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Tag: Insurance: Medicare

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
Following Medicare payment reform for dialysis

Use of Peritoneal Dialysis Up Since Medicare Payment Reform

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More patients initiated peritoneal dialysis, switched to peritoneal dialysis after PPS initiation
The newly overhauled Medicare prescription plan finder can direct unsuspecting users to coverage that is much more expensive than necessary

New Medicare Online Drug Plan Finder Might Lead to Higher Cost

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Program experts and people who help with sign-ups say the tool can obscure out-of-pocket costs
A bipartisan Senate bill that would curb prescription drug costs is being backed by the Trump administration as a new poll shows that many Americans think the White House has done little to tackle the issue.

Bipartisan Bill to Curb Drug Costs Backed by White House

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Senate bill does not give Medicare bargaining power but would cap out-of-pocket payments by beneficiaries
Seriously ill Medicare enrollees experience considerable financial distress

Seriously Ill Medicare Beneficiaries Face Financial Hardship

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Majority of respondents rely on help from family and friends, at considerable cost
Receiving medical care from fraud and abuse perpetrators

Outcomes Poor With Medical Care From Fraud, Abuse Perpetrators

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Mortality and emergency hospitalization rates higher in Medicare beneficiaries with FAP exposures