Tag: Insurance: Medicare
Suppression of Substance Abuse Claims Impacts Diagnoses
CMS suppression of claims linked to immediate decline in inpatient rates of related comorbidities
Elderly With Advanced CRC Often Get Costly, Unnecessary Tx
Medications come with many side effects, may add only one month to survival, researchers say
AAFP: Expected 0.5 Percent Pay Increase Reduced to Zero
Medicare physician fee schedule shows expected Medicare pay increase reduced for all specialties
Medicare to Cover Advance Care Planning for Older Americans
Counseling would be voluntary; could take place during a senior's annual physical
Part D Enrollment Doesn’t Improve Outcomes After AMI
Half of AMI patients enrolled in Part D by hospital discharge; outcomes no better than non-enrollees
Accountable Care Organizations Can Cut Low-Value Service Use
Greater reductions with higher than markets' mean baseline levels of low-value service use
Observation Stays Can Exceed Cost of Inpatient Deductible
For 26.6% of Medicare beneficiaries, cumulative financial liability up with observational stays
HAC Reduction Program Penalty Kicks in for FY2015
Concerns relating to program include overlap between two measures used to calculate HAC score
Medicare Will Cover Expensive New Leukemia Medication
Amgen's Blincyto costs about $178,000 for a standard course of treatment
Many Hospitals Being Penalized for 30-Day Readmissions
Hospitals lobbying Medicare and Congress to account for patient sociodemographic factors
