Modern Healthcare

News Summary 8.03.18

Submitted by hm_admin on Fri, 08/03/2018 - 12:28






New York Times- 1 in 11 nursing home star ratings cut: Almost 1,400 nursing homes had their star ratings lowered by Medicare because of staffing concerns in July. According to recently released federal records, the nursing homes were, “either inadequately staffed with registered nurses or failed to provide payroll data that proved they had the required nursing coverage.”

Modern Healthcare- Slight premium cost decrease for Medicare Part D in 2019: CMS announced this week that Medicare Part D premiums will decrease from $33.59 to $32.50 next year. Users will be able to substitute generic drugs at any time throughout the year and the CMS plans to increase the number of pharmacies available for Medicare prescription fulfillment.

Business Insider- Google’s parent company stepping into the heath care arena: Alphabet, the parent company of Google, plans to use its access to big data and extensive cloud platform to analyze trends in population health.  They are partnering with other companies to optimize electronic health records and other health computing infrastructures.


News Summary 7.21.18

Submitted by hm_admin on Sat, 07/21/2018 - 17:19

Modern HealthcareCMS proposal to bring clarity to Medicare provider application: The CMS announced revisions to the provider Medicare enrollment application to add coherence and a more logical flow. "What CMS is trying to do is achieve several goals, one of them being to stop erroneous enrollment."

Healthcare InformaticsCMS broadened key definition to fit telehealth reimbursement plans: CMS redefined “communication technology-based services” to legally get around previous telehealth reimbursement blockades. The proposed changes will be effective January 1, 2019.

Specialty Pharmacy TimesDrugs with highest spend in Medicare Part D cost rapidly rising: The most expensive drugs in Medicare Part D rose by almost one-third between 2011 and 2015, a new report found.  Though fewer patients use these drugs, costs continue to soar, estimated to reach $40 billion annually by 2020.

News Summary 7.07.18

Submitted by hm_admin on Sat, 07/07/2018 - 05:43

CMS.Gov: CMS taking action to modernize Medicare home health -- The Centers for Medicare & Medicaid Services (CMS) announced plans to “strengthen and modernize Medicare” by focusing “on individual patient needs rather than volume of care.” The changes will include more remote patient options as well as better data sharing facilitation.

Modern Healthcare: New study finds positive Medicare Advantage results -- Medicare Advantage members are spending less time in nursing facilities after surgery, are less likely to be readmitted to hospitals, and less likely to become longterm nursing home residents than traditional Medicare members, according to a new report. The PLOS study also found that with “stronger care-management protocols” from Medicare Advance, there are fewer preventable hospitalization for patients.