Palmetto Retina Center’s Post

💡 Innovative Advocacy in Healthcare 💡 I recently watched a video of a dedicated healthcare professional going above and beyond for his patients by performing a viral video. This effort underscores a sad reality: when insurance agencies and financial services regulators exert too much control over healthcare, it forces professionals to take extraordinary measures to ensure patient care. Canada does have types of private health insurance in the framework of auto insurance, workplace benefits, and workplace safety insurance. Insurance lobbies to decrease services at the expense of the well-being of patients, facilitated by preferred provider networks and benefit managers. This has resulted in healthcare professionals having to find creative and sometimes drastic ways to draw attention to patient care. This brave individual stood up and sang while playing the piano to highlight the needs of his patients. You won’t see insurance companies making such efforts. They never acknowledge the urgency to improve patient care. But healthcare professionals, driven by their commitment, are continuously finding ways to make a difference. Today, many of us in physiotherapy, pharmacy, and medicine are frustrated by the influence of insurance companies on government policies that complicate our ability to provide effective care. Whether the system is private or public, these entities manage to disrupt it, compromising the quality of care patients receive. Kudos to the healthcare professionals like the one in this video. Your dedication and creativity are a beacon of hope in our challenging healthcare landscape. Let’s continue to advocate for a system that puts patients first. Ontario Physiotherapy Association Peter Bethlenfalvy Sylvia Jones #Healthcare #PatientCare #Advocacy #HealthcareProfessionals #InsuranceReform #Physiotherapy #Pharmacy #Medicine

Check this out! One of the biggest challenges providers face today is trying to provide patient care while struggling to get reimbursed by payors. At Wakefield, we have over 75 years of experience in the healthcare field and a proven track record of success for our clients nationwide. If you have difficult A/R, don’t go it alone. We offer comprehensive solutions for: ~Complex & Denied Claims ~Out-of-Network Claims Recovery ~Billing & A/R Follow-Up ~Legacy Conversion & Clean-Up Let us help you navigate these challenges and ensure you get the reimbursements you deserve. #Healthcare #RevenueCycleManagement #MedicalBilling #ClaimsRecovery #ARManagement

The latest report from the Centers for Medicare & Medicaid Services reveals that 21.3M consumers (5M new & 16.3M returning) have enrolled in individual market health insurance coverage for 2024 through the Marketplaces. 🎉 Notably, 15% of plan selections within states using HealthCare.gov were made by individuals previously enrolled in Medicaid or CHIP coverage by December 31, 2023. The increase of nearly 4.2M individuals with household incomes under 250% of the federal poverty level enrolling in coverage compared to last year reflects a positive trend. 📈 ▶️READ CMS REPORT SNAPSHOT: https://lnkd.in/gWCwEPsq Just like our mission to simplify complex data into actionable insights, this noted success resonates with our goal. We understand the importance of seamless connections in healthcare, and it's inspiring to witness consumers actively engaging in their #healthplans for the upcoming year. 💙 #HealthcareInnovation #ValueBasedCare #AaNeel #Marketplace2024 #AffordableCareAct

The Biden-Harris Administration's recent announcement on promoting competition in healthcare includes a significant focus on increasing transparency in the Medicare Advantage (MA) insurance market. The U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) have taken proactive steps to enhance data capabilities and transparency in the MA program. Click here for key points health plans and PBMs need to know: https://lnkd.in/gaxkxmAk #cmsruling #medicareadvantage #priorauthorization #healthplans #pbms #cms

More than 85 million people in America depend on Medicaid or the Children’s Health Insurance Plan, ensuring these low-income individuals and families have access to essential healthcare services. At Reciprocity Health, we’ve prioritized the availability of our TheraPay app across both Android and iOS, but also our public web-based app, knowing that individuals on Medicaid might have diverse technological needs and preferences. By offering both web and mobile options (and a call-in option!), our programs help to ensure we’re reaching patients where they are today and providing accessible and user-friendly tools for managing their health. Learn more at MedicaidAwareness.com and ReciprocityHealth.com

Health Systems Cannot Solve the Nation's Healthcare Crisis, But They Can Ensure That Premiums are Invested in High-Quality Patient Care Rather Than the Profits of Insurance Conglomerates. Insurance conglomerates will pressure hospital and physician payments more as their MA and Medicaid products continue to underperform. Focus on efficiency, fair compensation and quality management is critical So it goes n8 #healthsystems #hosptials #physicians #healthinsurance https://lnkd.in/gtXdJdWm

IF YOU ARE A FEE-FOR-SERVICE PODIATRIST OR OTHER F00T HEALTH CARE CLINICIAN WANTING TO CONTINUOUSLY SCALE UP YOUR PRACTICE GROWTH, CONSIDER THIS:   Medicare (that leads all commercial and other insurance reimbursement models) has made it unrealistic for growth-focused podiatrists and other clinicians accepting insurance reimbursement to scale up their practices to maximal levels without knowing the new details incorporated in its Value-Based Care reimbursement model -- and also gaining the ability to be part of larger multispecialty provider negotiating groups providing demonstrated optimal care. FootCare America Networks, LLC, a division of the LEAP Alliance, recommends that a component of scaling up your practice for the future should be to give the public what it wants and needs more than any other foot care service: prevention of needless chronic ulcerative diabetic foot disease and lower extremity amputations through provision of optimal value based services that complies with evidence based standards of care.

New #ManattOnHealth Insight by Tara Straw: The Centers for Medicare & Medicaid Services (#CMS) has announced a more than 10% increase to the maximum out-of-pocket (MOOP) limits for most commercial #HealthInsurance plans, effective 2026. For self-only coverage, the MOOP will rise to $10,150, and for other coverage, it will be $20,300. This change is driven by increasing employer-sponsored insurance premiums. #HealthCare #AffordableCareAct https://lnkd.in/eGzuiG_G

Be prepared for upcoming changes to Medicaid, Child Health Plus, and the Essential Plan by staying connected with @NYStateofHealth! Follow this guide to get ready to renew your insurance. on.ny.gov/3PDALBt #StayConnected #TextAlerts

Understanding the link between financial and physical health is crucial. 🌟 CareSource is dedicated to making healthcare accessible and affordable, improving both financial and physical well-being for our members. Learn how our insurance plans, including Medicaid, Medicare, and Marketplace products, are tailored to support your journey toward a healthier life. 💜 #CareSourceIsIN #FinancialHealth https://bit.ly/3VFfw7z