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CBO weighs in on Medicare-for-All Print E-mail
Written by FHInews   
Monday, 06 May 2019 00:00
A report released Wednesday by the nonpartisan Congressional Budget Office outlined a veritable laundry list of options and technicalities lawmakers would need to consider if they are serious about Medicare-for-All.
Here's a PDF of the Congressional Budget Office report.

Here's a KHN analysis.
Last Updated on Tuesday, 07 May 2019 17:54
Medicare spending on healthcare for elderly dips, driven by better cardiovascular care Print E-mail
Written by Jeff Lagasse | Healthcare Finance   
Monday, 11 February 2019 00:00
Healthcare spending among the Medicare population age 65 and older has slowed dramatically since 2005, and as much as half of that reduction can be attributed to reduced spending on cardiovascular disease, a new Harvard study has found. Led by Otto Eckstein Professor of Applied Economics David Cutler, a team of researchers showed  that by 2012, those reductions saved the average person nearly $3,000 a year. Across the entire elderly population, those savings add up to an impressive $120 billion, with about half of those savings coming from Medicare. The authors say the findings show that that widespread preventative care has the potential to save money.

Last Updated on Wednesday, 13 February 2019 08:53
Holiday Gift Giving: Healthcare Providers Beware of Federal Law Print E-mail
Written by Vitale Health Law   
Tuesday, 09 October 2018 17:42
As we approach the holidays, now may be an appropriate time to point out the rules relating to gifts that providers can give to Medicare and Medicaid beneficiaries. During this  time of the year, some healthcare professionals may want to give gifts to their patients, other physicians or even referral sources. Before you do, consider this: It can land you in a heap of trouble with the federal government unless you follow the law. In December 2016, the Health and Human Services Office of the Inspector General released a policy statement regarding gifts of nominal value to Medicare and Medicaid beneficiaries. At that time, the OIG raised the nominal value of gifts allowed from having a retail value of no more than $10 per item or $50 in aggregate annually per beneficiary to $15 per item or $75 in aggregate annually per beneficiary.

Last Updated on Tuesday, 09 October 2018 17:44
Study Finds Hospital Outpatients Are Sicker and Tend to Come from Lower-Income Communities Print E-mail
Written by American Hospital Association   
Friday, 28 September 2018 12:33
Medicare patients who receive care in a hospital outpatient department (HOPD) are more likely to be poorer and have more severe chronic conditions than Medicare patients treated in an independent physician office (IPO). The study also specifically examined the characteristics of Medicare cancer patients seen in HOPDs and IPOs and found similar results.

The findings of this new study, conducted for the American Hospital Association by KNG Health Consulting LLC, highlight why proposals under consideration by Congress to reimburse hospitals the same amount as physician offices could threaten access to care for the most vulnerable patients and communities.

"America's hospitals and health systems are proud to provide care and emergency services 24/7 to all who come through the door regardless of their ability to pay," said AHA President and CEO Rick Pollack. "But as this study clearly shows, the needs of the patients hospital outpatient departments care for each day are different from those who choose to be seen at an independent physician office. Proposals that treat them the same ignore the very different clinical and regulatory demands hospitals face, and could threaten access to care."

Read More 

Last Updated on Friday, 28 September 2018 12:42
A Physician Contemplates Medicare Blended Rates Print E-mail
Written by Ira Nash, MD | KevinMD   
Tuesday, 21 August 2018 17:53
I am a terrible coder. I think I am a pretty good doctor, but when it comes to coding, the process of figuring out which billing code to pick to assign to a bill for an office visit, I am hopeless. No matter how many times I have had the rules explained to me, or how much feedback I have been given about specific visits, or which "pocket guide" to coding I have been handed over the years, I can't seem to get it right. Even my errors are non-systematic. Sometimes I "overcode" (picking a visit level insufficiently supported by my note) and other times "undercode." And the things I get wrong are all over the map - sometimes my history lacks some "elements," sometimes my review of systems covers the wrong number of systems, sometimes my exam is shy an organ or two ... you get the idea. It is very hard to get better if you keep doing different things wrong. Of course, this begs the question why doctors should be coding as well as doctoring, but that is an issue for another day.
For now, my deficiency explains why I was intrigued to learn that  CMS recently proposed changing the rules governing the coding and reimbursement for physician office visits.

Last Updated on Tuesday, 21 August 2018 17:55
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