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Tag: Insurance: Medicare

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
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