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Fast Facts about Medicare and Social Security
Romina Boccia and Dominik LettMedicare and Social Security are the two largest federal government programs that are also growing the fastest. They are fiscally unsustainable as currently structured. Medicare consists of four parts which provide inpatient care (Part A), outpatient care (Part B), prescription drug coverage (Part D), and subsidies for seniors to choose alternative health insurance providers through Medicare Advantage (Part C). Social Security consists of Old Age and Survivors Insurance (OASI) and Disability Insurance (DI). For the purposes of this fact sheet, Social Security will refer to OASI only. This fact...
Source: Cato-at-liberty - April 13, 2023 Category: American Health Authors: Romina Boccia, Dominik Lett Source Type: blogs

The heartbreaking story of Jimmy Carter: a call for Medicare reform in end-of-life care
The purpose of the serious illness conversation is to offer patients a clear choice between treating and not treating an incurable disease like liver cancer. The goal is to give the person permission to alleviate pain and suffering. The individual might decide to be treated as a patient or honored as a person if given Read more… The heartbreaking story of Jimmy Carter: a call for Medicare reform in end-of-life care originally appeared in KevinMD.com.
Source: Kevin, M.D. - Medical Weblog - April 4, 2023 Category: General Medicine Authors: Tags: Conditions Palliative Care Source Type: blogs

Empowering Stroke Survivors: Interview with Kirsten Carroll, General Manager at Kandu Health
Kandu Health, a digital health company based in California, has developed a platform to assist stroke survivors with aftercare. Healthcare for stroke patients is primarily focused on acute care to limit the damage caused by the stroke. However, the c...
Source: Medgadget - March 20, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Exclusive Neurology Rehab kanduhealth stroke rehab Source Type: blogs

Empowering Stroke Survivors: Interview with Kirsten Carroll, CEO at Kandu Health
Kandu Health, a digital health company based in California, has developed a platform to assist stroke survivors with aftercare. Healthcare for stroke patients is primarily focused on acute care to limit the damage caused by the stroke. However, the c...
Source: Medgadget - March 20, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Exclusive Neurology Rehab kanduhealth stroke rehab Source Type: blogs

Fixing Medicare Advantage Payments
This article looks at the problem from the other side. Here, we adopt a position sympathetic to the hurdles facing Medicare Advantage plans and look at how they are trying to improve the quality of data. A bit of cynicism is deserved here. Consultants who offer services to healthcare providers often cite “improving the quality of diagnoses” as a code phrase for “extracting the maximum payment you can for a given patient.” I talked recently to Meleah Bridgeford, senior director of risk adjustment analytics at Episource, about how their analytics and billing solution can improve the quality of submiss...
Source: EMR and HIPAA - February 22, 2023 Category: Information Technology Authors: Andy Oram Tags: Administration Analytics/Big Data Health IT Company Healthcare IT Regulations Revenue Cycle Management CMS Episource Healthcare Billing Medical Billing medical coding Medicare Medicare Advantage Medicare Audits Upcoding Source Type: blogs

Retrieving Billions in Overpayments by CMS
This article focuses on the relatively young technologies that enable CMS to uncover overbillings, whether they be errors or fraud. The article is based on an interview with Kel Pults, chief clinical officer and vice president of MediQuant. A future article will explain how Medicare Advantage plans are trying to improving data collection and reporting, and how AI helps. Challenges of Investigating Overpayments Undeserved payments are needles lurking in the haystack of 135 million Americans enrolled in Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). But the needles pile up fast. Improper payments f...
Source: EMR and HIPAA - February 17, 2023 Category: Information Technology Authors: Andy Oram Tags: AI/Machine Learning Analytics/Big Data Health IT Company Healthcare IT Regulations Revenue Cycle Management #COVID19 CMS COVID Reimbursement Healthcare AI Healthcare Analytics Kel Pults MAOs Medicare Advantage MediQuant Overp Source Type: blogs

All Three Legs of the Obamacare Stool Are Working Well – Part 2
BY GEORGE HALVORSON 2022 Medicare Advantage data gathering process change made last year just made upcoding for plans irrelevant and impossible, but the critics do not accept that it happened.  CMS just ended that upcoding debate for 2022 by completely killing the coding system for the plans, effective immediately. The plans can’t code risk levels up because the coding system was eliminated entirely for 2022. RAPS is dead. The payment approach for Medicare Advantage now has no upcoding components and the government just used their new and more accurate numbers to create the 2023 payment level for the pla...
Source: The Health Care Blog - February 17, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Health Policy Affordable Care Act Medicaid Medicare Medicare Advantage Obamacare Source Type: blogs

Bonus Features – February 12, 2023 – Epic tops Best in KLAS for 13th straight year, 89% of healthcare finance leaders remain confident in 2023, and more
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job. News The Biden Administration announced the latest initiatives in the reignited Cancer Moonshot program. One initiative of interest to the healthcare IT community is CancerX, a public-private innovation partnership to develop to...
Source: EMR and HIPAA - February 12, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT AdvancedMD Alloantibody Exchange Beacon Health System Best in KLAS Biden Biofourmis Brooke Bowers Cancer Moonshot CareCloud CHG Healthcare CIvitas Clean Air CMS Complete Care David Feinberg DexCare DrFirst Source Type: blogs

