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Does Medicaid Pay Enough for Common Surgeries?

Medicaid, the U.S. health program for the poor, pays far less for common surgical procedures in many states than does Medicare, the federal insurance plan for the elderly, according to a new study.  
medscape.com
over 4 years ago
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Senate Bill Would Expand Medicare's Telehealth Coverage

The measure is framed as way to help physicians achieve goals of new Medicare reimbursement policies.  
medscape.com
over 4 years ago
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Single-Payer 'Medicare for All' Gets Boost From New Study

The coauthors argue that the US government already covers nearly two thirds of health costs, so why not go all the way and cover everyone?  
medscape.com
over 4 years ago
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CMS: Physicians Obliged to Look for Medicare Overpayments

Physicians risk False Claims Act charges if they do not return Medicare overpayments they have spotted within 60 days. They have a 'clear duty' to proactively look for overpayments, according to CMS.  
medscape.com
over 4 years ago
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CMS Will Now Cover Watchman LAA Closure Device

The decision means the vast population of Medicare beneficiaries can be covered for the percutaneously delivered implant, indicated for stroke prevention in nonvalvular atrial fibrillation.  
medscape.com
over 4 years ago
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Military Health System Allows Telemedicine at Home

Following loosening of restrictions on nonvisit care, this latest move places the military system far ahead of Medicare in promoting virtual visits.  
medscape.com
over 4 years ago
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Wide Variation Seen in Medicare Inpatient Cholecystectomy Outcomes

Outcomes of inpatient laparoscopic cholecystectomy in Medicare patients vary widely among hospitals, and most adverse outcomes occur well after patients have been discharged, new findings show.  
medscape.com
over 4 years ago
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Patient Perspective in Limelight at Orthopedics Conference

The Medicare payment program that comes into effect April 1 will be a hot topic at the American Academy of Orthopaedic Surgeons meeting, as specialists debate the growing role of patient feedback.  
medscape.com
over 4 years ago
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Meaningful Use Hardship Exception Deadline Extended

CMS sets July 1 as the new cutoff date, giving physicians and hospitals extra time to apply for exceptions that could affect Medicare payments in 2017.  
medscape.com
over 4 years ago
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Cooler Heads Prevail: Medicare Rethinks PSA Testing Penalty

Medicare appears to be backing away from the controversial proposal to penalize clinicians who do prostate-specific antigen (PSA) tests outside of very specific parameters.  
medscape.com
over 4 years ago
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Medicare Proposes New Payment Plan for Part B Drugs

Physicians administering drugs in their office would receive the sale price and a handling and administration percentage of 2.5%, not the current 6%, plus an additional flat fee, regardless of the drug.  
medscape.com
over 4 years ago
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Medicare Penalties for 5477 Groups Fund Bonuses for 128

'The average physician will look at this and think the game is rigged against them,' a lobbyist for group practices said about the lopsided numbers in Medicare's Valued-Based Payment Modifier program.  
medscape.com
over 4 years ago
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Oncologists Incensed Over CMS Proposal for Part B Drugs

A new two-phase model designed to reduce Medicare expenditures and improve value has the oncology community up in arms, in that it will do more damage than good.  
medscape.com
over 4 years ago
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Medicare Poised to Fund First Prevention Program, for Diabetes

The federal government seeks to expand a Medicare diabetes prevention program.  
medscape.com
over 4 years ago
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Medicare Suspends Penalty-for-PSA-Testing Proposal

The Centers for Medicare & Medicaid Services has officially backed away from a proposal, but continues to look at the issue of 'appropriate use.'  
medscape.com
over 4 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 4 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 4 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 4 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 4 years ago