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Current Medicare News and Events, Medicare News Articles.
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Rutgers leads effort to replicate care management programs in 4 U.S. cities
Rutgers Center for State Health Policy will partner with the Camden Coalition of Healthcare Providers and the Center for Health Care Strategies to bring cost-effective care management programs to (2012-06-15)
Internists in Washington to discuss patient and professional issues in meetings on Capitol Hill
Nearly 400 internal medicine physicians and medical students from 44 states and the District of Columbia gathered in Washington today for the annual American College of Physicians Services Leadership Day on Capitol Hill. (2012-06-06)
Johns Hopkins' Hospital at Home program improves patient outcomes while lowering health care costs
Using a Johns Hopkins-developed program that allows medical professionals to provide acute hospital-level care within a patient's home, a New Mexico health system was able to reduce costs by roughly 20 percent and provide equal or better outcomes than hospital inpatients, according to new research. (2012-06-04)
Study examines models to improve care and reduce the high cost for Medicare beneficiaries
It's well known that a relatively small percentage of chronically ill patients accounts for a disproportionate amount of health care dollars. (2012-06-04)
Under pressure from Medicare, hospitals hold more seniors for observation
A new study finds that more elderly patients in the emergency departments of hospitals are being held for observation rather than admitted as inpatients. (2012-06-04)
Caltech research shows Medicare auction will face severe difficulties
Medicare's new method for buying medical supplies and equipment -- everything from wheelchairs and hospital beds to insulin shots and oxygen tanks -- is doomed to face severe difficulties, according to a new study by researchers at the California Institute of Technology. (2012-06-01)
More than 9-in-10 ED patients who receive CT of the abdomen and pelvis are clinically complex
The overwhelming majority (93.8 percent) of patients undergoing computed tomography of the abdomen and pelvis in the emergency department (ED) setting are classified as clinically complex, according to a study in the June issue of the Journal of the American College of Radiology. (2012-06-01)
Most occupational injury and illness costs are paid by the government and private payers
UC Davis researchers have found that workers' compensation insurance is not used nearly as much as it should be to cover the nation's multi-billion-dollar price tag for workplace illnesses and injuries. (2012-05-25)
Internists challenge Congress to work with physicians to develop better payment models
The American College of Physicians today urged the House Ways and Means Committee to report legislation to repeal the Sustainable Growth Rate and transition to better payment models, building on the extensive work being done in the public and private sectors by physicians, government, consumers and other stakeholders to develop new models aligned with high-value patient care. (2012-05-23)
Safer kidney cancer surgery under-used for poorer, sicker Medicare, Medicaid patients
An increasingly common and safer type of surgery for kidney cancer is not as likely to be used for older, sicker and poorer patients who are uninsured or rely on Medicare or Medicaid for their health care, according to a new study by researchers at Henry Ford Hospital. (2012-05-15)
Hospital readmission rates linked to availability of care, socioeconomics
Differences in regional hospital readmission rates for heart failure are more closely linked to the availability of care and socioeconomic factors than to hospital performance or patients' degree of illness. (2012-05-11)
ACP pleased with rule to increase Medicaid payment rates
The American College of Physicians, representing 132,000 internal medicine specialists and medical student members, is pleased to see the Centers for Medicare and Medicaid Services' release of the proposed rule to increase Medicaid payment rates for certain primary care services to the level of Medicare, which will apply to both fee-for-service and managed care Medicaid plans. (2012-05-10)
ACP applauds introduction of bipartisan bill to eliminate Medicare SGR formula
The American College of Physicians today applauded Rep. Allyson Schwartz (D-Pa.) and Rep. (2012-05-09)
AMA committee recommendations on doctor fees set by Medicare are followed 9 times out of 10
To calculate physicians' fees under Medicare the Centers for Medicare and Medicaid Services relies on the recommendations of an American Medical Association advisory panel. (2012-05-07)
APBI associated with more mastectomies, toxicities, complications, compared to traditional radiation
Accelerated partial breast irradiation (APBI) brachytherapy, the localized form of radiation therapy growing increasingly popular as a treatment choice for women with early-stage breast cancer, is associated with higher rate of later mastectomy, increased radiation-related toxicities and post-operative complications, compared to traditional whole breast irradiation (WBI), according to researchers from the University of Texas MD Anderson Cancer Center. (2012-05-01)
Internal medicine physician specialists release policy paper on reforming Medicaid
A dozen recommendations to ensure that Medicare beneficiaries have access to high-quality, coordinated care were provided today by the American College of Physicians. (2012-04-20)
Research!America says budget negotiations heighten urgency to protect research funding
Rancorous budget debates between the Administration and Congress obscure the fact that the nation's leadership in science and innovation is tenuous at best if spending for research is cut drastically. (2012-04-19)
Kidney care reports don't line up with care billed by physicians
Information on a mandatory Medicare form regarding the care that older chronic kidney disease patients receive doesn't match the actual care that is billed by physicians. (2012-04-19)
Study examines drug regimen for the treatment of non-small cell lung cancer among older patients
Analysis of a drug regimen approved by the F.D.A. in 2006 for the treatment of non-small cell lung cancer (bevacizumab added to the standard chemotherapy regimen carboplatin and paclitaxel) finds Medicare insured patients age 65 years and older who received this regimen did not have improved survival compared to patients who received the standard treatment of carboplatin and paclitaxel alone. (2012-04-17)
Patients often stop taking heart drugs during Medicare coverage gaps
Patients in the Medicare Part D prescription drug coverage gap without supplemental insurance were more likely than others to discontinue their heart disease medication. (2012-04-17)
Study examines medicare use for Mohs micrographic surgery and surgical excision for skin cancer
