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9

Medicare’s procedures for screening doctors are faulty, report says

Despite recent improvements, Medicare’s process for screening out potentially dishonest or banned doctors often falls short, an investigation has found.  
feeds.bmj.com
over 4 years ago
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15

Six doctors are charged with taking kickbacks for sending patients to Chicago hospital for no reason

An entire Chicago hospital operated on kickbacks, buying referrals of elderly patients who had no medical reason for admission, then billing Medicare and Medicaid for unneeded investigations and stays, say charges filed by US attorneys against five administrators and six doctors.  
feeds.bmj.com
over 4 years ago
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13

Michigan neurosurgeon is charged with healthcare fraud for sham surgeries

A Michigan neurosurgeon could face 10 or more years in prison after the US federal government accused him of billing Medicare and commercial insurers for $33m (£21m; €27m) while performing sham lumbar spinal fusion surgeries.  
feeds.bmj.com
over 4 years ago
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8

Medicare could save up to $16bn if allowed to negotiate drug prices, paper finds

Medicare could save up to $16bn (£10.3bn; €14.6bn) a year if it were allowed to negotiate drug prices directly with drug makers, just as Medicaid and the Veterans Benefits Administration currently can, a new policy briefing paper has concluded.  
feeds.bmj.com
over 4 years ago
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5

Medicare outcomes have improved markedly over past two decades, study indicates

Over the past two decades mortality and admissions to hospital have fallen markedly among Medicare patients, while health outcomes have improved, a new study has reported.1 The study appears in this week’s issue of the Journal of the American Medical Association (JAMA), which features articles marking Medicare’s 50th anniversary.  
feeds.bmj.com
over 4 years ago
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'Jaw-dropping': Medicare deaths, hospitalizations AND costs reduced

         The U.S. health care system has scored the equivalent of a hat trick, reducing deaths, hospitalizations and costs.     Mortality rates among Medicare patients fell 16% from 1999 to 2013.  
usatoday.com
over 4 years ago
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Mortality, Hospitalizations, and Expenditures for the Medicare Population

Research from JAMA — Mortality, Hospitalizations, and Expenditures for the Medicare Population Aged 65 Years or Older, 1999-2013  
jama.jamanetwork.com
over 4 years ago
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ACO Bonuses: Hard to Earn, but Some Physicians Do It

A group of small independent practices in Texas earned $4.8 million from Medicare for high-quality care while reducing healthcare costs in 2014. Most ACOs, however, came up empty.  
medscape.com
about 4 years ago
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Reader Poll: Pressure to Improve Your Bedside Manner?

With Medicare payments influenced by patient satisfaction surveys, physicians may be feeling pressure to improve their bedside manner.  
medscape.com
about 4 years ago
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Medicare's Pioneer ACOs See Modest Drop in Low-Value Care

The program put spending for all services under a global budget, with incentives to stay under the limit and improve quality. A commentary commended the study, but said it's only part of the solution.  
medscape.com
about 4 years ago
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SGR Replacement Has Potential Pitfalls as Well

Two papers say Medicare is betting on a value-based system that has uncertain results. The authors of one say unpredictable factors could amount to deciding a portion of physicians' pay by lottery.  
medscape.com
about 4 years ago
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Should Medicare Pay Hinge on Seeing Medicaid, ACA Patients?

CMS wants physicians to answer this and other provocative questions on how it should design the replacement for Medicare's sustainable growth rate formula for reimbursement.  
medscape.com
about 4 years ago
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Strong Support for Medicare Paying for End-of-Life Talks, Poll Finds

The plan to include funding in the health law for these discussions between doctors and patients was vehemently opposed by some Republicans, but 8 of 10 Americans support the practice.  
medscape.com
about 4 years ago
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ICD-10 Debuts Today, Whether Physicians Are Ready or Not

Medicare offers escape hatches for physicians who can't submit claims electronically with the new diagnostic codes. The agency also is prepared to pause claims processing if problems crop up on its end.  
medscape.com
about 4 years ago
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9

Medical Students Nationwide Rally for Medicare for All

Students from almost 40 medical schools plan to demonstrate for a single-payer system and hold candlelight vigils for Americans whose deaths were hastened by lack of insurance.  
medscape.com
about 4 years ago
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Hospital Care Unaffected By Quality Payments, GAO Finds

Medicare’s quality incentive program for hospitals, which provides bonuses and penalties based on performance, has not led to demonstrated improvements in its first three years, according to a federal report released Thursday.  
medscape.com
about 4 years ago
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CT Colonography Cost-effective for Medicare Enrollees

CT colonography is cost-effective and could reduce costs for colorectal cancer screening in the Medicare population, a new study has confirmed.  
medscape.com
about 4 years ago
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Deadline to Appeal 2016 Medicare Penalty Is Near

The 2% cut applies to clinicians who did not meet the requirements of the Physician Quality Reporting System in 2014.  
medscape.com
about 4 years ago
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Medicare Turns 50: Here Is My Favorite Story

Medicare is now 50 years old. George Lundberg shares his experiences from his medical training in the segregated South to the changes that he witnessed after the introduction of Medicare.  
medscape.com
about 4 years ago
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Medicare Math Could Erase Physician Raise Next Year

The 0.5% rate hike could shrink, or even vanish, if the Obama Administration does not hit a Medicare savings target, experts warn.  
medscape.com
about 4 years ago