How does CDS affect orders for imaging exams?
Can the use of clinical decision-support (CDS) software significantly improve...Read more on AuntMinnie.comRelated Reading: Enterprise imaging: Threat or opportunity for radiology? Don't delay planning for Medicare decision-support rules CMS delay of decision support creates opportunities Change buys National Decision Support Company SNMMI partners with NDSC on appropriate use criteria (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - May 25, 2018 Category: Radiology Source Type: news

Anthem's Tampa-based subsidiaries name new CEO and CFO
Eight months after Anthem Inc. acquired Freedom Health Inc., and Optimum Healthcare Inc., the two Medicare Advantage plans have named new executive leadership. Jigar Desai was named as chief executive officer and Nancy Gareau as chief operating officer of the Tampa-based subsidiaries owned by Anthem (NYSE: ANTM). Desai previously served as chief financial officer for both organizations. He joined the companies in 2008 and has played an integral role in the health plans’ successes through his… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - May 25, 2018 Category: Pharmaceuticals Authors: Frances McMorris Source Type: news

Ideology Threatens to Trump Facts in Official Medicare Handbook Ideology Threatens to Trump Facts in Official Medicare Handbook
In September, the federal government will mail a handbook on Medicare enrollment to 43 million households. This year, advocate groups for seniors are crying foul over language contained in a draft of the 2019 handbook edition sent to them for review by the U.S. Centers for Medicare& Medicaid Services.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 25, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Pfizer to Pay $23.85 Mln to Resolve U.S. Kickbacks Case Pfizer to Pay $23.85 Mln to Resolve U.S. Kickbacks Case
Pfizer Inc has agreed to pay $23.85 million to resolve U.S. government charges that the drugmaker illegally used a purportedly independent charity to pay kickbacks to Medicare patients covering their out-of-pocket drug costs.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 25, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Single-Payer Health Care in California: Here ’ s What It Would Take
Universal state health coverage has rallied Democrats in the governor ’ s race. But even with the state ’ s size and wealth, it would be hard to achieve. (Source: NYT Health)
Source: NYT Health - May 25, 2018 Category: Consumer Health News Authors: PATRICIA COHEN and REED ABELSON Tags: Health Insurance and Managed Care Elections, Governors Newsom, Gavin Democratic Party California Midterm Elections (2018) Medicare Medicaid Taxation Employee Fringe Benefits Source Type: news

First steps toward APM participation for radiologists
There's no doubt that Medicare's payment for physician services is moving toward...Read more on AuntMinnie.comRelated Reading: How important is the MIPS cost category to radiology? Are you ready for Medicare's value modifier adjustment for 2018? Don't delay planning for Medicare decision-support rules What radiologists should know about 2018 MIPS changes Coding and billing considerations in interventional radiology (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - May 25, 2018 Category: Radiology Source Type: news

Drugmakers Blamed for Blocking Generics Have Increased Prices, Cost US Billions Drugmakers Blamed for Blocking Generics Have Increased Prices, Cost US Billions
Makers of brand-name drugs called out by the Trump administration for potentially stalling generic competition have hiked their prices by double-digit percentages since 2012 and cost Medicare and Medicaid nearly $12 billion in 2016.Kaiser Health News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 24, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Report: Prominent heart doc pushed ethical envelope in pursuit of innovation
Prominent cardiac surgeon and heart device developer Dr. O.H. Frazier regularly cut corners and skirted ethical guidelines in his pursuit of cardiovascular innovations, according to a combined Houston Chronicle and ProPublica report. Accusations against Dr. Frazier include the implantation of experimental heart pumps in patients who weren’t approved to be included in clinical trials, favoring experimental heart pumps in procedures over proven treatments and not acknowledging issues with the devices, failures to disclose consulting fees and research grants and allowing unlicensed researchers to treat patients in his p...
Source: Mass Device - May 24, 2018 Category: Medical Devices Authors: Fink Densford Tags: Cardiovascular Research & Development Source Type: news

