CMS proposed historic changes to Physician Fee Schedule (PFS) and the Quality Payment Program (QPP) to restore the doctor-patient relationship and streamline clinical billing.On Thursday, , the Centers for Medicare & Medicaid Services (CMS) proposed historic changes that would increase the amount of time that doctors and other clinicians can spend with their patients by reducing the burden of paperwork that clinicians face when billing Medicare. The proposed rules would fundamentally improve
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OnlyBoth Launches AI-Driven Home Health Agency Benchmarking Engine
Pittsburgh-based OnlyBoth Inc., today announced the launch of its no-cost Home Health Agency benchmarking engine, which applies innovative artificial intelligence (AI) technology to Medicare data previously gathered about providers. The unique engine delivers text-based insights so users can easily compare and contrast home health agency performance for informed decision-making.As transparency becomes more of a requirement, particularly with the CMS news about the prices this week, so will
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CareSet Labs Releases Next-Gen Medicare Doctor Referral Dataset
CareSet Labs has announced the release of Root NPI Graph, a new version of the “shared Medicare patients in time” provider teaming dataset. The Root NPI graph is the next-generation version of the Doctor Referral teaming dataset commonly available from Medicare. The dataset can be used by data scientists, researchers and innovators including pharmaceutical companies to help decode Medicare claims data to guide new drug launches.Created by Fred Trotter through the Freedom of Information Act
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Survey Reveals Physicians Accelerating Adoption of Medicare’s Chronic Care Management Program
Following a slow start, U.S. physician groups have significantly accelerated their adoption of a key federal program aimed at improving the care of Medicare patients with chronic disease, while they remain relatively in the dark about the details of the 2015 law that the program has come to support.Forty-one percent of physician groups have launched a Chronic Care Management (CCM) program that meets the requirements for reimbursement by the Centers for Medicare and Medicaid Management (CMS),
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Highmark to Offer Welltok’s CaféWell Rewards Platform for Medicare Plans
Highmark, the fourth largest Blue Cross and Blue Shield-affiliated company has partnered with Welltok to reward Highmark’s Medicare Advantage Passport program members for healthy actions through Welltok’s CaféWell Rewards platform. By creating a single destination where seniors can access information related to their health and well-being, the collaboration aims to close gaps in care and advance population health efforts. With Welltok’s CaféWell Rewards, Highmark is now rewarding healthy
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3 Trends Driving Medicare Towards Bankruptcy
The 50-year old Medicare program is not aging well; and that’s not good news for seniors, according to a new report by National Center for Policy Analysis Senior Fellow Devon Herrick. When President Johnson signed the Medicare program into law on July 30, 1965, no one anticipated the program to grow at the rate it has. In 2014, the Medicare program spent over $613B to cover healthcare for 54 million beneficiaries. The law states that seniors do not qualify for Medicare until age
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Meaningful Use The Stats [Infographic Wednesdays]
![Meaningful Use The Stats [Infographic Wednesdays]](https://wrm5sysfkg-flywheel.netdna-ssl.com/wp-content/uploads/2012/08/iStock_000009045056XSmall-259x194.jpg)
Greenway Medical infographic provides a visual overview of Meaningful Use EHR Incentive Program payments, registration, and attestations.
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Pre-Reform Impact of Self-Pay Patients on US Hospitals
Pre-reform, many hospitals experience significant uncompensated care costs from self-pay patients. The following infographic from Objective Health illustrates the variation in self-pay uncompensated care costs across US hospitals and regions.
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Seniors are Losing Billions of Dollars Buried in Unused Benefits from Medicare and Other Agencies
Guest post by Peggy Gavan
According to a report released by the National Council on Aging (NCOA) and National Association of Area Agencies on Aging (n4a), millions of low-income older adults are missing out on over $20 billion in free and low-cost support that could help pay for health care, prescriptions, food, and utilities. The main reason why seniors are not taking advantage of these resources? They simply don’t know the money is there for them.
In response to this disconnect, the
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Infographic:The ACO Prescription Cure or Disease?
infographic explores whether ACOs are beneficial to the patient and the tax payer in the long run.
2011 has been a busy year for ACOs dominating the industry with the announcements of the ACO final rule, Medicare Shared Savings Program, NCQA Accountable Care Organization Accrediation program, and the 32 health systems selected for the CMS ACO Pioneer Program. Medicare can potentially save as much as $960 million dollars over three years through Accountable Care Organizations (ACO). With
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