Healthcare Design的动态

Centers for Medicare & Medicaid Services proposes 2025 #Medicare payment cuts, marking the fifth consecutive year of reductions. Learn about the potential 8.8% overall decrease and its impact on physicians and patients. Read more in our latest #AtoZPAC blog post: https://bit.ly/4ddiPZo

"If the proposed conversion factor changes are implemented, most interventional pain procedures will continue to see dramatic reductions in total Medicare reimbursement on top of the decreases from 2023 and 2024. These procedures are essential alternatives to opioid-based treatment plans that have led to the tragic opioid epidemic that continues to devastate our country. Several efficacious and cost-effective pain treatments, currently reimbursed at marginal levels that barely cover overhead, face drastic reductions if the conversion factor is implemented as proposed. These collective reductions would represent a tremendous setback in the efforts by CMS and the Department of Health and Human Services (HHS) to address the opioid crisis in the United States effectively and may inadvertently cause a resurgence in opioid prescribing. It is essential that CMS assist with stemming the rise of opioid-related deaths immediately by not imposing further payment reductions for treatments that can provide pain management without the use of opioids."

The number of people enrolled in both Medicare and Medicaid increased from 10 million in 2016 to more than 12 million in 2022. Learn more about ACAP’s work with the Medicare-Medicaid Integration Alliance to improve health care for people who are dually eligible. ??? ? #Medicare #Medicaid #DualEligible #IntegratedCare?

Confused about Centers for Medicare & Medicaid Services shadow bundle data and how it equips ACOs with better insights to manage specialty care? Check out this Wakely paper for a great overview on the topic. https://lnkd.in/gSG44WD8

??Understanding the healthcare system can be complex, especially when it comes to distinguishing between Medicaid and Medicare. Oftentimes I find that folks confuse the two, and while they do occasionally hang out together ??♀?, they are two separate programs. ??Medicaid primarily assists low-income individuals and families and is state run, while Medicare caters to seniors aged 65 and older as well as people on SSDI. ??These programs play crucial roles in ensuring access to healthcare for those in need. It's important to grasp the variances between Medicaid and Medicare to make informed decisions about healthcare coverage.

As healthcare continues to evolve, we're witnessing a shift towards greater balance in our payment systems. Recent developments have highlighted a push for reforms, with the Centers for Medicare & Medicaid Services implementing changes aiming to address payment imbalances between primary care and specialist services. However, questions remain on how best to achieve this equity. What's clear is that a more comprehensive reform is necessary - one that acknowledges the full extent of primary care physicians' roles. #primarycareshortage #compensation https://lnkd.in/ezu8932p?

Regular primary care contributes to better health because it's regular, whole-person focused and relationship-based. CMS has been steadily building capacity for relationship-based care with monthly payments for ongoing care management for people with chronic conditions and patients transitioning from hospital to home. For the 2025 #Medicare Physician Fee Schedule, Centers for Medicare & Medicaid Services is proposing to bundle these monthly payments and simplify billing and documention. Learn more about the intent and vision to support primary care relationships with payments that enable care coordination, virtual patient check-ins, and more. There are also some exciting proposals for #ACOs. Comment and let the agency know what more they can do to make this vision for better care a reality. #primarycare #chroniccare Centers for Medicare & Medicaid Services https://lnkd.in/exakekhG

The Centers for Medicare & Medicaid Services (CMS) just released the final rule for the fiscal year 2025 Medicare inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS). Learn more about 6 key updates, including a 2.9% payment rate increase and a focus on essential medicines, Social Determinants of Health Diagnosis (SDOH) codes adjustment, and more that are aimed at improving the quality of patient care and fostering innovation. https://hubs.la/Q02Kh3V00

REALITY CHECK: Only 8% of physicians have a favorable view of Medicare Advantage plans. That’s right—8%. ?? A staggering 54% remain neutral, while a whopping 38% express an unfavorable opinion. ?? These numbers are more than just statistics—they’re a glaring indictment of the broken system that’s failing our doctors and, by extension, our patients. How long will we continue to ignore the glaring issues with Medicare Advantage plans? It’s time for a change. Time to speak up, take action, and demand a system that truly supports our healthcare heroes. ???? Join the conversation and let’s push for meaningful reform. Your voice matters. #MedicareAdvantage #PhysicianAdvocacy #HealthcareReform #DocNation source: Medscape “Doctors Evaluate Medicare and Medicaid Report 2024”

5 things to know about the new Centers for Medicare & Medicaid Services ACO Primary Care Flex Model ?? https://lnkd.in/eFRnBKbk