Medicare
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Health News
Risk Adjustment and Incentives for Upcoding in Medicare – Healthcare Economist
To account for differences in disease burden across a Medicare Advantage (MA) plans patient population, uses risk adjustment based on…
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Competition from ‘skinny label’ generics saved medicare billions, according to report
Credit: CC0 Public Domain An analysis of 15 name-brand drugs and their “skinny label” generic counterparts found that competition from…
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Health News
Continued Medicare reimbursement declines could threaten access to physicians
by Harvey L. Neiman Health Policy Institute Percentage change in total Medicare physician fee schedule reimbursement per Medicare fee-for-service beneficiary…
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Health News
Medicare Stumbles Managing a Costly Problem — Chronic Illness
Nearly a decade ago, Medicare launched a program to help the two-thirds of beneficiaries with chronic conditions by paying their…
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Health News
Some Older Women Need Extra Breast Scans. Why Won’t Medicare Pay?
Mammograms can miss tumors in women with dense breast tissue. So for these patients, doctors often include a second scan…
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Medicare, trying to do a better job on chronic care, is hitting roadblocks : Shots
Medicare enrollees with two or more chronic conditions are eligible for Chronic Care Management, which pays doctors to check in…
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Health News
The Expertise Of A Medicare Fraud Attorney
Medicare fraud is a common issue in the healthcare system, causing significant financial losses. It occurs when doctors or patients…
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Health News
Attack of the Medicare Machines
Dan Weissmann Covering the American health care system means we tell some scary stories. This episode of “An Arm and…
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Health News
Biden Is Right About $35 Insulin Cap but Exaggerates Prior Costs for Medicare Enrollees
Samantha Putterman, PolitiFact Insulin for Medicare beneficiaries “was costing 400 bucks a month on average. It now costs $35 a…
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