Tag Archives for Medicare

Medicare Part D Premiums to Remain Relatively Static Next Year

Medicare funding may be “on the table”, and part of Obama’s grand bargain with House Republicans, but the federal outlay for its services looks to remain stable for 2014, according to CMS chief, Marilyn Tavenner. The process of competitive bidding … Continue reading

31. July 2013 by Michael Douglas, MD, MBA
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Medicare Turns 48 Today

On July 30, 1965, the Medicare and Medicaid amendments to Social Security were signed into law by President Lyndon Johnson. Of course, the groundbreaking legislation would see hundreds of iterations, culminating most recently in the latter’s expansion in states that will … Continue reading

30. July 2013 by Michael Douglas, MD, MBA
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Panel: Chest CT Screening for High-Risk Smokers Should Be Performed

Get ready to add another screening recommendation for your patients. This time, the USPSTF has given the green light for third parties to pay for chest CT scanning for detecting abnormal masses in screening for lung cancer in certain high-risk … Continue reading

30. July 2013 by Michael Douglas, MD, MBA
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Texas Governor Rick Perry Remains Steadfast in Opposition to Medicaid Expansion under Reform

GOP antipathy to Obamacare has followed a smooth, if not entirely predictable trajectory ever since the bill was signed into law in March 2010. The rancor in the lead-up to the law’s passage was met with the usual mix of boisterous … Continue reading

24. May 2013 by Michael Douglas, MD, MBA
Categories: CMS, Corporate, Healthcare Policy & The Media, Politics & The Law | Tags: , , , , , , , , , , , , , | Comments Off

The Price of Obtaining Healthcare Today

You don’t have to be a healthcare policy pundit to surmise that all facets of delivery in this country are driven by profit and minimization of costs required to do it — from the insurers to Pharma, from acute hospitals … Continue reading

21. February 2013 by Michael Douglas, MD, MBA
Categories: CMS, Corporate, Healthcare Policy & The Media, Pharma & Devices, Politics & The Law, Science & Research | Tags: , , , , , , , , , , , , , , , , , | Comments Off

House Unveils HR 574

Yet another so-called doc-fix bill has been introduced in the House. Essentially the bill is the same — the usual blather about streamlining Medicare payments to physicians, and such. But, there supposedly is a silver lining that could presage passage: … Continue reading

07. February 2013 by Michael Douglas, MD, MBA
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Direct-Pay Care Slowly Expands to Heavy Managed Care Markets and Dares to Survive

The concept began in the late 20th century, as some primary care clinicians could see the pending writing on the proverbial Medicare wall — their practices were losing money, as their overhead and Medicare/Medicaid beneficiary pools were increasing. The concept … Continue reading

28. January 2013 by Michael Douglas, MD, MBA
Categories: Corporate, Politics & The Law | Tags: , , , , , , , , | 1 comment

As Society Ages, the Potential for Elder Abuse Increases

Call it a natural by-product of the increasingly staggering numbers of the post-Boomer elderly in this country. Call it a failure of certain community social safety nets to account for those seniors who fall through the fiscal cracks. Or simply … Continue reading

27. January 2013 by Michael Douglas, MD, MBA
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Former CMS Chief Mulls Higher Office

Don Berwick, MD, who left his post as CMS chief in 2011, may be considering a run for Mass. governor. In spite of his troubled tenure on Capitol Hill, Berwick remains a popular and favorably regarded health policy titan. What’s … Continue reading

09. January 2013 by Michael Douglas, MD, MBA
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Florida Governor Outed as Defending Erroneous Medicaid Spending Data

Truth in advertising? Rick Scott — Republican governor of Florida and, along with Texas governor, Rick Perry — is often most closely aligned with the drive to counter the acceptance of government funds as part of the ACA to expand … Continue reading

08. January 2013 by Michael Douglas, MD, MBA
Categories: Healthcare Policy & The Media, Politics & The Law, Science & Research | Tags: , , , , , , | Comments Off

Court Settlement Paves Way for Medicare Payment Expansion

It is with cautious optimism that I regard the recent news that the Obama administration is supporting an increase in Medicare outlays for “skilled home care” for dually eligible or Medicaid-only beneficiaries in the community. The administration sided with the … Continue reading

25. October 2012 by Michael Douglas, MD, MBA
Categories: CMS, Politics & The Law | Tags: , , , , , , , , , , , , , , , , , , , , , , , , | Comments Off

Some Hospitals Affected by Federal Miscalculations on Medicare Readmissions

CMS is taking a fresh look at participating hospitals’ readmission rates. Back in ’10, the Hospital Readmission Reduction Program was created as part of the ACA to decrease the overwhelming number of readmissions within 30 days’ time for certain key … Continue reading

03. October 2012 by Michael Douglas, MD, MBA
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Report: Doctors Billing Medicare at Higher Rates over Past 10 Years

The former head of CMS calls the latest Medicare issue an “urgent problem that must be stopped”. Mark McClellan, CMS chief during the George W Bush administration, is referring to the gradual upcoding of services rendered by healthcare providers (principally … Continue reading

30. September 2012 by Michael Douglas, MD, MBA
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