An analysis of Medicare beneficiaries suggests that surgical treatment for nonmelanoma skin cancer increased substantially from 2001 through 2006, primarily due to a doubling in the rate of Mohs micrographic surgery procedures, according to a report published in the April issue of Archives of Dermatology, a JAMA Network publication. (2012-04-16)
Pre-nursing home hospitalization of dementia patients incurs sizable Medicare costs
Among the key findings of a novel analysis of Alzheimer's disease-related Medicare expenditures, is that the federal insurer faces particularly high payments for hospitalization during the period between when patients are first diagnosed and when they enter long-term care. (2012-04-10)
Physicians less likely to prescribe antidepressants to minorities, Medicaid patients
African-Americans and Hispanics with major depressive disorder are less likely to get antidepressants than Caucasian patients, and Medicare and Medicaid patients are less likely to get the newest generation of antidepressants. (2012-04-05)
Higher-spending hospitals have fewer deaths for emergency patients
Higher-spending hospitals do have better outcomes for their emergency patients, including fewer deaths, according to a Vanderbilt study released as a working paper through the National Bureau of Economic Research. (2012-04-03)
Researchers find little secondary cancer risk from multi-detector CT scans in Medicare population
The secondary cancer risk from multi-detector computed tomography (MDCT) scans is low among older adults, according to a study from Stanford University in the April issue of the Journal of the American College of Radiology. (2012-04-02)
Researchers: Myeloid malignancies underreported in US
Researchers at Moffitt Cancer Center in Tampa, Fla., and colleagues from the UF Shands Cancer Center in Gainesville, Fla., have found that cases of myeloid malignancies are being underreported since a change in registry protocols and laboratory practices starting in 2001. (2012-03-28)
No improvement in patient outcomes seen in hospitals with pay-for-performance programs
A new study from Harvard School of Public Health finds no evidence that the largest hospital-based pay for performance program in the US improved 30-day mortality rates, a measure of whether patients survive their hospitalization. (2012-03-28)
The present and future of the Affordable Care Act
The American College of Physicians, representing 132,000 internal medicine specialists and medical student members, is pleased to report that the Affordable Care Act has resulted in major improvements in access and coverage for tens of millions of Americans seen by internal medicine physicians. (2012-03-26)
Medicare/Medicaid rule increases costs without improving patient outcomes for defibrillator implants
The cost to place an implantable cardioverter-defibrillator increased by $844 per case after a new requirement from the Centers for Medicare and Medicaid Services went into effect in February 2010, according to research presented today at the American College of Cardiology's 61st Annual Scientific Session. (2012-03-25)
Simple heart failure checklist reduces readmission rates, improves care, could save billions
Use of a new, simple and inexpensive checklist appears to drastically lower the likelihood of heart failure patient readmission and improve quality of care when used before patients leave the hospital, according to research presented today at the American College of Cardiology's 61st Annual Scientific Session. (2012-03-24)
Use of anesthesia providers during GI procedures is growing, but may be unnecessary
A new study finds that as much as $1.1 billion in annual spending on anesthesia services for colonoscopies and other outpatient gastroenterology screening procedures may be unnecessary. (2012-03-20)
Increase seen in use of anesthesiologists to provide sedation during endoscopies, colonoscopies
Between 2003 and 2009, the use of anesthesia services to provide sedation during endoscopies and colonoscopies increased substantially, according to a study in the March 21 issue of JAMA. (2012-03-20)
Drug coverage of Medicare beneficiaries with kidney failure -- some surprising findings
The majority of Medicare beneficiaries with kidney failure participate in Medicare's Part D prescription drug coverage program, and most of these receive a low-income subsidy from the program, according to a study appearing in an upcoming issue of the Journal of the American Society Nephrology. (2012-03-08)
Radiation still used despite evidence of little benefit to some older breast cancer patients
Even though a large clinical study demonstrated that radiation has limited benefit in treating breast cancer in some older women, there was little change in the use of radiation among older women in the Medicare program, Yale School of Medicine researchers report in the March Journal of Clinical Oncology. (2012-03-05)
Legislation introduced to guarantee free colorectal cancer screening for all medicare beneficiaries
Colonoscopy for colorectal cancer screening saves lives, but a loophole in current Medicare law may cause patients to think twice before undergoing this vital test. (2012-03-01)
CT colonography shown to be comparable to standard colonoscopy
Virtual colonoscopy is comparable to standard colonoscopy at detecting colorectal cancer and precancerous polyps in people ages 65 and older, according to a paper published online Feb. (2012-02-23)
Colon Cancer Alliance and American College of Radiology demand Medicare cover virtual colonoscopy
In response to a study published online Feb. 23 in Radiology which showed that virtual colonoscopies are comparably affective to standard colonoscopy at detecting colorectal cancer and precancerous polyps in adults ages 65 and older, the Colon Cancer Alliance and the American College of Radiology released a joint statement demanding Medicare cover seniors for screening virtual colonoscopies -- also known as CT colonography. (2012-02-23)
Medicare and Medicaid CT scan measure is unreliable according to new BWH study
Researchers at Brigham and Women's Hospital have published findings that question the reliability of a new Centers for Medicare and Medicaid Services quality measure. (2012-02-23)
Assessing the impact of the Affordable Care Act on health care for veterans
While the Affordable Care Act will expand health insurance coverage for low-income persons through Medicaid and state health-insurance exchanges, including much-needed care for 1.8 million uninsured veterans in the US, the new insurance coverage option also may have a number of unintended negative effects on health care for veterans, said Kenneth W. (2012-02-22)
Recession and high co-pays tied to fewer colonoscopy screenings among people with health insurance
University of North Carolina at Chapel Hill researchers found that during the recent US recession, continuously insured Americans underwent fewer screening colonoscopies. (2012-02-21)
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