Electromed wins medical device excise tax refund from IRS
Electromed (NSDQ:ELMD) said yesterday that the Internal Revenue Service will refund approximately $406,000 the company paid related to the federal medical device excise taxes associated with the sale of its SmartVest airway clearance system. The New Prague, Minn.-based company said the refund comes from sales of the device during tax periods ended June 30, 2014 through December 31, 2015. Electromed said that the refund will be recognized on its financial statements during its first fiscal quarter, ending June 30, and is the result of an examination the company concluded with the IRS this month which determined th...
Source: Mass Device - May 24, 2018 Category: Medical Devices Authors: Fink Densford Tags: Business/Financial News Electromed Source Type: news

Brookwood Baptist faces CMS scrutiny over incident in psychiatric unit
Brookwood Baptist Medical Center is facing scrutiny from the Centers for Medicare& Medicaid Services over an incident in the hospital's psychiatric unit. The hospital could face a loss of Medicare billing privileges unless the issues are correct. According to a spokesperson from CMS, the issue stemmed from an April incident in which a psychiatric patient was physically restrained by hospital staff. The patient later suffered cardiac arrest and die d. CMS said the staff failed to utilize proper… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - May 24, 2018 Category: Pharmaceuticals Authors: Tyler Patchen Source Type: news

Improving bundled payments in the Medicare program
Brief looks at three ways to improve the effectiveness of bundled payment systems. (Source: HSR Information Central)
Source: HSR Information Central - May 24, 2018 Category: International Medicine & Public Health Source Type: news

Comments from Richard Besser, MD, on Direct Provider Contracting Models
Richard Besser comments in response to the Center for Medicare and Medicaid Innovation's Request for Information on Direct Provider Contracting Models. (Source: RWJF - News Releases)
Source: RWJF - News Releases - May 24, 2018 Category: Health Management Authors: Robert Wood Johnson Foundation Tags: Health Care Coverage and Access Source Type: news

Trump Admin Puts Brand-Name Manufacturers in Crosshairs
(MedPage Today) -- Medicare could save billions if generics came to market quicker (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - May 24, 2018 Category: American Health Source Type: news

Bringing AI to Colorectal Cancer Screening
Freenome is looking to build a diagnostic test that can learn from its mistakes. The South San Francisco, CA- based company is using artificial intelligence to improve colorectal cancer screening. To do this, Freenome has initiated AI-EMERGE, a clinical study for the AI-Genomics blood test, which will collect samples from up to 3,000 patients in the U.S. and Canada. Freenome CEO, Gabe Otte said the infusion of AI is a natural step in the evolution of diagnostics that should have been taken years ago. “If you look at the traditional molecular diagnostic tests that are out there – the PSA tests for example &ndash...
Source: MDDI - May 24, 2018 Category: Medical Devices Authors: Omar Ford Tags: IVD Source Type: news

Delayed hospice care common for dialysis patients
(Reuters Health) - Very few Medicare patients on dialysis receive hospice care at the end of life, and when they do, they're often enrolled too briefly to fully benefit from these services, a U.S. study suggests. (Source: Reuters: Health)
Source: Reuters: Health - May 23, 2018 Category: Consumer Health News Tags: healthNews Source Type: news

Medicare for All: Overtaken by Events
(MedPage Today) -- Today's Medicare isn't fit to become single-payer healthcare (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - May 23, 2018 Category: American Health Source Type: news

Evaluation of the Comprehensive Primary Care Initiative: Fourth Annual Report
This is the fourth and final report evaluating the four-year Comprehensive Primary Care (CPC) initiative, which was launched by CMS'Center for Medicare& Medicaid Innovation to improve primary care delivery, health care quality, and patient experience, and lower costs. This fourth and final report to CMS covers the full CPC intervention period (October 2012 through December 2016). (Source: HSR Information Central)
Source: HSR Information Central - May 23, 2018 Category: International Medicine & Public Health Source Type: news

CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
The Centers for Medicare and Medicaid Services is seeking comment by June 22, 2018 on a revision of a current information collection titled "Medicare Current Beneficiary Survey" which is used to help determine the cost and utilization of health care over a period of time. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - May 23, 2018 Category: Rural Health Source Type: news

