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Medicare

Latest Headlines

Latest Headlines

Alternative quality care contracts can be 'backbone' for payment reform

The alternative quality care contract that Blue Cross Blue Shield of Massachusetts has had in place since 2009 could serve as a payment reform "backbone" for other insurers as they increasingly reward quality, efficient care, according to a new report from Avalere Health.

Chronic care management: 4 steps to implementation

Medicare's new chronic care management (CCM) program offers practices of all specialties a major opportunity to reap revenue from services they've thus far provided for free. With 1,000 qualified patients, a practice could earn an additional $511,200 per year, noted an article from  Medscape.

Survey: Most practices to implement chronic care management within a year

Despite lingering challenges, most providers plan to take advantage of Medicare's new code for chronic care management (CCM), according to preliminary results of a survey conducted by population health technology developer Kryptiq.

Why aren't seniors using Medicare's free obesity counseling?

Although Medicare now offers its obese members with free face-to-face obesity counseling, very few Medicare members have actually taken advantage of the benefit. In fact, just 50,000 seniors received obesity counseling in 2013.

Smaller hospitals tend to fare better with patient satisfaction bonuses

If your hospital management wants to score a patient satisfaction bonus from Medicare, it pays to be a smaller facility that focuses on a particular specialty, according to Kaiser Health News. 

CMS aims to change how providers, payers pay for cancer treatment

The Centers for Medicare & Medicaid Services is planning to implement new specialty payment and delivery models designed to improve oncology care at a lower cost for Medicare beneficiaries, the agency recently  announced.

Medicare will cover lung cancer screenings

Medicare will now cover lung cancer screenings by low-dose CT scans for members between 55 and 77 years old, according to a Centers for Medicare & Medicaid Services announcement.

Obama's 2016 budget seeks lower drug prices, higher costs for wealthy Medicare patients

The Obama administration's proposed $4 trillion budget for Fiscal Year 2016 includes a provision that would allow the federal government to negotiate prices for costly drugs covered under the Medicare Part D program. High-income Medicare beneficiaries would dish out more for coverage and have higher deductibles for doctor visits. 

CMS to release doc payment data annually

The federal government will publicly release Medicare physician payment data every year, according to the Wall Street Journal.

Feds: 50 percent of FFS payments tied to quality initiatives by 2018

As part of its mission to reduce unnecessary care while improving patient outcomes, the U.S. Department of Health and Human Services (HHS) announced this week it will dramatically reform how it pays providers for treating Medicare patients in the coming years.