Medicare Advantage Funding Could Be Cut

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In a Feb. 2 statement from the Better Medicare Alliance, interim executive director Krista Drobac said the cuts would only exacerbate the financial burden on enrollees who already are forced to pay higher out-of-pocket costs while earning fewer benefits due to previous cuts in the Affordable Care Act, according to a Bloomberg News Services report…. Read more »

Medicare Advantage Leads the Way on Value-Based Payments

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Secretary Burwell’s announcement of a major initiative aimed at driving health care providers in Medicare fee-for-service (FFS) to adopt value-based care models is welcome news for beneficiaries, providers and the overall health care system. The initiative focuses on several areas: incentives to promote value-based payment systems, encouraging integration and coordination of clinical services among all… Read more »

What is Holding Back ACO Telehealth Use, Reimbursement?

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As a result, the number of Medicare beneficiaries accessing telehealth is miniscule,” writes Krista Drobac, Executive Director of the Alliance for Connected Care and Partner at Sirona Strategies. Read Article

Six Things You May Not Have Known about the Medicare Shared Savings Program

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On December 22, the Centers for Medicare & Medicaid Services (CMS) announced that 89 new organizations will join the Medicare Shared Savings Program (MSSP) in January 2015. These accountable care organizations (ACOs) will bring approximately 23,000 additional physicians and other providers into the ACO program, and will likely be the last group of program entrants… Read more »

Commentary: Time for Congress to Make Payments for Telehealth Happen

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The reason that telehealth usage among seniors in Medicare is almost non-existent is because the rules were written at a time when telehealth was used primarily to provide access to care for rural patients. To access a physician remotely, Medicare beneficiaries have to be in a rural area and in an “originating site” defined as… Read more »