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Medicare Advantage Enrollment Rose, Despite ACA, Kaiser Report Shows
A recent report from the Kaiser Family Foundation found that inital concern over Medicare Advantage enrollment decreasing due to healthcare reform is unfounded. Rates of enrollment have actually increased:
Despite concern that the healthcare reform law would dampen Medicare Advantage enrollment, the opposite has happened so far, according the Kaiser Family Foundation.
Between the beginning of 2012 and March 2013, 1 million more beneficiaries enrolled in the program, a nearly 10% year-over-year increase, bringing total Medicare Advantage enrollment to 14.4 million this year, according to a new report by Kaiser and Mathematica Policy Research. Since 2009, enrollment in MA had grown 30%.
Under the Patient Protection and Affordable Care Act, Medicare payments to Advantage plans last year began to depend on the correlation between their bids and fee-for-service costs in individual counties, though payments to plans can also increase based on quality of service provided. While 2011 payments were held at 2010 levels, the maximum amount a plan could be paid by Medicare began to go down in 2012.
The Kaiser and Mathematic researchers found that the changes didn't negatively affect enrollment in Advantage plans. “There is little evidence of an adverse effect on enrollment in low- versus high-cost counties,” the study says.
Read the full story here: http://bit.ly/19ZwwHo
Source: Modern Healthcare
Oncology Onward: A Conversation With Thyme Care CEO and Cofounder Robin Shah
October 2nd 2023Robin Shah, CEO of Thyme Care, which he founded in 2020 with Bobby Green, MD, president and chief medical officer, joins hosts Emeline Aviki, MD, MBA, and Stephen Schleicher, MD, MBA, to discuss his evolution as an entrepreneur in oncology care innovation and his goal of positively changing how patients experience the cancer system.
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Insufficient Data, Disparities Plague Lung Cancer Risk Factor Documentation
September 24th 2023On this episode of Managed Care Cast, we speak with the senior author of a study published in the September 2023 issue of The American Journal of Managed Care® on the importance of adequate and effective lung cancer risk factor documentation to determine a patient's eligibility for screening.
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Contributor: More Informed Management of Preeclampsia Is Necessary
November 29th 2023At present, it is difficult for clinicians to identify patients at greatest risk for developing preeclampsia with severe features and tailor treatment plans for them; this difficulty increases costs significantly.
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Study Validates Smartphone Analysis for Predicting Obstructive Sleep Apnea
November 29th 2023Findings show breathing sounds recorded by smartphones during sleep at home can reliably identify obstructive sleep apnea, presenting an innovative and accessible alternative to traditional in-laboratory polysomnography.
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