Medicare Advantage (MA) now covers over half of #Medicare beneficiaries and accounts for over $350 billion in annual expenditures, yet there is limited understanding of how utilization and efficiency under MA compare to Medicare Fee-for-Service (FFS), especially after adjusting for enrollment differences across the two programs. In this on-demand webinar, Harvard Medical School and Inovalon dive into their latest research findings to explore whether MA offers quality outcomes compared to Medicare FFS, how MA plan design features influence enrollment decisions and address socioeconomic-related #healthdisparities, and the impact of these features on health care utilization and cost. Watch the webinar: https://lnkd.in/euKPxHjV
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If you missed this webinar discussing our most recent research with Harvard Medical School on the impact of Medicare Advantage plan design on health outcomes among various types of Medicare enrollees I am sure you will find it informative. Better still it is moderated by Susan Denzer, President of Americas Physician Groups and if you know Susan you know she always brings keen insights, perspective, and questions. Please reach out if you want to learn more about our work exploring differences between traditional Medicare and Medicare Advantage. #Medicare #MA #FFS #benefitdesign #outcomes #quality #inovalon
Medicare Advantage (MA) now covers over half of #Medicare beneficiaries and accounts for over $350 billion in annual expenditures, yet there is limited understanding of how utilization and efficiency under MA compare to Medicare Fee-for-Service (FFS), especially after adjusting for enrollment differences across the two programs. In this on-demand webinar, Harvard Medical School and Inovalon dive into their latest research findings to explore whether MA offers quality outcomes compared to Medicare FFS, how MA plan design features influence enrollment decisions and address socioeconomic-related #healthdisparities, and the impact of these features on health care utilization and cost. Watch the webinar: https://lnkd.in/euKPxHjV
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Yesterday, lawmakers released a health care funding package that includes a one-year extension of Medicare's advanced alternative payment model (APM) incentive at 1.88 percent and freezes thresholds to qualify for the incentive. The package also includes a 1.68 percent increase to #Medicare physician payment. NAACOS Statement on Extension of Value-Based Care Incentives (Attributed to Clif Gaus, Sc.D., President and CEO of the National Association of ACOs): "NAACOS thanks Congress for including an extension of the advanced alternative payment model (APM) incentive at 1.88 percent in the Consolidated Appropriates Act of 2024. This incentive is critical to supporting clinicians who are accountable for improving quality and lowering costs for patients. We also appreciate that Congress included a 1.68 percent increase in physician payment. These two provisions recognize that we need to ensure that clinicians are paid adequately and have strong incentives to participate in value-based care. Clinicians in value-based care change delivery, improve care coordination, and offer patients additional services not covered by Medicare. Participation in value-based care is not where Congress intended when these incentives were created nearly a decade ago. We look forward to working with Congress to craft a long-term solution to physician payment that creates sustainability and rewards value." https://lnkd.in/g-8KffpW #valuebasedcare #healthcarepayment
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Experienced health policy analyst and advocate adept at influencing policy and carrying a background in communications.
In case you missed it, Congress over the weekend released details on its latest funding package. It includes several so-called "health extenders," among them were policies related to physician payment. But let's look at these numbers more closely. The package would grant a 1.88% bonus for qualifying participation in an Advanced Alternative Payment Model in 2024. This is estimated to equate to roughly $730 million. The package would also grant a 1.68% increase in the Physician Fee Schedule's conversion factor update. That too would equate to roughly $730 million. Stated differently, Congress is giving the same amount of money for value-based care incentives as it is to straight fee-for-service payments in 2024, despite the outsized attention and lobbying the latter received. That speaks volumes about how much policymakers prioritize value-based care and the need to shift our payment system to one that encourages better outcomes at lower costs.
