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.
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.
In response to an earlier request from LT-HHS-AdvanceCare-051215 , we are pleased that the Centers for Medicare & Medicaid Services (CMS) has recommended in its recent proposed update to the Medicare physician fee schedule that Medicare be able to pay for advance care planning (ACP) services from physicians and other providers.
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.
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).
Medicare patients have new help in picking a doctor, the federal government recently announced. Quality ratings for medical practices have been added to Medicare's Physician Compare website, a national list of physicians and other health care providers who accept Medicare.
In the late 1950s, a young physician named Gene Farley was working as a small-town doctor in rural New York state when he came to the realization that what he had learned in medical school was all wrong.
No one questions when a doctor asks if an older, cognitively impaired patient is still driving, and urges family members to take away the car keys for the safety of the patient and everyone else.
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