CMS Revises Medicare Program Manual to Boost Patient Access to Care

October 8, 2018 - 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 determine Medicare coverage for different services and devices. MACs are in charge of making coverage decisions nationally, as well as locally through local...

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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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