Brian A. Kane’s Post

Trying to navigate the complexities of Medicare Home Health Care can be difficult. Learn more about Medicare Part B now in our latest blog. Read now.

Medicare Advantage bashing continues! 🎭 Health systems are ditching the program over tough requirements and poor reimbursements, while Elevance and SCAN have taken their grievances to court, challenging CMS's star ratings. Meanwhile, customer (patient) enrollment shows signs of stagnation. What’s your view on this battle for value-based care? Are these just growing pains as we push for VBC, or are we witnessing the beginning of the end for MA plans? #HealthcareReform #MedicareAdvantage #PublicPolicy

Although it’s a government-funded health care program, #Medicare is not free. That’s why older adults should make sure they understand all the coverage options available to them. These 5 steps can help them choose a plan that provides the best coverages at the lowest possible price.👇 #MedicareOpenEnrollment https://lnkd.in/e5F-hbBn

🔍 New Survey Report: Americans' Primary Care Experiences and Preferences 2024 📊 Primary Care Physicians (PCPs) play a crucial role in our healthcare system, acting as the cornerstone of preventative care and the management of chronic health conditions. They provide continuous and comprehensive care, offering a holistic view of a patient's health over the years. Our latest survey report reveals some insightful trends: Many Americans have a PCP they see regularly and report positive experiences. However, millions still do not visit a PCP regularly due to various barriers, including time constraints, trust issues, and negative past experiences. Understanding these dynamics is vital for improving patient engagement and outcomes. By addressing the reasons behind irregular PCP visits, we can enhance the healthcare journey for many. Read the full report to delve deeper into these findings and explore opportunities to strengthen patient-PCP relationships: https://lnkd.in/gun7EWn3 #MedMatchMavens #Healthcare #PrimaryCare #PatientExperience #PhysicianEngagement #SurveyReport2024

The ACO PC Flex Model is set to launch on January 1, 2025, with the aim of addressing health disparities and promoting health equity in primary care. As a five-year voluntary model, it is designed to empower healthcare providers to deliver more personalized care to patients while improving health outcomes. This initiative is a significant step towards increasing investments in person-centered primary care, which is essential in ensuring equitable access to quality healthcare for all. Learn more about the ACO PC Flex Model at the official CMS website (https://lnkd.in/eTSDfePB). #primarycare #healthcare #healthdisparities #healthequity #personcenteredcare #ACOPCFlexModel #CMS

Despite its proven efficiency and higher quality outcomes, home health care, especially for Medicare Advantage members, faces many barriers. From labor shortages to reimbursement complexities, the journey to fully embracing home-based recovery is challenging. However, with collaborative efforts and advancements in technology and value-based reimbursement, we're paving the way towards a future where every patient receives the care they deserve, where they want it. tango CEO, Brian Lobley dives deeper into this topic for MedCity News here: https://lnkd.in/gmABTAr2

Study suggests employer-sponsored and private health plans pay more for hospital services in #Michigan. Why are employer-sponsored plans playing double of what Medicare pays? Learn more: https://lnkd.in/e28ahSxw #hospitalcosts #healthcarecosts #fairprice #healthbenefits

#ValueBasedCare models have been at the core of #healthcare improvement efforts for decades. By improving quality of care, reducing costs, and eliminating a range of health disparities, new payment and delivery system transformation models continue to demonstrate their power to address the most intractable #healthcare challenges across public and private healthcare programs. #HealthcareValueWeek

A story in Rolling Stone last month made an ominous prediction about our nation’s health care. To learn more about the disastrous plan to privatize Medicare, read here: https://lnkd.in/e4DXyKR7 #betterhealthcare #democracynow #healthcaresystem #betterhealth #healthinsurance

https://lnkd.in/geangNNG Sunday Morning Bathroom Read: Market Trend: Maryland "Total Cost of Care" Model: Maryland plans to move forward and implement a new voluntary model promulgated by the Center for Medicare and Medicaid Innovation called the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model. This new nationwide framework would test the effects of holding the state accountable for controlling health care cost growth has on improving population health and health equity locally regardless of ability to pay. Key points include: A)Fixed Community wide budgets. Everyone would be on equal footing to access care including the uninsured. The tax dollars that the not for profit hospitals would otherwise be obligated to pay but for their tax exemptions would presumably be incorporated into the equation. Put simply, the net result is a community based health plan; B)The hospital is considered a cost center and not a revenue center. Hospital administrators love empty beds. Primary care physicians should be at the top of the economic food chain because they keep patients out of the hospital; C)Editorial comment: If the former surgeon general of the United States, Jerome Adams, can be ransacked and pillaged by Atilla the Hun (the facility RCM department) and balance billed for $5000 (an upcoded level 5 ER visit for simple dehydration), nobody is safe from being fleeced. If the script is flipped and the facility is no longer a revenue center, this insanity withers. Ultimately, absent the ability to access a free and transparent market, we have to decide whether we are price makers or price takers https://lnkd.in/gE_bREPB