Humana adding jobs in Tampa
Humana is hiring 100 full-time employees for its Tampa office, the company announced Tuesday. The Louisville, Kentucky-based health care company is increasing its workforce to meet demands associated with the upcoming open enrollment period for Medicare. The open enrollment runs from Oct. 15 through Dec. 7. Though the enrollment period is temporary the jobs will be permanent. Tampa had t he second highest job growth in the state based on the most recent state jobs report. As of April, Tampa had… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - May 22, 2018 Category: American Health Authors: Janelle Irwin Source Type: news

Humana adding jobs in Tampa
Humana is hiring 100 full-time employees for its Tampa office, the company announced Tuesday. The Louisville, Kentucky-based health care company is increasing its workforce to meet demands associated with the upcoming open enrollment period for Medicare. The open enrollment runs from Oct. 15 through Dec. 7. Though the enrollment period is temporary the jobs will be permanent. Tampa had t he second highest job growth in the state based on the most recent state jobs report. As of April, Tampa had… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - May 22, 2018 Category: Biotechnology Authors: Janelle Irwin Source Type: news

Iora Health's digitally-backed primary care attracts another $100M
Cambridge, Massachusetts-based Iora Health, a digitally-enabled primary care provider that focuses on the senior Medicare population, announced yesterday that it has closed $100 million in Series E financing. This brings the company ’s total funding to at least $223.5 million. (Source: mobihealthnews)
Source: mobihealthnews - May 22, 2018 Category: Information Technology Source Type: news

A tricky wrinkle in Trump's Medicare Rx "Blueprint"
Consolidating all Medicare drug payments under Part D sounds easy, but some cancer patients fear they'll take a hit (Source: Health News: CBSNews.com)
Source: Health News: CBSNews.com - May 22, 2018 Category: Consumer Health News Source Type: news

CMS: Medicare Program; CY 2018 Updates to the Quality Payment Program; and Quality Payment Program: Extreme and Uncontrollable Circumstance Policy for the Transition Year; Corrections
The Centers for Medicare& Medicaid Services (CMS) has issued this document which corrects technical errors that appeared inMedicare Program; CY 2018 Updates to the Quality Payment Program; and Quality Payment Program: Extreme and Uncontrollable Circumstance Policy for the Transition Year published on November 16, 2017. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - May 22, 2018 Category: Rural Health Source Type: news

Tampa law firm expands health care practice with a managed care legal expert from WellCare
Her experience on the regulatory side of health care started with turn as a fraud and abuse attorney in Washington, D.C., for the Centers for Medicare and Medicaid Services. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - May 21, 2018 Category: Biotechnology Authors: Frances McMorris Source Type: news

Multiple Lawsuits, Multiple Deaths, $900k from Medicare
(MedPage Today) --'More than 15, less than 30'malpractice suits, he said (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 21, 2018 Category: Primary Care Source Type: news

Medicare: CMS Should Take Actions to Continue Prior Authorization Efforts to Reduce Spending
GAO was asked to examine CMS's prior authorization programs. GAO examined 1) the changes in expenditures and the potential savings for items and services subject to prior authorization demonstrations, 2) reported benefits and challenges of prior authorization, and 3) CMS's monitoring of the programs and plans for future prior authorization. (Source: HSR Information Central)
Source: HSR Information Central - May 21, 2018 Category: International Medicine & Public Health Source Type: news

National Conferences on Medicare, Medicaid, & Duals
October 14-18, 2018; Washington, DC. (Source: HSR Information Central)
Source: HSR Information Central - May 21, 2018 Category: International Medicine & Public Health Source Type: news

Billing for More Than 24 Hours a Day
(MedPage Today) -- Colorado physician still eligible for payments after Medicare kerfuffle (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - May 18, 2018 Category: American Health Source Type: news

Marked Differences Seen in IHD, HF Mortality Among VA Centers Marked Differences Seen in IHD, HF Mortality Among VA Centers
The variation in mortality was surprising but also highlights the narrow focus the Centers for Medicare& Medicaid has taken to overly weight 30-day rehospitalizations, an expert says.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 17, 2018 Category: Consumer Health News Tags: Cardiology News Source Type: news

Medicare Beneficiary Identifier (MBI) Cards
May 22, 2018 2:00pm ET. Audio Conference details: Dial-in: 888.397.5339 Participant Code: 872882 (Source: HSR Information Central)
Source: HSR Information Central - May 17, 2018 Category: International Medicine & Public Health Source Type: news

