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38

Focus On: The Emergency Medical Treatment and Labor Act

EMTALA imposes specific obligations on Medicare-participating hospitals that offer emergency services.  
American College Of Emergency Medicine
almost 9 years ago
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14

Medicare spends billions on “low value” services, US study finds

Medicare, the US health insurance plan that covers 50 million elderly and disabled people, spends billions of dollars a year on services that provide little or no benefit to patients, a new study claims.1  
bmj.com
about 5 years ago
Www.bmj
1
12

Medicare to test new option covering curative care for hospice patients

Medicare, the US federal health insurance plan for elderly and disabled people, will test a new option for patients who want hospice care but also want to continue to receive care that seeks to achieve a cure.  
bmj.com
about 5 years ago
Www.bmj
1
31

Obamacare: what the Affordable Care Act means for patients and physicians

The Affordable Care Act’s core achievement is to make all Americans insurable, by requiring insurers to accept all applicants at rates based on population averages regardless of health status. The act also increases coverage by allowing states to expand Medicaid (the social healthcare program for families and people with low income and resources) to cover everyone near the poverty line, and by subsidizing private insurance for people who are not poor but who do not have workplace coverage. The act allows most people to keep the same kind of insurance that they currently have, and it does not change how private insurance pays physicians and hospitals. Although the act falls short of achieving truly universal coverage, nine million uninsured people have received coverage so far. Market reforms have not hurt the insurance industry’s profitability, prices for individual insurance have been lower than expected, and government costs so far have been less than initially projected. The act expands several ongoing pilot programs in Medicare that reform how doctors and hospitals are paid, but it does not directly change how private insurers pay healthcare providers. Nevertheless, it has set into motion market dynamics that are affecting medical practice, such as limiting insurance networks to fewer providers and requiring patients to pay for more treatment costs out of pocket. In response, many hospitals and physicians are forming closer and larger affiliations. Further time and study are needed to learn whether these evolutionary changes will achieve their goals without harming the doctor-patient relationship.  
bmj.com
over 4 years ago
Www.bmj
1
17

Medicare paid $32m for questionable HIV prescriptions, investigators find

Medicare, the US health insurance plan for elderly and disabled people, paid out $32m (£19m; €24m) in 2012 for dubious HIV drug prescriptions, a new report has found.1  
bmj.com
over 4 years ago
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16

Want to learn the value of healthcare? Try to diagnose your own mother | Ranjana Srivastava

Sussan Ley’s attempts to rebrand the Medicare ‘price signal’ to a ‘value signal’ got me thinking: why is it so hard to see the value of experienced GPs?  
the Guardian
over 4 years ago
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12

Doc Costs Outpace Doc Pay Long-Term in SGR Bill, Says CMS

By 2048, Medicare rates under the SGR repeal bill — now before the Senate — would be lower than if Congress had allowed an SGR-triggered pay cut of 21% to occur, the CMS chief actuary said.  
medscape.com
over 4 years ago
Www.bmj
0
14

Top Medicare billing doctor is arrested for fraud

A Florida ophthalmologist who is the top biller of Medicare in the United States has been indicted on 46 charges of medical fraud.  
feeds.bmj.com
about 4 years ago
Www.bmj
0
16

Surgery for melanoma is often delayed in Medicare patients, study finds

A fifth of US patients with melanoma being treated under the Medicare program wait more than 1.5 months before having the malignancy removed, and more than 8% wait longer than three months, a new study has found.  
feeds.bmj.com
about 4 years ago
Www.bmj
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12

Surgery for melanoma is often delayed in Medicare patients, study finds

A fifth of US patients with melanoma being treated under the Medicare program wait more than 1.5 months before having the malignancy removed, and more than 8% wait longer than three months, a new study has found.  
feeds.bmj.com
about 4 years ago
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13

Patients grapple with high cost of arthritis medications

The first national investigation of Medicare coverage of biologic disease modifying drugs (DMARDs) found that in starting a single biologic DMARD, patients face more than $2,700 in copayments...  
medicalnewstoday.com
about 4 years ago
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10

Study: Neurologists' focus on face-to-face time with patients undervalued by Medicare

Most neurologists provide face-to-face care of neurology patients, many of whom have complex diseases such as Alzheimer's disease, epilepsy and Parksinson's disease - conditions that require...  
medicalnewstoday.com
about 4 years ago
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7

Delay of surgery for melanoma common among Medicare patients

In a study that included more than 32,000 cases of melanoma among Medicare patients, approximately 1 in 5 experienced a delay of surgery that was longer than 1.  
medicalnewstoday.com
about 4 years ago
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8

The ACA may reduce ER visits (slightly) but doesn't affect hospitalizations

Two patient groups created by the Affordable Care Act (ACA) - Medicare patients enrolled in federally designated patient-centered medical homes and people under age 26 who are allowed to remain...  
medicalnewstoday.com
about 4 years ago
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6

Over 300 physician groups call for centers for Medicare and Medicaid services (CMS) to strengthen Medicare Advantage

Organized by CAPG, the largest national association of capitated, accountable physician groups, over 300 medical groups and independent practice associations signed a letter to CMS calling for...  
medicalnewstoday.com
about 4 years ago
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10

DermaPure receives Medicare coverage and reimbursement

Tissue Regenix Group plc, the regenerative medical devices company, today announces its DermaPure® dermal allograft has received notice of Local Coverage Determination (LCD) from the...  
medicalnewstoday.com
about 4 years ago
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7

The failure of the Medicare principle of universality, Australia

Monash University researchers have revealed for the first time clear and detailed evidence of the inequitable delivery of mental health care services for disadvantaged Australians.  
medicalnewstoday.com
about 4 years ago
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7

Medicare and patients with schizophrenia could save $150 million on Part D plans

Using an 'intelligent,' rather than random, method for assigning people with schizophrenia to Medicare Part D prescription drug coverage plans could save Medicare and patients a combined $150...  
medicalnewstoday.com
about 4 years ago
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7

Inside health-reform savings

In the first year of Medicare's Pioneer Accountable Care Organization program, the 32 participating provider organizations achieved a 1.  
medicalnewstoday.com
about 4 years ago
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8

ASTRO praises bipartisan Congress and President for passage of legislation to permanently fix SGR

The American Society for Radiation Oncology (ASTRO) applauds the House of Representatives, the Senate and the President for milestone passage last night of the 'Medicare Access and CHIP...  
medicalnewstoday.com
about 4 years ago