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Tag: Insurance: Medicare

Medicare fee-for-service beneficiaries were less likely to die in acute care hospitals in 2015 than in 2000

Decline in Medicare Patients Who Die in Acute Care Hospitals

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2000 to 2015 also saw increase in ICU use in last month of life, deaths in home or community setting
Introducing the Comprehensive Primary Care Initiative

Comprehensive Primary Care Initiative Improves Care Delivery

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Reduction in Medicare spending associated with CPC was not enough to cover care management fees
Current publicly reported measures may not be good surrogates for overall hospital quality related to 30-day readmissions

Condition Readmission Measures Don’t Reflect Overall Quality

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Differ from non-Medicare patients with same conditions, Medicare patients with unreported ones
Higher 30-day payments for acute myocardial infarction care for both inpatient care and in multiple settings after discharge are associated with lower 30-day mortality among Medicare beneficiaries

Higher Myocardial Infarction Care Payments Improve Mortality

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Findings based on Medicare 30-day payments for both inpatient care and after discharge
The elimination of cost sharing for screening mammography is associated with increased rates of use of the service

Screening Mammography Up After Cost Sharing Eliminated

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Effect attenuated in women living in areas with lower educational levels; negligible for Hispanic women
Higher-intensity end-of-life care may be driven by financial incentives present in fee-for-service Medicare but not in the Veteran Affairs integrated system

Intense End-of-Life Care Found to Be Less Likely for VA Patients

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Authors say results have important implications for the future of VA care, Medicare policy
The Centers for Medicare & Medicaid Services has released the Clinical Laboratory Fee Schedule

Payment for Laboratory Tests Set to Reduce Starting Jan. 1, 2018

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CMS Clinical Laboratory Fee Schedule to result in drop in payments for physician office-based tests
Almost 30 percent of eligible practices failed to register and report data in the first year of the Physician Value-Based Payment Modifier program

Year One Results Out for Value-Based Payment Modifier Program

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Overall, 29.3 percent of eligible practices failed to register and report data and received a penalty
A four-page executive summary of the 2018 final Medicare physician fee schedule that was released by the Centers for Medicare & Medicaid Services has been published by the American Academy of Family Physicians.

AAFP Issues Summary of 2018 Final Medicare Fee Schedule

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Key provisions include 0.3 percent increase in 2018 conversion factor to $35.999
Physicians have two extra weeks to preview their 2016 performance information as a result of a mistake related to the Centers for Medicare &#amp; Medicaid Services' Physician Compare online resource

Doctors Have Extra Two Weeks to Preview Performance Data

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Due to technical issue with Physician Compare, CMS extending time frame for physicians to view data