Medicare and Private Health Plans Agree to Common Standards to Evaluate Doctors: Why This Is Good News for Consumers
For over a year, a multi-stakeholder group composed of Medicare administrators, doctors, private health plan representatives, consumer groups and employers has worked together to figure out a uniform way to rate doctors’ performance. Today, the group announced agreement on a core set of quality measures that Medicare and private health insurance plans will phase in to evaluate doctors.
AARP encourages Americans to review their health insurance options during the Affordable Care Act (ACA) open enrollment period that started Sunday. Open enrollment (from Nov. 1 to Jan. 31) is an important opportunity for consumers to find a plan that could save them more money, offer better services, or include more of their doctors.
A seismic change in Medicare and the rest of the U.S. health care industry began Oct. 1, when a new system of diagnostic codes — which all health providers must use to get paid — finally went into effect after a decade of controversy.
The federal government popped the cap off drug spending on April 30, detailing doctor-by-doctor and drug-by-drug how Medicare and its beneficiaries spent $103 billion on pharmaceuticals in 2013.
After 17 years of kicking the proverbial can down the road, Congress has come together in bipartisan fashion to repeal and replace Medicare’s flawed formula for reimbursing doctors with an improved payment plan. With President Obama’s April 21 signature of the Medicare and CHIP Reauthorization Act (MACRA), Medicare beneficiaries can finally feel more secure in knowing that they can keep seeing their physicians each year.
Older patients are not the same as younger patients. You’d think this was obvious, yet doctors often use a one-size-fits-all approach to prescribing treatment that can put their older patients at risk.
Ever wonder why the magazines in your doctor’s waiting room are so out of date? One office I was in had a Golf Digest from 2012. Are our docs just trying to bore us to death? Do they put out only old magazines and keep the new ones for themselves? Or is something else going on?
The swift, lethal nature of brain cancer — and the terrible decisions it forces families to face — has been in the news recently, with three of its victims forcing us to think about choices we hope we never have to make.
Medicare spent $6.7 billion too much in 2010 by "inappropriately" paying claims from physicians who had submitted the wrong billing codes or no documentation at all for certain services, according to a new report from the inspector general of the U.S. Department of Health and Human Services (HHS).
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