A Medicare Advantage member who is food insecure can have up to 26.6 unhealthy days a month, correlating to 10 hospital admissions per thousand, or $15.64 per member per month in higher medical costs.
Category: Healthcare Finance News
Amazon markets PillPack and offers one-day delivery for Prime members
The company’s earnings more than doubled this quarter over the same period last year, rising to $3.6 billion.
Maintaining a healthy revenue cycle means tapping into the consumer mentality
Increasingly, revenue cycle health now requires meeting patients halfway or more, with convenience and access at the center.
CMS nursing home star ratings overhaul sees 37% of skilled nursing facilities losing 1 or more stars
Hospitals use the ratings on quality measures as they seek skilled nursing facilities for inclusion in their preferred networks.
Electronic health records decision support saves money, reduces inappropriate use of GI test
Asking physicians to reconsider the appropriateness of testing via hardwired alerts saves money without compromising care quality.
Many seniors can’t afford healthcare despite paying billions, finds Gallup
Seniors also reported their concern that rising healthcare costs will result in significant and lasting damage to the economy.
Modifications to Medicare rules could support care innovation for dialysis
Medicare spends approximately $35 billion annually on care for beneficiaries with end-stage renal disease.
CMS gives states 3 options to test care models for dual eligibles
A joint contract between CMS, states and health plans would pay a capitated amount to provide integrated Medicare and Medicaid services.
CMS proposes to pay for transformative IT
The change would ramp up add-on payments to hospitals that implement new tech and increase the wage index for rural and other qualifying hospitals.
CMS Administrator Seema Verma promotes state waivers to Affordable Care Act
Pre-existing coverage remains protected, though a new type of high risk pool approach could better tailor coverage for these enrollees, Verma says.
