Healthcare Analytics, Population Health Management, Healthcare Big Data


In Medicare, Mental Health Disparities Impact Ethnic Minorities

December 15, 2017 - Multiracial and other minority Medicare beneficiaries generally reported worse mental health functioning and more symptoms of depression compared to white individuals, according to a CMS data highlight from the Medicare Health Outcomes Survey (HOS). The data, collected between 2014 and 2016, also showed that individuals identifying as “multiethnic” were among the most likely to...

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CMS Requests Input on “New Direction” in Patient-Centered Care

by Jennifer Bresnick

CMS officials have opened up an informal survey designed to collect public input on how the agency can take an innovative approach to fostering affordable, effective patient-centered care. With a focus on value-based reimbursement structures...

Racial Disparities Rife in Medicare 30-Day Hospital Readmissions

by Thomas Beaton

Researchers at the University of Rochester Medical Center (URMC) found that there are significant racial disparities for 30-day hospital readmissions rates between black and white Medicare and Medicare Advantage (MA) patients. In the study, the...

Senate Bill Might Bolster Medicare Chronic Care Management

by Jennifer Bresnick

The Senate Committee on Finance will be taking a hearing today on a bill that aims to improve the delivery of chronic care management and provide more opportunities for Medicare patients to benefit from population health management activities....

Seema Verma Receives Confirmation as New CMS Administrator

by Jennifer Bresnick

Seema Verma, the former head of Indiana’s Medicaid agency, will lead the Centers for Medicare and Medicaid Services as Republican lawmakers seek to make significant changes to both public programs.    In a 55-43 vote that saw...

CMS Diabetes Prevention Program Cuts Spending, Boosts Outcomes

by Jacqueline Belliveau

A comprehensive chronic disease management program that focuses on preventative care for diabetes and prediabetes is a successful way to reduce costs and improve patient outcomes, HHS announced this week, and should be implemented in communities...

CMS Turns to Value-Based Reimbursement, Data Analytics at 50

by Jennifer Bresnick

Medicare has experienced its fair share of ups and downs during the first fifty years of its life, but former CMS Administrator Donald M. Berwick, MD, believes the massive public insurance program is just getting started.  In an interview...

After CMS Tenure, Tavenner Takes Over Payer Relations at AHIP

by Jennifer Bresnick

Months after stepping down as Administrator of the Centers for Medicare and Medicaid Services (CMS), Marilyn B. Tavenner will become President and CEO of America’s Health Insurance Plans (AHIP), a powerful trade group for payers that includes...

Physician Quality Reporting System Penalties Snag 470K EPs

by Jennifer Bresnick

Nearly half a million eligible professionals will be losing 1.5 percent of their Medicare reimbursements thanks to non-participation in the Physician Quality Reporting System (PQRS) program in 2013, CMS says.  Despite increasing participation...

Congress wants end-of-life planning reimbursed by CMS

by Jennifer Bresnick

End-of-life planning for elderly or terminally ill patients should be adequately reimbursed by Medicare and Medicaid, says a Congressional letter to CMS Administrator Marilyn Tavenner, in order to encourage documented decision making for difficult...

United cuts more Medicare doctors to control costs in MA

by Jennifer Bresnick

After taking similar actions in Rhode Island and Connecticut late last year, national insurer UnitedHealthcare plans to eliminate about 700 Massachusetts physicians from its Medicare Advantage network as a way to control costs within the healthcare...

CMS: 1% of docs account for 14% of Medicare billings

by Jennifer Bresnick

When it comes to healthcare spending, much of the focus has been on chronically ill patients.  The commonly cited statistic that 20% of patients account for 80% of costs may be concerning, but equally noteworthy is the small number of physicians...


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