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HCV Baby Boomers Mortality and Resource Utilization

How huge of an economic burden do Baby Boomer Medicare recipients, in whom the prevalence of HCV is higher, pose on the US healthcare system?  
medscape.com
over 3 years ago
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Tougher Medicare Overpayment Rules: What Must You Do Now?

CMS has amped up a stronger push to recoup Medicare overpayments; how will this affect physicians' practices and efforts to comply?  
medscape.com
over 3 years ago
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Oncologist pays $300 000 to settle US claims of billing for fake cancer drug

A California oncologist and his wife, who was also his office manager, have paid $300 000 (£205 000; €268 000) to settle government allegations that they billed Medicare for illegally imported, unapproved cancer drugs—which later turned out to contain no active ingredient.  
feeds.bmj.com
over 3 years ago
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CMS: Dire MACRA Estimate for Small Practices Not 'Reality'

Acting CMS Administrator Andy Slavitt told lawmakers that small practices can prosper just as much as larger ones in the MIPS track of the new Medicare payment system as long as they report performance data.  
medscape.com
over 3 years ago
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Association between the Value-Based Purchasing pay for performance program and patient mortality in US hospitals: observational study

Objective To determine the impact of the Hospital Value-Based Purchasing (HVBP) program—the US pay for performance program introduced by Medicare to incentivize higher quality care—on 30 day mortality for three incentivized conditions: acute myocardial infarction, heart failure, and pneumonia.  
feeds.bmj.com
over 3 years ago
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Medicare Posts More Payment Data on Individual Physicians

Researchers can now look up what clinicians received in Part B fee-for-service payments during 2014. These data started going public 2 years ago.  
medscape.com
over 3 years ago
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Association between the Value-Based Purchasing pay for performance program and patient mortality in US hospitals: observational study

Objective To determine the impact of the Hospital Value-Based Purchasing (HVBP) program—the US pay for performance program introduced by Medicare to incentivize higher quality care—on 30 day mortality for three incentivized conditions: acute myocardial infarction, heart failure, and pneumonia.  
feeds.bmj.com
over 3 years ago
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ACP Tells Internists to Be Prepared for New Payment Systems

The Medicare Access and CHIP Reauthorization Act will streamline quality reporting requirements, but it is crucial for physicians to be informed and prepared, experts say.  
medscape.com
over 3 years ago
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Reader Poll: How Will the New Medicare Payment Plan Affect You?

Medicare's new compensation plan unfairly penalizes small group and solo practices, one professional group claims. What do you think?  
medscape.com
over 3 years ago
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'Underweight' Independently Predicts Post-MI Mortality

Having a body-mass index <18.5 predicted a bad outcome over both the short and long term in a Medicare cohort, out to at least 17 years, without regard to long-perceived confounding factors.  
medscape.com
over 3 years ago
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CMS Launches Contest for MIPS Educational App

The goal is to help physicians and other clinicians learn how to report to the new Medicare pay-for-performance program.  
medscape.com
over 3 years ago
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Making Medicare's Hip and Knee Replacement Bundles Work

If surgeons and staffers in other hospital departments can reengineer care delivery in a coordinated effort, Medicare's new bundling program can be profitable. Here's how some hospitals are doing it.  
medscape.com
over 3 years ago
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New Medicare Penalty Hits Small Groups, Solo Physicians Hardest

In proposed regs for the SGR's replacement, CMS estimates most clinicians in practices of 25 or more will earn a bonus as high as 4%, whereas most clinicians in smaller practices will see a pay cut.  
medscape.com
over 3 years ago
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Part B Drug Proposal Has Winners and Losers Alike

Primary care physicians would receive more Medicare revenue from drugs they administer, and oncologists, ophthalmologists, and rheumatologists would receive less.  
medscape.com
over 3 years ago
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First-Year Data Mixed for Medicare Shared-Savings ACO

Early adopters cut spending, but a following group did not. Authors suggested that savings are likely, but may come slowly.  
medscape.com
over 3 years ago
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Nagging Questions About Government Plans for Ophthalmology

It isn't the GOP or Democratic primary candidates' proposals for reining in the cost of healthcare that concern ophthalmologists -- it's Medicare's.  
medscape.com
over 3 years ago
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Medicare Announces New Payment Model for Primary Care

The Comprehensive Primary Care Plus initiative promises to 'delink' more reimbursement from office-based visits. It will extend beyond Medicare to include Medicaid and private health insurers.  
medscape.com
over 3 years ago
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CMS to Propose New Drug Payment Plan for Medicare Part B CME/CE

: The Centers for Medicare and Medicaid Services proposes experiments to improve outcomes and reduce costs associated with prescription drugs delivered in outpatient centers.  
medscape.org
over 3 years ago
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Diabetes prevention counseling is cost effective, US study finds

Medicare, the US insurance program for elderly people and people with disabilities, announced plans on 23 March to cover diabetes prevention programs that focus on lifestyle counseling, after an independent evaluation found that a pilot program had successfully reduced participants’ risk of developing type 2 diabetes while creating savings that more than covered the program’s cost.  
feeds.bmj.com
over 3 years ago