integrated Independent Physicians Network Launch Collaborative Care Program
Cigna and Integrated Independent Physicians Network, LLC have teamed up on a collaborative care program to improve access to health care, enhance care coordination and lower costs. Effective April 1, the program is part of Cigna Collaborative Care, a value-based model that will reach nearly 7,000 customers.Cigna Collaborative Care is helping to improve the health of Cigna customers while effectively managing medical costs. For example, the programs are helping to:- Close gaps in care, such as
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Why Healthcare Must Never Be Allowed To Become A System
The Merriam-Webster dictionary has many definitions for the term system, but the most straightforward, and arguably the most applicable to our health care conversation is “a regularly interacting or interdependent group of items forming a unified whole”. The common wisdom is that our health care system is broken and hence our government is vigorously attempting to fix it for us through legislation, reformation and transformation. We usually work ourselves into a frenzy arguing how the government
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Wellcentive Unveils Volume to Value-based Care Calculator for Providers
Wellcentive, an Atlanta-based provider of value-based care solutions has launched a free tool to calculate the real cost of delaying the shift from public and private payer volume to value-based care (VBC) and reimbursement. The tool called the Cost of Inaction calculator helps organizations estimate the impact, based on national benchmark data for health services and the organization-specific data users submit, of delaying effective implementation and management of VBC practices.Why Now Is The
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Comprehensive Primary Care Plus Model: Why Risk Is the New Compassion
The most powerful persuasion tool in enlightened human society is language. The most powerful manipulation tool in any human society is language. Whereas in ancient times the pen was considered mightier than the sword, now the keyboard can be said to be mightier than any weapon of mass destruction, and nobody is mightier than the government of these United States. When our government wanted to strip citizens of privacy, it passed the Patriot act, because no one could oppose patriotism after
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Envera Health Raises $14M for Patient Engagement Optimization
Envera Health, a hands-on partner for optimizing provider and consumer engagement, empowering health systems to deliver their best patient care has raised $14M in funding led by Harbert Venture Partners (HVP) and Noro-Moseley Partners (NMP). Founded by CEO Dan Neuwirth, Envera Health's patient engagement optimization platform combines expertise, managed services, data, technology and infrastructure that enable our partners to achieve clinical, financial and growth objectives. Envera Health has
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MedData Acquires Duet Health: 6 Things to Know
MedData, a provider of patient-focused revenue cycle management services has acquired Columbus, Ohio-based patient engagement company Duet Health.Founded in 2009, Duet provides multi-platform software products that empower hospitals, health systems, and providers to better communicate and engage with their patient populations. The robust Patient Intelligence Center provides real-time monitoring of every click, transaction, and entry to create more meaningful patient interactions and improve
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McKesson, Blue Cross Blue Shield of Arizona Launch Value-based Care Collaborative
McKesson Business Performance Services and Blue Cross Blue Shield of Arizona (BCBSAZ) have launched a new company, ACO Partner, a Maximum Services Organization, an innovative collaborative that will leverage McKesson’s physician engagement, care management, and population health services and technology. ACO Partner plans to contract with payers and provider groups nationwide to increase the overall quality of care through strong partnerships in pursuit of the triple aim of lowering costs,
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CMS Launches Comprehensive Primary Care Plus Model
On Monday, the Centers for Medicare & Medicaid Services (CMS) announced its largest-ever initiative to transform and improve how primary care is delivered and paid. The initiative called the Comprehensive Primary Care Plus (CPC+) model will be implemented in up to 20 regions and can accommodate up to 5,000 practices, which would encompass more than 20,000 doctors and clinicians and the 25 million people they serve. The initiative builds on the Comprehensive Primary Care initiative launched
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