Post Tagged with: "Medicare"

Dr. Jaan Sidorov, host of Disease Management Care Blog

Smart MedPAC Wonks Think Out Loud About the Medical Home

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March 15, 2014

5 comments

POLICY:

The transcript on whether to pay for medical homes reflects a wandering discussion with no final consensus. That being said, there were some interesting takeaways from a group of policy wonks who’ve spent a lot of time thinking about this approach to care.

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David Harlow, host of HealthBlawg

SGR Fix – Can This Really Be Happening?

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February 13, 2014

5 comments

POLICY:

The Sustainable Growth Rate mechanism creating a zero-sum game for Medicare Part B reimbursement rates (dropping rates as volume picks up) has long been unsustainable, and so Congress has been messing around with short-term SGR fix legislation for years now.

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Jaan Sidorov is the Population Health Blog

Health & Human Services Office of the Inspector General: EHRs Can Facilitate Medicare Fraud

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January 11, 2014

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POLICY:

According to this just-released report from the Department of Health and Human Services’ (HHS) Office of the Inspector General (OIG), “copy-pasting” and “overdocumentation” are increasing the rates of Medicare fraud.

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David Harlow, host of HealthBlawg

Narrow Networks and Medicare Advantage: The True Meaning of Managed Care?

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December 7, 2013

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POLICY:

United HealthCare and other Medicare Advantage plans are dropping numerous providers from their networks, to the consternation of members given short notice of the changes. Predictably, the story is presented as big bad insurance co. vs. grandma, but the real story is less clear-cut.

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Dr. Jaan Sidorov, host of Disease Management Care Blog

Dr. Berwick Discovers Toxic Politics Too Late

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November 24, 2013

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POLICY:

If you’re interested in a post-mortem of Dr. Donald Berwick’s failure to be confirmed as CMS Administrator, check out his November 13 JAMA article on “The Toxic Politics of Health Care.” He identifies six causes of our national discontent.

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Gene Steuerle, Host of "The Government We Deserve"

2013 Update on Lifetime Social Security and Medicare Benefits and Taxes

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November 14, 2013

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POLICY:

Our updated numbers for lifetime Social Security and Medicare benefits and taxes are now available, based on the latest projections from the Social Security and CMS actuaries for the 2013 trustees’ reports for OASDI and Medicare.

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Regulation: The Face-to-Face Lesson

Regulation: The Face-to-Face Lesson

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October 14, 2013

1 comment

Health care & health policy:

The ACA mandates that a patient’s eligibility for the Medicare Home Health benefit rely upon a documented face-to-face encounter between a patient and physician. Lets question the potential impositions and reflect on how best to utilize limited resources in bringing a desired result.

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Real News Headline: Improved U.S. Health Care System Saves 28,000 Lives in 2010, Avoidable Death Rate is Decreasing

Real News Headline: Improved U.S. Health Care System Saves 28,000 Lives in 2010, Avoidable Death Rate is Decreasing

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September 10, 2013

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Cardiovascular, Health care & health policy, POLICY:

By Dr. Jaan Sidorov First Posted at Disease Management Care Blog on 9/4/2013 When the major news media organizations (for example, here and here) proclaimed that200,000 cardiovascular deaths in… Read More ›

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Unbundling Risk: The Anatomy of a Hospital Admission

Unbundling Risk: The Anatomy of a Hospital Admission

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September 4, 2013

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Health care & health policy, Technology in healthcare:

By Jordan Grumet, MD If Hattie had but one flaw, it was that she held her doctors in too high esteem. It was not unusual… Read More ›

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Fee-for-Service Medicare Beneficiary Access to Care: The Truth May Be More Complicated

Fee-for-Service Medicare Beneficiary Access to Care: The Truth May Be More Complicated

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September 3, 2013

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Health care & health policy:

By Dr. Jaan Sidorov First Posted at Disease Management Care Blog on 8/27/2013 According to this just-releasedHealth and Human ServicesIssue Brief, the percent of U.S.… Read More ›

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