South Florida-based Mount Sinai Medical Center announced a new remote patient monitoring and chronic care management partnership with HealthSnap, a Miami-based virtual care management platform. The partnership is aimed at improving outcomes among the health system’s Medicare population.

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If Medicare acts, the potential of AI-enabled technologies to improve healthcare outcomes for patients, regardless of their geographic location or socioeconomic status, will be closer to being fully realized.

The post Making Access to AI-enabled Medical Devices Equitable for All appeared first on MedCity News.

The impact of personal health literacy on seniors

The post Unlocking Better Health: The Role of Personal Health Literacy in Medicare Advantage Enrollment appeared first on MedCity News.

Medicare’s Chronic Care Management program reduced emergency room and in-patient hospital visits and lowered total health spending, but uptake has been sluggish for a variety of reasons.

The post Medicare’s Push To Improve Chronic Care Attracts Businesses, but Not Many Doctors appeared first on MedCity News.

A new study found that enrollees with zero-premium MA plans are three times as likely to be non-White compared to other MA enrollees and traditional Medicare enrollees.

The post Report: How MA Plan Design Affects Utilization, Health Equity appeared first on MedCity News.

Collaboration across key stakeholders, including home health agencies, providers, patients, health plans, and post-acute care solution providers will be critical to fully enabling the home as a preferred place of care.

The post Post-Acute Care and Enablement of the Home, An Industry in Flux appeared first on MedCity News.

Now more than ever, enhancing primary care practices to include CGM capabilities is a crucial goal requiring the support and involvement of the broader healthcare community.

The post Resources, Industry Support Will Help Primary Care Practices Meet Increased Medicare Demand for CGM appeared first on MedCity News.

The Medicare physician pay cuts that went into effect January 1 is a “disaster for the profession,” said Dr. Jesse Ehrenfeld, president of the AMA, during an interview at CES 2024. Getting the pay cut reversed is a top priority for the organization.

The post AMA President: Medicare Physician Pay Cuts Will Have ‘Dire’ Impact if Not Reversed appeared first on MedCity News.

Medicare Advantage members have fewer readmissions, fewer preventable hospitalizations and lower rates of high-risk medication use than traditional Medicare, new research by Harvard Medical School and Inovalon shows.

The post Report: MA Members Have Better Quality Outcomes than FFS Members appeared first on MedCity News.

Companies built for other businesses are attempting to offroad their skills into a brand new field. These fairweather healthcare players are unprepared for the terrain. Meanwhile, the true disruptors of this industry are already in it.

The post Forget Fair-Weather Healthcare: Disruptors of This Industry Are Already in It appeared first on MedCity News.

A new study found that MA beneficiaries have more than 50% fewer inpatient stays and 22% fewer emergency department visits than traditional Medicare enrollees.

The post Study: MA Beneficiaries Have Lower Utilization Than Traditional Medicare appeared first on MedCity News.

Medicare Advantage beneficiaries with a cancer diagnosis spend $3,996 on out-of-pocket costs and premiums annually, versus $6,091 for traditional Medicare beneficiaries with cancer, a new report found.

The post MA Beneficiaries With Cancer Spend Less on Healthcare Than Traditional Medicare Beneficiaries appeared first on MedCity News.

Novartis became the seventh drugmaker to legally challenge the White House’s Medicare drug pricing negotiation program. The company filed its lawsuit three days after HHS announced the first 10 drugs that were selected for the program — its heart failure medication Entresto was one on the list. HHS can expect to face more lawsuits from the manufacturers of the 10 drugs it named last week, experts have warned.

The post HHS Will Likely Face More Lawsuits Against Drug Price Negotiation Now That It Has Named the First 10 Meds Included In the Plan appeared first on MedCity News.

HHS released the first 10 drugs selected for the Medicare Drug Price Negotiation Program. These drugs include Eliquis, Jardiance and Xarelto. Under the program, the federal government will be able to negotiate the price for selected drugs for the first time.

The post HHS Drops First 10 Drugs for Medicare Drug Price Negotiation appeared first on MedCity News.

A new study found that between 16.2% and 17.7% of Medicare Advantage enrollees reported using post-acute care services, compared to 22.4% to 24.1% of traditional Medicare enrollees.

The post Report: MA Enrollees Use Postacute Services Less Than Traditional Medicare appeared first on MedCity News.

