PatientEngagementHIT

Medicare

AHA, AAMC Lawsuit Targets HHS Site-Neutral Payments, Patient Access

December 5, 2018 - The American Hospital Association (AHA) and the Association of American Medical Colleges (AAMC) have filed a lawsuit against the Trump Administration advocating against the site-neutral payment rule included in the 2019 Outpatient Prospective Payment Schedule (OPPS) final rule. Site-neutral payments threaten patient access to care, the plaintiffs argue. Site-neutral payments create...


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CMS Drug Price Proposal Aims to Cut Out-of-Pocket Patient Spending

by Sara Heath

CMS has proposed a new drug price model for Medicare Parts C and D that will ideally reduce out-of-pocket patient spending. The policies, which if approved would go into effect in 2020, would impact Medicare Advantage and Medicare Parts C...

Retirees Need More Savings for Out-of-Pocket Healthcare Costs

by Sara Heath

Retired Medicare beneficiaries need to see their savings accounts swell by 9 percent if they want to cover their out-of-pocket healthcare costs, according to new data from the Employee Benefit Research Institute (EBRI). Those...

CMS Revises Medicare Program Manual to Boost Patient Access to Care

by Sara Heath

CMS has made revisions to Medicare’s Program Integrity Manual in an effort to improve patient access to care services and healthcare devices. The revisions will make it easier for Medicare Administrative Contractors (MACs) to...

CMS Updates eMedicare Website to Improve Beneficiary Experience

by Sara Heath

CMS has revamped the eMedicare website, adding new tools to enhance the Medicare beneficiary experience when searching for a health plan. These updates include tools aimed at making it easier for beneficiaries to understand plan details,...

Patients Unclear About Access to Telehealth Under their Health Plans

by Sara Heath

Nearly half of Medicare Advantage patients are unsure of whether their health plans cover access to telehealth or virtual care services, according to recent HealthMine data. The survey of just under 800 Medicare Advantage beneficiaries...

One in Five Patients Use CMS Star Ratings for Healthcare Decisions

by Sara Heath

Only about one-fifth of Medicare Advantage beneficiaries are familiar with the CMS star ratings that rank payer coverage, according to a recent HealthMine survey. This finding runs counter to the agency’s intentions for the star...

Verma: CMS Makes Strides in Patient-Centered Care, Medicare Reform

by Sara Heath

CMS is making progressing in its mission to fulfill patient needs and drive patient-centered care through various new Medicare policies, agency Administrator Seema Verma said in a speech at the Commonwealth Club of...

Industry Orgs Question CMS Proposals for QPP, Value-Based Care

by Sara Heath

As industry organizations begin their in-depth analyses of the recent CMS proposed changes to the Physician Fee Schedule and Quality Payment Program, several have issued preliminary responses saying the rule could hinder provider payments...

Medicare Chronic Disease Management Vital to Cut Healthcare Costs

by Sara Heath

Effective chronic disease management is imperative in a healthcare industry in which costs are only going up. However, without adequate patient engagement and care coordination strategies, efforts to mitigate chronic care issues will not...

Out-of-Pocket Healthcare Costs to Rise for Medicare Beneficiaries

by Sara Heath

Traditional Medicare beneficiaries can expect to spend nearly 20 percent of their total annual incomes on out-of-pocket healthcare costs by 2030, according to a recent report from the Kaiser Family Foundation. The report included data...

VA Delivers Positive Patient Experience with End-of-Life Care

by Sara Heath

The patient experience for end-of-life care may be better for veterans treated by the VA rather than for patients covered by fee-for-service Medicare, according to a group of researchers from Stanford Medicine. The study, published...

AHA Lauds Bill for Patient Access to Rural Emergency Hospitals

by Sara Heath

Bipartisan legislation to improve patient access to rural emergency hospitals has been introduced to Congress, according to multiple sources. The Rural Emergency Acute Care Hospital (REACH) Act would create a new rural emergency hospital...

Bill Urges More Patient Access to Physician-Owned Hospitals

by Sara Heath

Oklahoma Senator James Lankford introduced a Senate bill to repeal Affordable Care Act (ACA) bans on new construction of physician-owned hospitals (POHs). Bill supporters say the bans currently limit patient healthcare access. The Patient...

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