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Tag: Insurance: Medicare

Medicare graduate medical education payments increased significantly from 2000 to 2015

2000 to 2015 Saw Increase in Medicare GME Payments

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Increase mainly due to indirect payments, primarily inpatient costs rather than resident-to-bed ratio
Revision of decades-old Medicare rules meant to prevent fraud has been proposed by the Trump administration.

Medicare Fraud-Prevention Rules to Be Revised

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Current rules make it difficult for hospitals and doctors to work together, officials say
There are large disparities between Medicaid and Medicare reimbursement rates for eight spine procedures

Medicaid Pays 75 Percent of What Medicare Pays for Spine Surgeries

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Study authors report differences in reimbursement for certain procedures may impact access to care
Medicare could save billions of dollars if secondary fractures could be prevented with improved osteoporosis screening

Medicare Spends More Than $6 Billion on Secondary Fractures

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A fracture should trigger clinical attention to reduce the risk for future fractures, authors say
Disparities persist in preemptive kidney transplantation

Preemptive Kidney Transplants Up After KAS Implementation

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However, disparities persist, with recipients more likely to be white, female, have private insurance
House Speaker Nancy Pelosi has revealed a plan to lower the cost of medications for people on Medicare and those with private insurance.

House Speaker Unveils Plan to Lower Drug Costs

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Plan would allow Medicare to negotiate prices for high-cost drugs
A breakthrough gene therapy will be covered for certain types of lymphoma and leukemia

Medicare to Cover CAR-T Therapy for Leukemia, Lymphoma

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Chimeric antigen receptor T-cell therapy boosts a patient's own immune cells
Spending associated with essential medicines grew substantially from 2011 to 2015 for Medicare Part D beneficiaries

Medicare Spending on Essential Medicines Up 116 Percent From 2011 to 2015

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22 percent of increased total spending due to higher per-unit cost of existing drugs
A plan to let Medicare patients receive rebates that drug companies currently pay to insurers and middlemen has been withdrawn by the Trump administration.

Medicare Drug Rebate Plan Withdrawn by Trump Administration

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Rebates would have been paid directly to seniors in Medicare Part D program when they filled their Rx
Medicare Advantage patients have higher risk-adjusted hospital readmission rates than traditional Medicare patients for acute myocardial infarction

Medicare Advantage Patients Have Higher Readmission Rates

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Higher adjusted readmission rates seen for AMI, CHF, pneumonia with Medicare Advantage