Mental illness is a big driver of Medicaid costs because it is twice as prevalent among beneficiaries of the public insurance program for the poor as it is among the general population. Studies show that enrollees with mental illness, who also have chronic physical conditions, account for a large share of Medicaid spending.Yet many Medicaid …
How Much Your Doctor Received From Medicare Use the form below to find a doctor or other medical professional among the more than 800,000 health care providers that received payments in 2012 from Medicare Part B, which covers doctor visits, tests and other treatments. APRIL 9, 2014 via How Much Your Doctor Received From Medicare …
Small Slice of Doctors Account for Big Chunk of Medicare Costs Top 1% of Medical Providers Accounted for 14% of Billing, Federal Data Show By CHRISTOPHER WEAVER, TOM MCGINTY and LOUISE RADNOFSKY Updated April 9, 2014 9:17 a.m. ET A tiny sliver of doctors and other medical providers accounted for an outsize portion of Medicare’s …
A Quiet ‘Sea Change’ in Medicare For years we have advised clients to appeal decisions that deny rehabilitation at nursing homes for those patients that have plateaued. This recent New York Times article covers last years CMS settlement over the wrongful termination of services due to a patients skill plateauing. via A Quiet ‘Sea Change’ …
Nearly 9 million poor and sick Americans are “dually eligible” for both Medicare, the federal health care program for seniors and disabled individuals, and Medicaid, the joint federal health system for low-income people. They use a lot of health services and their care is often fragmented. Melanie Bella’s new job is to help fix that. …
As Courts interpret Medicare and Medicaid laws, they ponder the language that the public policy is described in the laws. In todays Wall Street Journal JOE PALAZZOLO, writes about the difficulty in understanding the plain meaning of the enabling laws. James Madison warned in the Federalist Papers about laws "so voluminous that they cannot be …
CNN is reporting that with Medicare reforms Doctors are going broke. As a counter point, accountable care organizations start this month, Doctors may seek shelter in these practices. ACO may offer more compensation to those providers if they can keep patients from needing expensive care. This is part of great effort to rewrite our social …
Health Care Reform has been attempted by seven presidents. Obama’s administration with the Affordable Care Act, has put forth meaningful change. Even it’s detractors will state that it is legislation that is significant and can’t be ignored. There is strong argument that this is a mixed public policy debate on how to spend limited resources …
In the Tampa Bay Times, Sue Brody the CEO of Bayfront Health System, has written an excellent editorial on health care reform. She states, “health care is experiencing a paradigm shift unrivaled in the last 25 years.” According to Ms Brody providers have a tough mandate from the community and the government. While noting that …
Politifact 2011 Lie of the Year. When the journalist becomes the story, critics will state the myth of objectivity is exposed. Politifact named the Lie of the Year Democrats claim of the end of Medicare. However, the program called Medicare will continue. For the Baby Boomers, however Medicare will be nothing like it is today. …