Tag Archives: medicare

Wide Price Variation for Privately Insured Underscores Hospital Market Power

Across 13 selected U.S. metropolitan areas, hospital prices for privately insured patients — especially for outpatient care — are much higher than Medicare and vary widely within and across communities, according to a new study by the Center for Studying … finish reading Wide Price Variation for Privately Insured Underscores Hospital Market Power

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Cigna Expands Medical Home, Chronic Care Services with Alegis Care Acquisition

Designed to expand its medical home and chronic care services, Cigna acquired Alegis Care, a portfolio company of Triton Pacific Capital Partners. The acquisition will enable Cigna-HealthSpring to manage services as part of a coordinated care strategy for seniors. Alegis … finish reading Cigna Expands Medical Home, Chronic Care Services with Alegis Care Acquisition

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Medicare Drug Premiums Remain Stable Four Years in a Row

For the fourth consecutive year, the average premium for a basic prescription drug plan in 2014 is expected to remain stable at an estimated $31 per month, according to the Department of Health and Human Services (HHS). For the last … finish reading Medicare Drug Premiums Remain Stable Four Years in a Row

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Long-Term Care Costs Continue to Climb Across All Provider Options

Long-term care costs have continued to increase across all provider options, according to a study from the John Hancock Life Insurance Company (John Hancock). The study, conducted by LifePlans Inc., based in Waltham, Mass., surveyed approximately 16,000 long-term care providers, … finish reading Long-Term Care Costs Continue to Climb Across All Provider Options

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4 Key Features of the Pioneer ACO Model

One of the key features of the Pioneer program, and one that differentiates it from the Medicare Shared Savings Program, is that it is accountable for all Medicare A and B benefits, says Emily Brower, executive director of accountable care … finish reading 4 Key Features of the Pioneer ACO Model

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More Than One Quarter Pioneer ACOs to Leave Program: CMS

Seven of 32 provider groups that signed up for the Pioneer Accountable Care Organizations (ACOs) program sponsored by CMS did not produce savings and are switching to the Medicare Shared Saving Program (MSSP), according to the CMS. Two other Pioneer … finish reading More Than One Quarter Pioneer ACOs to Leave Program: CMS

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HCI3 Releases Report on Bundled Payment Healthcare Reimbursement Progress

Efforts to change the way healthcare providers are compensated in the U.S. from fee-for-service to payment for a bundled set of services are well underway according to a new study released at the National Bundled Payment Summit. The independent research … finish reading HCI3 Releases Report on Bundled Payment Healthcare Reimbursement Progress

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Prescription Drug Costs Among Top Concerns for Medicare Beneficiaries

Prescription drug costs are among the top concerns for more than one-third of Medicare Part D beneficiaries, with one in five admitting they’ve had to delay filling a prescription or skip doses to help manage medication costs, according to a … finish reading Prescription Drug Costs Among Top Concerns for Medicare Beneficiaries

Posted in Healthcare Costs, Healthcare Law, Healthcare Reform, Improving Community Care, Improving Patient Care, Prescription Drugs, Uncategorized | Tagged , , | Leave a comment

Report: Rising Severity of Illness Among Medicare Patients Treated in EDs

Today’s Medicare patients are sicker and have more chronic illnesses, and are driving up the costs of emergency department (ED) care, according to a new report by the American Hospital Association (AHA). Between 2006 and 2010, the severity of illness … finish reading Report: Rising Severity of Illness Among Medicare Patients Treated in EDs

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Proposed ‘Medicare Essential’ Plan Could Save Billions, Simplify Benefits and Lower Premiums

A proposed Medicare plan that combines hospital, physician, and prescription drug coverage with private supplemental coverage into one health plan could produce savings of $180 billion over a decade and improve care for beneficiaries, according to a new study by … finish reading Proposed ‘Medicare Essential’ Plan Could Save Billions, Simplify Benefits and Lower Premiums

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