CMS Drug Spending
Dashboards are interactive tools that provide spending information in Medicaid, Medicare Part B, and Medicare Part D. (Source: HSR Information Central)
Source: HSR Information Central - May 17, 2018 Category: International Medicine & Public Health Source Type: news

Congressional Bill Would Add 1,000 Doctors To Fight Opioid Addiction
The Opioid Workforce Act would create 1,000 new " Medicare-supported " medical residency positions, training “new doctors in addiction medicine, addiction psychiatry or pain management, " Florida U.S. Sen. Bill Nelson said. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - May 17, 2018 Category: Pharmaceuticals Authors: Bruce Japsen, Contributor Source Type: news

CMS Publicizes Costliest Increases for Medicare, Medicaid Drugs CMS Publicizes Costliest Increases for Medicare, Medicaid Drugs
Medicare and Medicaid have faced persistent double-digit increases in the prices of insulin products, as well as notable jumps in the cost of other well-established medicines dating to the 1990s.Medscape Medical News (Source: Medscape Business of Medicine Headlines)
Source: Medscape Business of Medicine Headlines - May 17, 2018 Category: Pharmaceuticals Tags: Family Medicine/Primary Care News Source Type: news

Medicare Slow to Boot Docs with State Sanctions
(MedPage Today) -- Federal program keeps paying physicians found incompetent or unethical (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - May 17, 2018 Category: American Health Source Type: news

The essential scan: Top findings in health policy research
The latest research on Medicare advantage savings, precision medicine approval processes, pricing strategies for Hep C, reduced cost sharing, and Medicare bundled payments. (Source: HSR Information Central)
Source: HSR Information Central - May 17, 2018 Category: International Medicine & Public Health Source Type: news

Sharing negotiated discounts at the pharmacy counter could save seniors with diabetes more than $350 annually
Sharing a portion of negotiated rebates at the pharmacy counter could save seniors in Medicare with diabetes more than $350 annually, according to anew analysis from IHS Markit. The data also show sharing negotiated rebates could save Medicare nearly $1000 annually for every senior taking diabetes medication and reduce total health care spending by approximately $20 billion over the next ten years.“Robust competition and choice in Medicare Part D has led to expanded coverage and stable premiums, but more needs to be done to improve affordability and predictability for seniors,” said Stephen J. Ubl, president an...
Source: The Catalyst - May 17, 2018 Category: Pharmaceuticals Tags: drug cost Medicare out of pocket costs Source Type: news

Nigeria:Health Obstacles
[This Day] Anyone is free to fall sick, under the law. But that freedom of choice is severely curtailed by the individual's access to good medicare. Although there is an existing law which grants any citizen the right to be treated for gunshot wounds in this nation, pray try convincing a wounded armed robber to visit the nearest general hospital for treatment. (Source: AllAfrica News: Health and Medicine)
Source: AllAfrica News: Health and Medicine - May 17, 2018 Category: African Health Source Type: news

AARP MedicareComplete Insured Through UnitedHealthcare
As an AARP member, you have access to Medicare health plans, available with prescription drug coverage. ... Learn how to access plans and pricing. (Source: AARP.org News)
Source: AARP.org News - May 17, 2018 Category: American Health Source Type: news

Medicare Part D in 2018: The Latest on Enrollment, Premiums, and Cost Sharing
This analysis presents findings on Medicare Part D enrollment, premiums, and cost sharing in 2018 and key trends over time, based on data from the Centers for Medicare& Medicaid Services (CMS). (Source: HSR Information Central)
Source: HSR Information Central - May 17, 2018 Category: International Medicine & Public Health Source Type: news

easyMedicare.com Joins Popular Social Media Platform
easyMedicare.com increases social media presence by creating an Instagram account to share the latest Medicare news, videos and lifestyle trends(PRWeb May 17, 2018)Read the full story at http://www.prweb.com/releases/2018/05/prweb15493334.htm (Source: PRWeb: Medical Pharmaceuticals)
Source: PRWeb: Medical Pharmaceuticals - May 17, 2018 Category: Pharmaceuticals Source Type: news

easyMedicare.com Joins Popular Social Media Platform
easyMedicare.com increases social media presence by creating an Instagram account to share the latest Medicare news, videos and lifestyle trends(PRWeb May 17, 2018)Read the full story at https://www.prweb.com/releases/2018/05/prweb15493334.htm (Source: PRWeb: Medical Pharmaceuticals)
Source: PRWeb: Medical Pharmaceuticals - May 17, 2018 Category: Pharmaceuticals Source Type: news