Yesterday, lawmakers released a health care funding package that includes a one-year extension of Medicare's advanced alternative payment model (APM) incentive at 1.88 percent and freezes thresholds to qualify for the incentive. The package also includes a 1.68 percent increase to #Medicare physician payment. NAACOS Statement on Extension of Value-Based Care Incentives (Attributed to Clif Gaus, Sc.D., President and CEO of the National Association of ACOs): "NAACOS thanks Congress for including an extension of the advanced alternative payment model (APM) incentive at 1.88 percent in the Consolidated Appropriates Act of 2024. This incentive is critical to supporting clinicians who are accountable for improving quality and lowering costs for patients. We also appreciate that Congress included a 1.68 percent increase in physician payment. These two provisions recognize that we need to ensure that clinicians are paid adequately and have strong incentives to participate in value-based care. Clinicians in value-based care change delivery, improve care coordination, and offer patients additional services not covered by Medicare. Participation in value-based care is not where Congress intended when these incentives were created nearly a decade ago. We look forward to working with Congress to craft a long-term solution to physician payment that creates sustainability and rewards value." https://lnkd.in/g-8KffpW #valuebasedcare #healthcarepayment
‘Skinny’ Health Package Scales Back Doc Fix, Adds CHC Funding
insidehealthpolicy.com
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Accountable care organizations (ACOs) are consistently among the highest performers evaluated under Medicare’s Quality Payment Program. But overly burdensome quality reporting mechanisms being installed creates barriers to more patients benefiting from value-based care. Policymakers can support patients and physicians by: ➡️Ensuring legacy quality reporting mechanisms remain an option until digital quality measures are fully implemented ➡️Providing reasonable exclusions for certain ACO clinicians having to use certified electronic health records ➡️Lowering barriers to value-based care participation Read more from American Medical Association, America's Physician Groups, Association of American Medical Colleges (AAMC), Health Care Transformation Task Force, MGMA, National Association of ACOs, National Rural Health Association, and Premier Inc., along with other leading healthcare groups: https://bit.ly/4d5seC9 #ValueBasedCare #Medicare
AAMC Joins Community Letter to CMS on ACO Quality Policies
aamc.org
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Join the NARHC for an insightful webinar. The NARHC D.C. team will discuss the 2025 Medicare Physician Fee Schedule (MPFS) Proposed Rule, including critical updates for RHCs. Don't miss your chance to ask questions and provide feedback! #HealthcareUpdates #RHC #Medicare #CMS #RegulatoryChanges
The CY 2025 Medicare Physician Fee Schedule Proposed Rule contains several RHC specific policy proposals and other provisions that impact the RHC Community! “In terms of the sheer number of substantial updates to the Rural Health Clinics program, this has been the biggest proposed rule in at least ten years,” said Nathan Baugh, Executive Director of NARHC. Get all of the details here: https://loom.ly/jPbaasI Register for our August 15 Webinar to hear about these provisions in detail from our NARHC DC team: https://loom.ly/eStPWoQ
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The debate between a free-market healthcare system and a socialised Medicare system is complex and influenced by various economic, psychological, and security traditions. In a free-market system, competition drives innovation, leading to better services and products. Patients have the freedom to choose their healthcare providers, resulting in better health outcomes. Free-market systems are more efficient in resource allocation, leading to shorter wait times and more prompt medical attention. However, the combining of public and private practices can negatively impact care, patient survival, and satisfaction. Socialised Medicare systems have significant costs, including inefficiencies and rationed care. They also lead to an increase in iatrogenic death rates due to high patient-to-doctor ratios and overstretched healthcare infrastructure. The lack of competitive pressure can stifle innovation, leading to complacency and reduced incentive for medical advancements. The most profound cost of socialised medicine is the human cost, as it results in delays in treatment, lack of customised care, and potential medical errors. While a free-market healthcare system offers numerous advantages, the costs of socialized medicine, particularly in terms of human lives and the rise in iatrogenic deaths, present a compelling case for adopting a more market-oriented approach to healthcare. #economics #healthcare #freemarket #Socialisedcare #medicare #psychology #security# #Behaviour #freedom #safety #iatrogenicdeaths #competitiion #innovation #bureaucratichealthcare #accountability #rationedcare #humanlives #medicalerrors #Covid
The advantages of a free-market healthcare system
samwilks.com.au
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Three key points in the MACRA proposed rule that providers should be aware of are that physician payment under Medicare is set to change.
Three key points in the MACRA proposed rule that providers should be aware of are that physician payment under Medicare is set to change.
https://healthtech.report
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Exciting news for healthcare legislation! A bipartisan group of legislators introduced the Physician Led and Rural Access to Quality Care Act, allowing for new physician-owned hospitals. This bill aims to expand healthcare options for patients and enable physicians to deliver quality care in underserved areas. Medical societies like the AMA are already showing support for this crucial step towards improving access to high-quality healthcare nationwide. Read more about this game-changing legislation! #healthcare #physicianledhospitals #bipartisanaction #qualitycare
Bill permitting new physician-owned hospitals gains steam
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Market Access and Medical Reimbursement | Market Access Reimbursement Analyst | Certified Medical Billing Specialist
Few patient portal messages are billed to Medicare Billing for patient portal visits as e-visits under traditional Medicare accounts for a small portion of evaluation and management services, as fewer than 1% of such visits with beneficiaries were billed to Medicare, according to a study in Health Affairs Scholar. Clinicians spent 21 minutes or more on care decisions for 30% of billed e-visits, and half of the billed visits were for primary care. https://lnkd.in/ewFnZUZ3
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Your voice matters! Find the full article at https://lnkd.in/gxy6s2wn —— In July, the Centers for Medicare and Medicaid Services (CMS) proposed rescinding the Appropriate Use Criteria (AUC) rules and policy as part of the Medicare 2024 Physician Fee Schedule (MPFS) proposed rule. This was huge. With these changes came the opportunity for feedback. The RBMA responded on behalf of its members and their comments reflected concerns about key issues in the proposed legislation. Yet, this is a complex issue and the policy could have greatly benefited from your unique perspective and expertise in radiology as well. While the comment period has passed, let this policy change serve as a reminder of the importance of comments and questions in response to proposed rule making in the future. Let your voice (and your practice's) be heard!
No Comment? Think Again. - MSN Healthcare Solutions
msn.shp.so
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