Medicare

Highest Cancer Care Cost Burden Happens at 2 Time Points in Medicare, Report Says

October 29th 2021, 4:45pm

Article

The annual report, from the American Cancer Society, National Cancer Institute, the CDC, and the North American Association of Central Cancer Registries, details US cancer trends.

CMS Announces "Refresh" of CMMI With Focus on Health Equity, Fewer Models

October 20th 2021, 9:20pm

Article

Physician and health policy advocates praised the emphasis on streamlining models and ending silos, but practices that invested in the Oncology Care Model (OCM) await key details.

Comparison of the Use of Top-Ranked Cancer Hospitals Between Medicare Advantage and Traditional Medicare

October 18th 2021, 1:00pm

Article

Medicare Advantage enrollees, particularly those with lower out-of-network benefits, may have restricted access to top-ranked hospitals for complex cancer care compared with traditional Medicare enrollees.

Most MA Plans in Annual CMS Report See Star Ratings Increase

October 8th 2021, 9:40pm

Article

Ahead of Medicare open enrollment, which starts October 15, CMS released its annual report of which Medicare Advantage (MA) and Part D drug plans achieved 5-star ratings.

Contributor: Why Medicare Advantage Plans Must Transform Post Discharge to Medication-Focused Transitions of Care

October 4th 2021, 1:00pm

Article

The 2022 performance year’s Star Ratings require Medicare Advantage plans to take a more significant role in preventing readmissions.

ADA vs CBO: Including Dental Coverage Under Medicare

October 2nd 2021, 2:00pm

Article

The Congressional Budget Office (CBO) estimated that adding dental, vision, and hearing benefits would increase Medicare’s direct spending, but the American Dental Association (ADA) is claiming reimbursement will not be enough to cover these costs

HHS Investigation Finds Medicare Insurers Drew $9.2 Billion Through Controversial Billing Practices

September 29th 2021, 2:50pm

Article

One company received approximately $3.7 billion while enrolling only 22% of Medicare Advantage customers.

Study Contradicts Other Research About Potentially Inappropriate Medications Among Older Adults

September 22nd 2021, 8:44pm

Article

The current study found that those prescribed potentially inappropriate medications were actually less likely to revisit the emergency department within 30 days, in contrast to prior work.

BPCI Model Not Equipped to Tackle Reform of SNF Spending, Researchers Find

September 17th 2021, 7:37pm

Article

The study found that BPCI Model 3, which held postacute facilities accountable for costs of care, was not associated with payment reductions or changes in other quality and selection metrics among skilled nursing facilities.

Biden Administration Drug Plan Includes Value-Based Payment Ideas for Medicare

September 9th 2021, 7:53pm

Article

The administration said it would make the results of its drug price negotiations with manufacturers, as well as its approach to value-based care models, open to a variety of payers.