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Understanding Medicare can feel overwhelming, but it doesn’t have to be! Here's a quick breakdown of the four parts: - Part A: covers hospital stays, some home health services, and hospice care—most people don’t pay a premium for this. - Part B: helps with doctor visits, outpatient care, and medical supplies. In 2024, the monthly premium is $174.70. - Part C: (Medicare Advantage) lets you receive your Medicare benefits through private insurers, often including extra perks! - Part D: covers prescription drugs, with an average monthly premium of $55.50. Don't forget: Miss your enrollment deadline? You could face penalties that last a lifetime! Know your options and make Medicare work for you! Reach out for a free consultation and share my name with anyone you know who needs some help. Nicki Wright | 720.470.8507 NWright@HealthMarkets.com  #MedicareMadeSimple #Healthcare #MedicareEnrollment

If you build it, will they come? In an effort to keep patients within their healthcare network, health systems are building pharmacies inside hospital lobbies, as stand-alone facilities or co-located with existing clinics. Through the 340B Drug Pricing Program, health systems can be reimbursed through Medicaid for outpatient drugs sold to uninsured and low-income patients. Read more in this article from HealthLeaders including pharmacy expansion guidelines from Nicole Faucher, MS President of Clearway Health. 🔗 https://ow.ly/L3WH50Qrn8T #healthleaders #specialtypharmacy #340B #clearwayhealth #pharmacyexpansion

Medicare Part B: A Breath of Fresh Change 🌬️ Changes to #MedicarePartB in 2024 and 2025 under the Inflation Reduction Act promise significant benefits! But what exactly is Medicare Part B and how is it evolving? Medicare Part B covers: - Doctor visits 🏥 - Outpatient care - Medical supplies - Preventive services Why the changes matter for you: - **Reduced Costs**: New limits on out-of-pocket expenses will help keep your budget in check. 💸 - **Enhanced Coverage**: Improved access to outpatient services and essential preventive services. - **Fewer Surprises**: More predictable spending allows for better financial planning. Benefits of the upcoming changes: - Lower prescription drug prices, making medications affordable. 💊 - Capping annual expenses protects against financial hardship. - Extensive coverage now includes critical medical services. These updates are tailored for enrollees to receive more comprehensive and affordable care. Imagine saving more while receiving high-quality medical services! 🌟 Stay informed, stay healthy. Here’s to a transformative 2024! 🚀 #Healthcare #Medicare #MedicalCoverage #InflationReductionAct #TwoAgenciesInc

ACA Marketplace In 2024, premiums for the second-lowest cost silver plan in the ACA Marketplaces will increase by an average of 5% due to inflation. Payment rates In 2024, payment rates under the Physician Fee Schedule (PFS) will decrease by 1.25% compared to 2023. CMS is also finalizing increases in payment for primary care and other direct patient care. Healthcare trends In 2024, hospitals may divest from under-performing service lines and increase investments in ambulatory care services. Providers may also build nursing programs to increase recruitment. Senate bills In 2024, Senate committees may advance bipartisan health bills that aim to: Expand access to mental health care and substance use disorder services Reduce prescription drug costs

Health system pharmacies are turning to outpatient infusion services to improve financial performance as margins continue to shrink. Listen to Zinkeng and Gretchen discuss infusion services, site-of-care, payer strategies, revenue integrity and various other issues impacting HOPD.

O&P clinic owners: Are you turning down patients due to reimbursement issues beyond your control, often times those with the most desperate need? As many of you know, diabetic foot care patients face several problems like gangrene, nerve damage, and ulcers but also cost the highest to deliver care for O&P providers. Luckily for you, insoles.ai is designed to help with that. At insoles.ai, we streamline the entire process from AI-driven evaluations to providing fully custom insoles, designed for your diabetic patients. Our 7-minute evaluation automatically generates a Medicare/Medicaid compliant notes, and you can scan with any device. No more worrying about being audited by Medicare. By partnering with insoles.ai, you can provide the essential care diabetic patients need without the burden of administrative hassles. Reach out to us today to learn how the nation's leading O&P clinics are cutting audits down to zero and offering better care! https://insoles.ai/ #DiabeticCare #FootHealth #MedicalInsoles #PatientCare #HealthTech #HealthcareInnovation #MedicareCompliant #EMRIntegration

Stay in the Know: The 'Lopsided' Physician Payment System As physicians face high inflation rates and skyrocketing practice costs, many feel Medicare pay is insufficient. Read more: https://lnkd.in/gPdXTMdy #stayintheknowwithfusionanesthesia #beckersasc #ASC #fusionanesthesia #medicalpay #medicare #healthcare

As healthcare cost continue to rise and become more and more expensive, it becomes more more difficult to provide healthcare benefits for your employees. We can help you find a solution to this problem. Back in the 1990s Blue Cross Blue Shield of Illinois did a seven year study and the findings were Very interesting. In the study, they found out when people went to a chiropractor, they had 60% less hospital admissions, 59% less days in the hospital, 62% less outpatient surgeries and 85% less pharmaceutical costs. If you would like to have these types of statistics with your employees, would like your employees to miss less days from work and be more productive please let us know so we can discuss this further.

From health plans to self-insured employers and pharmacy benefit managers (PBMs) -- there is increased pressure to better address the cost of infusion therapies. A year's worth of infusion therapy treatment can range from several thousand to tens of thousands of dollars. As payers seek to take back control of their pharmacy and medical spend, Site of Care (SOC) optimization is an opportunity to capture savings. Don’t miss the April issue of @AscellaHealth's Newsletter: Payer Spotlight to learn more and subscribe to receive future issues here: https://lnkd.in/eCTDFzDD #payersolutions #managingcosts #specialtytherapies #specialtypharmacy #HealthcarePayers #healthplans

PPN's are dangerous. They cause patient harm by preventing patient choice. There is no question that this is true. The question is, how long is it going to take Canadian Regulators in all jurisdictions (with the exception of Quebec) to step up? Give this article a read please - the numbers are staggering and will shock even those of us in the industry well read on the topic. Time to make change Government of Canada Government of Saskatchewan Saskatchewan College of Pharmacy Professionals The Healthcare system can't afford to lose 30% of the 400 pharmacies in the province at a time when pharmacists are being considered part of the solution to the primary care crisis. https://lnkd.in/gsZS9RxE