New Medicare Perk: Diabetes Prevention
Title: New Medicare Perk: Diabetes PreventionCategory: Health NewsCreated: 5/15/2018 12:00:00 AMLast Editorial Review: 5/16/2018 12:00:00 AM (Source: MedicineNet Diabetes General)
Source: MedicineNet Diabetes General - May 16, 2018 Category: Endocrinology Source Type: news

President Trump Promises to Attack High Drug Prices
President Trump laid out a plan he says will lead to lower prescription drug prices through tougher negotiation between individual Medicare Part D prescription drug plans – administered by private ... (Source: AARP.org News)
Source: AARP.org News - May 16, 2018 Category: American Health Source Type: news

New Medicare Perk: Diabetes Prevention
TUESDAY, May 15, 2018 -- Millions of U.S. seniors can now take part in a Medicare program designed to prevent prediabetes from progressing to type 2 diabetes. Almost half of Americans 65 and older have prediabetes, and many don't know it. In... (Source: Drugs.com - Daily MedNews)
Source: Drugs.com - Daily MedNews - May 15, 2018 Category: General Medicine Source Type: news

Humana seeks to fill 90 jobs in South Florida
Health insurance giant Humana has posted openings for 90 full-time positions in national phone sales at its Miramar office. The company (NYSE: HUM) is ramping up its workforce in advance of Medicare open enrollment, which runs from Oct. 15 to Dec. 7. Humana wants to hire phone sales and enrollment specialists to help customers nationwide with Humana Medicare Advantage plans. Start dates will range from May 14 through July 9. Workers must hold a high school diploma or GED, and be available for any… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - May 15, 2018 Category: American Health Authors: Brian Bandell Source Type: news

CMS National Training Program (NTP)
Use this site to access all of CMS'materials and educational opportunities that will help users better understand and educate others about Medicare, Medicaid, the Children's Health Insurance Program (CHIP), and the Federally-facilitated Health Insurance Marketplace. (Source: HSR Information Central)
Source: HSR Information Central - May 15, 2018 Category: International Medicine & Public Health Source Type: news

HHS Chief Builds Case for Tougher Medicare Drug Negotiations HHS Chief Builds Case for Tougher Medicare Drug Negotiations
US Health and Human Services (HHS) Secretary Alex Azar offers feisty remarks aimed at drugmakers at Monday press conference, then details more nuanced approach in meeting with reporters.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 14, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Get Docs Out of Drug-Buying Business, HHS Chief Urges
(MedPage Today) -- Azar details plan for competitive bidding program in Medicare Part B (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - May 14, 2018 Category: Primary Care Source Type: news

Medicare Program: Durable Medical Equipment Fee Schedule Adjustments to Resume the Transitional 50/50 Blended Rates to Provide Relief in Rural Areas and Non-Contiguous Areas CMS-1687-IFC
CMS is seeking comments on an interim final rule that increases payments to suppliers for some DME and enteral nutrition in areas of the country that are not subject to the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DEMPOS) Competitive Bidding Process (CBP). Comments must be submiteed by July 9, 2018. (Source: HSR Information Central)
Source: HSR Information Central - May 14, 2018 Category: International Medicine & Public Health Source Type: news

U.S. to consider expanding Medicare drug price negotiation
WASHINGTON (Reuters) - The Trump administration is considering expanding Medicare's ability to negotiate the cost of drugs by giving private payers a role in setting the price of medicines administered in hospitals and doctors' offices, Health and Human Services Secretary Alex Azar said on Monday. (Source: Reuters: Health)
Source: Reuters: Health - May 14, 2018 Category: Consumer Health News Tags: healthNews Source Type: news