Healthcare Analytics, Population Health Management, Healthcare Big Data

Medicare

Dozens of Orgs Urge CMS to Keep Next-Gen Genetic Testing in Medicare

February 8, 2019 - More than 60 leading healthcare organizations representing patients, providers, and academic medical centers have called on CMS to revise its interpretation of the National Coverage Determination (NCD) for next-generation sequencing (NGS) within Medicare. In a letter to CMS Administrator Seema Verma, 63 organizations said they were concerned that the broad interpretation would limit...


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CMS Aims to Address Senior Poverty, Social Determinants of Health

by Jessica Kent

To drive down healthcare costs for Medicare beneficiaries, CMS is expanding policies to reduce prescription drug prices, increase community partnerships, and foster technological innovations that will address poverty and other social...

CMS Adds Hospitals to Medicare Disparities Data Visualization Tool

by Jessica Kent

CMS has expanded the Mapping Medicare Disparities (MMD) Tool to include a Hospital View, which enables users to compare healthcare quality and outcomes at the hospital level and identify care disparities for Medicare patients. Launched in...

Data Analytics Support $62M in Next Generation ACO Savings

by Jessica Kent

Data analytics and other health IT tools played an integral role in helping Next Generation Accountable Care Organization (NGACO) Model generate net savings of approximately $62 million for the Medicare program, states a new report from...

GAO: CMS Lacks Adequate Data to Monitor Opioid Prescribing

by Jessica Kent

CMS should gather more comprehensive data on Medicare patients and providers to sufficiently monitor and prevent opioid overprescribing, according to a report from the US Government Accountability Office (GAO).   Misuse of opioids...

Medicare Diabetes Prevention Program Model Expands Nationwide

by Jessica Kent

The Centers for Medicare and Medicaid (CMS) has expanded its Medicare Diabetes Prevention Program (MDPP) nationwide.  The program will now enroll both traditional healthcare providers and community-based organizations as Medicare...

Humana Targets Social Determinants to Improve Population Health

by Jessica Kent

Humana’s Bold Goal program, a comprehensive strategy aiming to improve population health, focuses on identifying and addressing social determinants of health to boost outcomes for Medicare beneficiaries in communities across the...

UnitedHealth Supports Bundled Payments with Health Data Analytics

by Jessica Kent

UnitedHealth Group recently announced its collaboration with healthcare providers, health systems, and government that will include offering health data analytics coordination tied to the growing use of bundled payment models in...

CMS Recognizes Kaiser Permanente for Reducing Care Disparities

by Jessica Kent

CMS has named Kaiser Permanente as the first recipient of the Health Equity Award, which recognizes Kaiser Permanente’s commitment to reduce care disparities for Medicare beneficiaries. “Kaiser Permanente’s physicians...

In Medicare, Mental Health Disparities Impact Ethnic Minorities

by Jessica Kent

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...

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...

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...

QIO Program Boosts Medicare Care Coordination, Patient Safety

by Jennifer Bresnick

The CMS Quality Improvement Organization (QIO) Program saw a number of successes in 2016, according to the initiative’s annual report, including significant gains in care coordination, behavioral healthcare, chronic disease...

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...

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...

CMS Diabetes Prevention Program Cuts Spending, Boosts Outcomes

by Jacqueline LaPointe

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...

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...

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...

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...

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...

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