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Tag: Insurance: Medicare

More Long-Term Dialysis Patients Aligned to ACOs

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Among Medicare beneficiaries on dialysis, less spent per beneficiary-quarter for ACO-aligned versus nonaligned

AMA: Pandemic Having Negative Financial Impact on Physician Practices

Medicare Outpatient Premium to Rise

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Monthly premium for outpatient care will rise by $3.90 next year

During 2018

Private Health Plans Pay Hospitals 247 Percent of Medicare

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Relative prices average 231, 267 percent of what Medicare would pay for inpatient, outpatient services
President Donald Trump signed an order on Monday that will broaden the role of telehealth for Medicare patients

President Says Medicare Should Expand Telehealth Services

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Medicare has already expanded its coverage for telehealth due to the COVID-19 pandemic
Reacting to skyrocketing prices for insulin

New Medicare Benefit Would Limit Insulin Copays to $35 a Month

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Benefit will be voluntary; Medicare recipients must pick an insurance plan that provides it
A claims-based frailty index can improve current Medicare cost prediction for patients with different levels of frailty

Claims-Based Frailty Index Can Improve Cost Prediction

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Addition of frailty index to CMS-HCC model improves cost prediction over CMS-HCC model alone
Medicare is expanding coverage for telemedicine nationwide so that millions of American seniors can get health care at home and avoid the coronavirus

Medicare Expands Telemedicine Coverage During COVID-19 Pandemic

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Expansion will allow millions of seniors to take care of medical problems while staying at home
An investigation into how telemarketers may be obtaining seniors' personal Medicare information will be launched by the U.S. Health and Human Services inspector general office.

Telemarketer Access to Medicare Information to Be Investigated

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Audit comes in response to surge of telemarketing scams targeting Medicare recipients
Using negotiated prices and a defined formulary

Negotiated Prices, Formulary Could Cut Medicare Rx Spending

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Findings based on analysis of 31 different insulin products using 2017 VA formulary and prices
Hospitals caring for neighborhoods with high levels of disadvantage may have lower hospital ratings due to social risk factors in the community

Neighborhood Disadvantage Impacts Hospital Quality Ratings

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Hospitals serving communities with higher social risk have lower-quality ratings