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Tag: Insurance: Medicare

A small but promised Medicare pay increase has effectively been reduced to zero for all physician specialties

AAFP: Expected 0.5 Percent Pay Increase Reduced to Zero

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Medicare physician fee schedule shows expected Medicare pay increase reduced for all specialties
On Friday

Medicare to Cover Advance Care Planning for Older Americans

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Counseling would be voluntary; could take place during a senior's annual physical
For patients with acute myocardial infarction

Part D Enrollment Doesn’t Improve Outcomes After AMI

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Half of AMI patients enrolled in Part D by hospital discharge; outcomes no better than non-enrollees
The Pioneer accountable care organization program correlated with reductions in low-value services during its first year

Accountable Care Organizations Can Cut Low-Value Service Use

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Greater reductions with higher than markets' mean baseline levels of low-value service use
More than one-quarter of Medicare beneficiaries with multiple observation stays have a cumulative financial liability that exceeds that of the inpatient deductible

Observation Stays Can Exceed Cost of Inpatient Deductible

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For 26.6% of Medicare beneficiaries, cumulative financial liability up with observational stays
The latest Centers for Medicare & Medicaid Services effort to reduce hospital-acquired conditions (HACs) is the HAC Reduction Program

HAC Reduction Program Penalty Kicks in for FY2015

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Concerns relating to program include overlap between two measures used to calculate HAC score
Medicare will pay for a new

Medicare Will Cover Expensive New Leukemia Medication

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Amgen's Blincyto costs about $178,000 for a standard course of treatment
About half of the nation's hospitals are being penalized by Medicare for having patients return within a month of discharge

Many Hospitals Being Penalized for 30-Day Readmissions

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Hospitals lobbying Medicare and Congress to account for patient sociodemographic factors
Between 1999 and 2013

Mortality, Hospital Stays, Costs All Down Among U.S. Seniors

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Researchers find steady improvement among Medicare enrollees from 1999 through 2013

CMS Finalizes Decision to Cover HPV Testing for Cervical Cancer

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AAFP encouraged CMS to consider coverage and follow through on proposal