Medicare Cuts Could Limit Access to Critical Lab Tests
Medical tests done by clinical laboratories are an essential part of health care. However, repeated Medicare reimbursement cuts to clinical laboratory services could threaten patients’ access to common tests used to diagnose, monitor and manage serious diseases such as cancer, diabetes and heart disease. A new campaign, called Stop Lab Cuts, is working to fix this […]
Why Some Insurers Now Want Patients To Buy Brand-Name Drugs—Not Generics
In recent years, there has been a shift in the insurance industry towards encouraging patients to purchase brand-name drugs instead of generic alternatives. While generics have traditionally been considered a cost-effective alternative to brand-name drugs, some insurers are now arguing that the opposite is true. In this article, we will explore the reasons behind this […]
The Independent Medical Group Strategic Resource Guide For Growing MA
As the healthcare industry continues to evolve, independent medical groups (IMGs) are facing unique challenges in growing and expanding their practices. The Medicare Advantage (MA) program is a valuable opportunity for IMGs to grow their patient base and revenue, but it requires careful planning and strategic thinking. Here are some key considerations for IMGs looking […]
Medicare Opioid Prescription Assessment
The Medicare Opioid Prescription Assessment is a tool that is designed to help healthcare providers ensure that their patients who are receiving opioid medications are receiving safe and appropriate care. With the opioid epidemic continuing to ravage communities across the United States, it is more important than ever for healthcare providers to be diligent in […]
Can Mark Cuban Lower Medicare Drug Costs? A Deeper Dive Into The Headlines
In recent years, healthcare costs in the United States have skyrocketed, and one area where patients are particularly feeling the pinch is in the cost of prescription drugs. With the rising cost of pharmaceuticals, there has been a growing call for reforms to lower the price of drugs and make healthcare more affordable for Americans. […]
Medicare Advantage Hospice Benefit
Medicare Advantage (MA) plans are an alternative to Original Medicare that are offered by private insurance companies. These plans are required to provide all the same benefits as Original Medicare, but they can also offer additional benefits such as vision, dental, and hearing coverage. One of the benefits that MA plans can provide is hospice […]
How To Code Communication Technology-Based Services For Medicare Beneficiaries
With the growing popularity of telehealth services, the Centers for Medicare and Medicaid Services (CMS) have introduced new guidelines for healthcare providers to code and bill for communication technology-based services (CTBS) for Medicare beneficiaries. These services, which involve the use of virtual communication tools such as telephone, email, or secure messaging to provide healthcare services, […]
Turning 65: What to Consider When Selecting a Medicare Plan
Approaching age 65 can be an overwhelming time for many newly eligible Medicare beneficiaries. When can you begin to enroll? Which plans should you consider? What do you need to know?Here’s some information that can help.You have a seven-month window called the Initial Enrollment Period (IEP) to sign up for Medicare benefits, which begins three […]
Medicare Advantage Market Outlook
Medicare Advantage, also known as Medicare Part C, is a type of health insurance plan offered by private companies that contracts with Medicare to provide beneficiaries with all their Part A and Part B benefits. In recent years, the Medicare Advantage market has been growing rapidly, and it is expected to continue to do so […]