About 20% of Medicare beneficiaries are “very worried” about the long-term sustainability of Medicare, 54% are “somewhat worried” and 25% are “not at all worried,” according to an eHealth survey.

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Only 44% of Medicare Advantage enrollees said they “fully understand” their plan, while 50% said they “somewhat understand” it and 6% said they don’t understand it, according to a recent survey.

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Suvida Healthcare — a startup providing primary care for Medicare-eligible Hispanic adults — is adopting Elation Health’s primary care-specific technology platform. The platform comprises an EHR, as well as software for patient engagement, telehealth and revenue cycle management. Suvida’s chief medical officer said Elation beat out the competition due to its focus on both primary care and value-based care.

The post Suvida Healthcare Taps Elation EHR to Help Power Care for Hispanic Seniors appeared first on MedCity News.

About 27% of Medicare Advantage enrollees are Black, Latino or Asian, versus 17% of traditional Medicare enrollees, according to a report conducted by ATI Advisory and commissioned by the Better Medicare Alliance.

The post Report: Black, Latino, Asian Americans Are More Likely To Choose MA Plans Over Traditional appeared first on MedCity News.

For breast cancer, 20.5% of patients received a screening in the year prior to being on Medicare, compared to 30.4% in the first year of being on Medicare, according to an Epic Research report. For colorectal cancer, screening rates jumped from 6% in the year before being on Medicare to 11% in the first year of being on Medicare.

The post Patients Are More Likely To Get Cancer Screenings Once on Medicare, Report Finds appeared first on MedCity News.

The Treat and Reduce Obesity Act would expand Medicare coverage for obesity screenings, treatments and therapies like anti-obesity medications. The Health Equity Coalition for Chronic Disease came out in favor of the bill and asked for swift passage.

The post Coalition Applauds Reintroduction of Obesity Treatment Bill, Urges Passage appeared first on MedCity News.

On average, Medicare households spent 15% of their total spending on health-related expenses in 2021, versus 7% for non-Medicare households, according to a new KFF report.

The post Healthcare Spending Burden Is Higher for Medicare Households than Non-Medicare Households appeared first on MedCity News.

Over the past decade, a significant percentage of the country’s physicians have shifted from working in private practices (defined as those owned wholly by physicians) to working in bigger, health system-owned practices. The ability to negotiate higher payment rates with insurers when working at a larger practice is a crucial factor causing this trend, according to a new AMA analysis.

The post Fewer Physicians Are Practice Owners Than Ever & Medicare Rates Are to Blame, AMA Says appeared first on MedCity News.

CMS recently revealed its proposals to raise reimbursement rates for hospital outpatient departments and cut payments for physicians. Next year, the agency is planning to decrease physicians’ pay by 1.25% and increase outpatient payment rates by 2.8%. Provider groups are unhappy with the news — AMA President Dr. Jesse Ehrenfeld said the new physician fee schedule will be “almost biblical in its impact.”

The post ‘This Is Almost Biblical in Its Impact’: Providers Push Back Against CMS’ New Proposed Rules appeared first on MedCity News.

The average income of a traditional Medicare enrollee is $85,085, versus $76,720 for a Medicare Advantage enrollee, according to a whitepaper done in partnership between Harvard Medical School and software solutions company Inovalon.

The post Report: MA Enrollees Are More Likely to be Socioeconomically Disadvantaged than Traditional Medicare appeared first on MedCity News.

In 2018, there were 41.5 high-risk medications per 1,000 beneficiaries for Medicare Advantage, compared to 56.9 high-risk medications per 1,000 beneficiaries for traditional Medicare, a new study found.

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Lawsuits filed in opposition to the White House’s drug pricing negotiation program are beginning to mount, but legal experts agree that the plaintiffs’ arguments probably won’t hold up during a court battle. However, these lawsuits still could delay when the government’s ability to negotiate price goes into effect.

The post Lawsuits Against Medicare Drug Negotiations Are Mounting, But They Probably Won’t Be Able to Stop The Plan appeared first on MedCity News.

Twelve short years ago I was a single mother, pregnant and surviving off of food stamps where I relied on the support of the SNAP program. Now, I’ve been given the opportunity to build a platform where I can give a voice to those in similar positions that I once was in and advocate for their needs.

The post It’s Not Just Work Requirements; Food Insecurity is a Multidimensional Issue appeared first on MedCity News.

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A new KFF analysis showed that Medicare spending per person increased to $15,700 in 2022 from $5,800 in 2000, representing a 4.6% average annual growth.

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