Posts Tagged ‘Medicare spending’

Infographic: Medicare Costs

December 6th, 2017 by Melanie Matthews

Beneficiaries in Original Medicare spent an average of $5,680 on healthcare in 2013. Half of all beneficiaries spent at least 17 percent of their income on their health, according to a new infographic by the AARP.

The infographic breaks down where Medicare beneficiaries spend their healthcare dollars and how age and health status impact spending.

Medicare Chronic Care Management Billing: Evidence-Based Workflows to Maximize CCM RevenueSince the January 2015 rollout by CMS of new chronic care management (CCM) codes, many physician practices have been slow to engage in CCM.

Arcturus Healthcare, however, rapidly grasped the potential of CCM to improve patient outcomes while generating care coordination revenue, estimating it could earn up to $100,000 monthly for qualified patients treated in its four physician practices—or $1 million a year.

Medicare Chronic Care Management Billing: Evidence-Based Workflows to Maximize CCM Revenue traces the incorporation of CCM into Arcturus Healthcare’s existing care management efforts for high-risk patients, as well as the bonus that resulted from CCM code adoption: increased engagement and improved relationships with CCM patients.

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Infographic: Top 5 Strategies for Managing Post-Acute Care

April 14th, 2017 by Melanie Matthews

As post-acute care costs increase, now accounting for $1 out of every $4 spent by Medicare Advantage plans, health plans are focusing on post-acute care management, according to a new infographic by CareCentrix.

The infographic examines the top five strategies healthcare organizations are using to manage post-acute care.

Medicare’s proposed payment rates and quality programs for skilled nursing facilities (SNFs) for 2017 and beyond solidify post-acute care’s (PAC) partnership in the transformation of healthcare delivery. Subsequent to the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act), forward-thinking PAC organizations realized the need to rethink patient care—not just in their own facilities but as patients move from hospital to SNF, home health or rehabilitation facility.

Post-Acute Care Trends: Cross-Setting Collaborations to Align Clinical Standards and Provider Demands examines a collaboration between the first URAC-accredited clinically integrated network in the country and one of its partnering PAC providers to map out and enhance a patient’s journey through the network continuum—drilling down to improve the quality of the transition from acute to post-acute care.

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Infographic: Medicare Spending Trends

January 26th, 2015 by Melanie Matthews

In the short term, Medicare spending per person is expected to be lower relative to previous projections and to grow more slowly than private health insurance, according to a “Visualizing Health Policy” infographic by the Henry J. Kaiser Family Foundation.

The infographic also examines long-term predictions for Medicare spending and projections on a Medicare shortfall.

Physician Reimbursement for Chronic Care Management: Identifying New Practice Revenue OpportunitiesStarting this month, Medicare is reimbursing physician practices for select Chronic Care Management (CCM) services not previously eligible for reimbursement, underscoring the vital role of care management in primary care.

Physician Reimbursement for Chronic Care Management: Identifying New Practice Revenue Opportunities offers practical guidance to prepare physician practices to maximize CCM reimbursement in the year ahead.

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Healthcare Business Week in Review: Post-Surgery ER Visits Up; Medicare Spending Debate; EHRs and Diabetes

September 20th, 2013 by Cheryl Miller

Nearly one in five older adults who have common operations will end up in the ER within a month of their hospital stay, finds a new study from the University of Michigan Medical School.

There is also wide variation among hospitals, with some having four times the rate of post-surgery emergency care for their patients than others, suggesting that hospitals should be graded based on their performance on this measure.

But researchers agree that further study is needed before post-surgical ED visits join such measures as hospital readmissions and infections in assessing the quality of hospital care, researchers note. More inside.

Experts and the public disagree on whether Medicare spending should be reduced in order to lower the federal budget deficit, according to a special report in the New England Journal of Medicine. In fact, a majority of the public says they will vote against candidates who favor the reductions.

Americans feel that Medicare recipients have prepaid or are paying for the cost of their healthcare, and that the benefits they do receive are the same or less than what they paid during their working lives. But experts maintain, among other issues, that one of the most important reasons for rising Medicare costs is unnecessary care provided to patients.

There is widespread agreement that the use of EHRs in clinical settings can decrease ER visits and hospitalizations for patients with diabetes, according to researchers from Kaiser Permanente (KP).

Following the implementation of HealthConnect&#174, the organization’s comprehensive EHR system, KP researchers found that diabetic patients visited the ER 29 fewer times per 1,000 patients and were hospitalized 13 fewer times per 1,000 patients annually after the implementation.

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