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Health Reform

Medicaid for All?

November 19, 2014 by David E Williams

Medicaid / shutterstock

The Affordable Care Act is injecting billions upon billions of dollars to provide Medicaid to previously uninsured people. More money should help healthcare providers’ finances, not hurt them. So what’s going on? To summarize, Medicaid reimburses for services at only about half the rate of what commercial health plans pay.[read more]

Telemedicine Market Shows Strong Growth Due to Healthcare Changes

November 19, 2014 by David Avitabile

Telemedicine

In a report from global market research company IHS, telemedicine, which is defined as "the use of medical devices and communication technology together to monitor diseases and symptoms," is predicted to grow at a cumulative annual growth rate of more than 56 percent between 2013 and 2018.[read more]

Telemedicine: CY 2015 MPFS Reportage and Dangers of the Echo Chamber

November 17, 2014 by David Harlow

While payment for remote patient monitoring of chronic conditions turned out to be a chimera - at least for now - payment for chronic care management services, previously discussed in the CY 2013 and 2014 MPFS Rules, has been finalized in the CY 2015 MPFS.[read more]

Governor-Elect Charlie Baker on Healthcare Policy

November 16, 2014 by David E Williams

Charlie Baker

Charlie Baker has tremendous, relevant experience in healthcare. He was CEO of Harvard Pilgrim Health Care and Secretary of Health and Human Services before that. Healthcare is a huge issue for Massachusetts, so it’s great to have someone at the helm with that background.[read more]

Swamped: America's Health Care System Is Drowning in Misery

November 11, 2014 by Christine Kapsa, NP, DNP

Overwhelmed doctors

Value-based care is the insurance industry’s ploy for discounting clinicians’ reimbursement after the care has been given. No one should be surprised that medical students are shunning primary care residencies. How many of us are interested in jobs that don’t reveal the pay until the work is done?[read more]

What If We Paid for Patient Recovery?

November 6, 2014 by Tim Kilpatrick

What if we paid for patient recovery rather than just patient services? What if we paid to treat patients rather than just conditions? What if we paid to personalize care rather just population health quality measures? While these questions may sound academic, there is a groundswell of innovative healthcare providers working on the answers.[read more]

The Return of Open Enrollment

November 1, 2014 by Brad Wright

time for health insurance / shutterstock

It’s hard to believe, but we’re getting close to the end of 2014–the first year that the major provisions of the Affordable Care Act (that is, the Marketplace and the Medicaid Expansion) have been in effect. That means one thing: open enrollment is about to be upon us once again.[read more]

Insurance Shopping Tools Online: Open Enrollment Nears

October 31, 2014 by Jeanne Pinder

As open enrollment nears, there’s an increase in the number of tools available to help you shop for insurance. Some of them will be better than others; some may try to give you information that lets their creators make money. So pay attention. Here’s a sampling.[read more]

exclusive

Big Names Changing the Future of Personalized Patient Care

October 31, 2014 by Declan Peltier

future of personalized care

In recent years, health technology has advanced dramatically. I believe Marc Cuban summed it up nicely when he stated: “Personalized medicine will dramatically change health care, how we get health care, what we need, diagnostics, everything that we do. That to me will be the next earth-shattering impact on the world.”[read more]

Massachusetts Insurance Companies Reveal Health-Cost Calculators

October 30, 2014 by Jeanne Pinder

Massachusetts / shutterstock

Massachusetts is live with its effort to reveal health care prices. This is important not just because health cost transparency is one of our favorite issues; it’s also important because knowing what things cost is a factor in how people choose treatment and what they pay for their health insurance and for their treatments.[read more]

CMS Announces Win-Win to the Tune of $840 Million

October 28, 2014 by Kenneth Thorpe

CMS lowering costs / shutterstock

The Department of Health and Human Services’ (HHS) announcement of an $840 million initiative to improve patient care and lower costs underscores the value of coordinated care and prevention and is a strong step in the direction of preserving quality while improving patient and provider communications.[read more]

4 Approaches to Improving HCAHPS Scores Through Mobilization

October 27, 2014 by Drew Kearney, Esq.

Patient satisfaction’s impact on reimbursements has many inpatient hospitals focusing on HCAHPS. One of the simplest enhancements to the care experience that can translate into virtually every area of improvement is mobilization.[read more]