Insurance

The celebrated rule change did not translate into an easy transition with Medicare Administrative Contractors or suppliers of durable medical equipment.

According to a new study, socioeconomic disparities in mammography rates among Medicare beneficiaries decreased after the implementation of the Affordable Care Act (ACA), but the same pattern was not observed for colonoscopies.

At the 14th Annual World Health Care Congress, held April 30-May 3, 2017, in Washington, DC, an executive summit convened a panel to discuss ways to improve care for the dual-eligible population of patients eligible for both Medicaid and Medicare benefits.

As MACRA pushes physicians toward value-based reimbursement, how can the needs of cancer patients be served? The current issue of Evidence-Based Oncology,ââ€

Basit Chaudhry, MD, PhD, founder of Tuple Health, discussed the feedback he's heard from practices about the Oncology Care Model and how these opinions could be used to guide potential changes.

Will bundled payments be implemented quickly or slowly? Will they be voluntary or mandatory? There's disagreement about what the ongoing movement toward accountable care should look like.

Medicare Part A is an automatic entitlement that older Americans start receiving when they begin receiving their Social Security check, but the other parts of Medicare can be more difficult to enroll in. Mandi Bishop, CEO of Aloha Knows, interviewed 2 intelligent individuals who went through a 5-month process to get a mistake fixed for enrollment in Medicare Part B.

A new study published in JAMA Internal Medicine finds that adding Medicare fee schedules to hospitals’ electronic health record systems did not significantly impact the number of laboratory tests ordered by physicians.

High-cost patients are only modestly concentrated in specific hospitals and healthcare markets.

The authors found great variation in wellness visits by location, along with socioeconomic disparities.

The American Society of Clinical Oncology (ASCO) has raised concerns that utilization management strategies, especially for high-cost prescription drugs, could reduce patient access.

The Be The Match Registry has seen phenomenal success with bone marrow and umbilical cord transplants. After having overcome donor availability, it is now important for CMS to create standardized reimbursement policies for the procedure.

During this year's Patient Access Network Foundation Challenge, research submitted by Kai Yeung, PharmD, PhD, of the Kaiser Permanente Washington Health Research Institute, was chosen as the paper winner. The main topic of the challenge this year had been Sustainable Strategies for Providing Access to Critical Medications.

Policies across federal programs vary, with those serving active military and veterans having fewer barriers than Medicare.

Full recognition is key as the provider of the Diabetes Prevention Program awaits rules for Medicare reimbursement. CMS will offer the program to Medicare beneficiaries in 2018.

Shantanu Agrawal, MD, MPhil, comes to the quality measurement organization as Congress weighs whether to continue a relationship with HHS to develop measures used in federal health programs.