Mark Cuban Cost Plus Drug Company ( " MCCPDC " ) PBC May Be Able to Say " Mission Accomplished " Even if Sales Stop Growing
On January 19, 2022, a startup called theMark Cuban Cost Plus Drug Company ( " MCCPDC " )opened its doors to the American public as a new online pharmacy and generic manufacturing startup. Initially, MCCPDC was also planning to launch its own Pharmacy Benefit Manager, but it later scrapped those plans, instead announcing several PBM partnerships with some PBM startups which do not engage in " spread pricing " , including on generic, biosimilar and " authorized generic " drugs. The company bears the name of its famous principal investor, multibillionaire Mark Cuban, who is perhaps best known as both owner of the NBA te...
Source: Scott's Web Log - February 7, 2023 Category: Endocrinology Tags: authorized generic 2023 Alex Oshmyansky authorized generics Biosimilar biosimilars Cost Plus costplus drug company drug prices drug pricing generic drugs mark cuban Mark Cuban Cost Plus Drug Company Source Type: blogs

13 Year Old McAllen
BY IAN MORRISON As a Scot, obviously I am a whisky fan, and although I prefer the smoky malts of Islay (where my grandfather was from and where I visit my friends there frequently), I am also a huge fan of McCallan 18-year-old whisky, the sticky toffee pudding of single malts. But as all policy wonks know, McAllen Texas is not famous for whisky but for Atul Gawande’s “Cost Conundrum” article in the New Yorker, in 2009 which is still required reading in medical school and MPH classes and was arguably the cornerstone of Obama health policy and the ACO movement. Dr. Atul Gawande described overutilization and hi...
Source: The Health Care Blog - February 2, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: The Business of Health Care Affordable Care Act Atul Gawande Ian Morrison McAllen Texas Source Type: blogs

Pharma – 2023 Health IT Predictions
As we head into 2023, we wanted to kick off the new year with a series of 2023 Health IT predictions.  We asked the Healthcare IT Today community to submit their predictions and we received a wide ranging set of responses that we grouped into a number of themes.  Check out our communities predictions below and be sure to add your own thoughts and/or places you disagree with these predictions in the comments and on social media. Check out our community’s pharma predictions. Jesse Cugliotta, Global Industry GTM Lead, Healthcare & Life Sciences at Snowflake Industry investments in data platforms to enable decentra...
Source: EMR and HIPAA - January 9, 2023 Category: Information Technology Authors: John Lynn Tags: Health IT Company Healthcare IT 2023 Health IT Predictions Abrpo BrainCheck Doceree Harshit Jain Ian Chen Jesse Cugliotta Kimberly Powell Lance Hill Lauren Ohlsson Mike Montalto NVIDIA Ofer Sharon OncoHost PathAI Pharma Source Type: blogs

Bonus Features – January 8, 2023 – Omnibus bill extends telehealth expansion through end of 2024, 60% of solution providers pouring all event marketing money into in-person events, and more
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job. News On Dec. 29, 2022, President Biden signed the omnibus spending bill. The biggest news for healthcare IT was the extension of telehealth expansion under Medicare through the end of 2024. This includes expansion of originating...
Source: EMR and HIPAA - January 8, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT 4medica ADAPT AdvancedMD AHA Ardent Health Services Blendid Brian Berning Cadence Carenet Health Carol DeVol CharmHealth CipherHealth Comcast Healthcare CORL directtrust East Tennessee Health Information Netwo Source Type: blogs

Healthcare AI – 2023 Health IT Predictions
As we head into 2023, we wanted to kick off the new year with a series of 2023 Health IT predictions.  We asked the Healthcare IT Today community to submit their predictions and we received a wide ranging set of responses that we grouped into a number of themes.  Check out our communities predictions below and be sure to add your own thoughts and/or places you disagree with these predictions in the comments and on social media. Check out our community’s healthcare AI predictions. Evangelos Hytopoulos, Sr. Director of Data Science at iRhythm Technologies There is no doubt that AI has become mainstream in many areas....
Source: EMR and HIPAA - January 3, 2023 Category: Information Technology Authors: John Lynn Tags: AI/Machine Learning Health IT Company Healthcare IT 2023 Health IT Predictions 4D Path Carlene MacMillan CommBox Dave Bennett Evangelos Hytopoulos Gabriel Mecklenburg Healthcare AI Hinge Health iRhythm Technologies Judy Jiao Na Source Type: blogs

Bonus Features – December 4, 2022 – 34% of Americans take anti-anxiety meds during the holidays, hospital margins at -2% but show signs of hope, and more
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job. Studies A DrFirst survey of more than 1,000 Americans concluded that one-third of Americans have taken anti-anxiety medications to manage family stress during the holiday season. That’s significantly more than the 19% of A...
Source: EMR and HIPAA - December 4, 2022 Category: Information Technology Authors: Brian Eastwood Tags: Health IT Company Healthcare IT Amber Mauro AvaSure AvodahMed Baptist Health Benjamin Barlow Chris Kocsis Clear Arch Health David Roth DrFirst Emergence Health emtelligent emtelliSuite Experity Frank Bordonaro Gustave Rouss Source Type: blogs

Bonus Features – November 13, 2022 – HCA extends 30-year relationship with MEDITECH, cost of care replaces pandemic as top reason to defer care, and more
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job. News and Research HCA Healthcare signed a new agreement for a large-scale deployment of MEDITECH Expanse, continuing a relationship with the EHR vendor that has spanned three decades and been recognized with the 2021 CHIME Colla...
Source: EMR and HIPAA - November 13, 2022 Category: Information Technology Authors: Brian Eastwood Tags: EMR-EHR Healthcare IT AbsoluteCare Atropos Health BARDA Bioverge Cerner CharmHealth directtrust HCA Healthcare HCTec Healthcare IT Today Bonus Features Hugh Chatham Memorial Hospital Julie McCorkle Lifehouse MDaudit Meditec Source Type: blogs