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Total 16524 results found since Jan 2013.
NP Convicted; U.S. Plans to Ban Medical Debt From Credit Reports; NFL Doc Retiring
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A Florida nurse practitioner was convicted for her part in a Medicare fraud scheme that racked up $200 million in claims for expensive genetic testing and medical...
Source: MedPage Today Public Health - September 22, 2023 Category: American Health Source Type: news
DOJ: Florida Nurse Practitioner Guilty in $200 Million Fraud Case
A Florida nurse practitioner has been convicted in a $200 million Medicare fraud scheme. Elizabeth Hernandez, 45, took part in a scheme to defraud the government by submitting phony claims for genetic testing and medical equipment that the Medicare beneficiaries did not need, the U.S. Department…#florida #medicare #elizabethhernandez #hernandez #hernadnez #miami #pymnts #michaeljabbara #visa
Source: Reuters: Health - September 21, 2023 Category: Consumer Health News Source Type: news
Uptake of a Universal Sports Subsidy Program for School-Aged Children: A Population Data Analysis
CONCLUSIONS: Future work is needed to understand how Sports Voucher, and sport participation rates have changed over time, and to improve voucher uptake among girls, city dwellers, and low SES children.PMID:37734744 | DOI:10.1123/jpah.2022-0204
Source: Health Physics - September 21, 2023 Category: Physics Authors: Rachel G Curtis Michelle Crisp Simone Licari Rosa Virgara Catherine E M Simpson Carol A Maher Source Type: research
Understanding wheelchair use in older adults from the National Health and Aging Trends Study
CONCLUSIONS: Current wheelchair users reported more physical difficulties and were much less likely to go outside. This lower outdoor mobility could be due to physical difficulties or potential barriers in physical and socio-cultural environments. In addition, older adults who do not use wheelchairs showed increasing physical problems over time (including balance or coordination problems). Clinicians should consider older wheelchair users' health and physical limitations when prescribing wheelchairs.PMID:37734645 | DOI:10.1016/j.apmr.2023.09.006
Source: Health Physics - September 21, 2023 Category: Physics Authors: Qiong Nie Laura A Rice Jacob J Sosnoff Sa Shen Wendy A Rogers Source Type: research
Medicare Advantage enrollment by immigration and English proficiency status
CONCLUSIONS: Our findings suggest higher MA enrollment among immigrants, especially for LEP immigrants. Future research should study the care experience of immigrants in MA.PMID:37729534 | DOI:10.37765/ajmc.2023.89432
Source: The American Journal of Managed Care - September 20, 2023 Category: Health Management Authors: Sungchul Park David J Meyers Maricruz Rivera-Hernandez Arturo Vargas Bustamante Source Type: research
Predicting hospitalizations for patients with chronic kidney disease
CONCLUSIONS: We developed an algorithm that uses medical claims to identify Medicare patients with CKD stages 3 to 5 who are at highest risk of being hospitalized in the near term. This algorithm could be used as a decision support tool for clinical programs focusing on management of patient populations with CKD.PMID:37729531 | DOI:10.37765/ajmc.2023.89428
Source: The American Journal of Managed Care - September 20, 2023 Category: Health Management Authors: Steph Karpinski Scott Sibbel Kathryn Gray Adam G Walker Jiacong Luo Carey Colson Juliana Stebbins Steven M Brunelli Source Type: research
Varied use of step therapy among Medicare Advantage plans
CONCLUSIONS: MA plans vary in the frequency with which they impose step therapy protocols in their Part B drug coverage policies. Moreover, insurers often impose different step therapy protocols in their MA plan and commercial plan offerings. Differences in plans' step therapy requirements may result in variability in patients' access to care within MA.PMID:37729529 | DOI:10.37765/ajmc.2023.89426
Source: The American Journal of Managed Care - September 20, 2023 Category: Health Management Authors: Nola B Jenkins Donald E Nichols Daniel E Enright James D Chambers Source Type: research
Comparison of primary payer in cancer registry and discharge data
CONCLUSIONS: Findings suggest caution in conducting and interpreting research using insurance variables in cancer registries.PMID:37729528 | DOI:10.37765/ajmc.2023.89425
Source: The American Journal of Managed Care - September 20, 2023 Category: Health Management Authors: Youngmin Kwon Marcelo C Perraillon Coleman Drake Bruce L Jacobs Cathy J Bradley Lindsay M Sabik Source Type: research
Medicare ’s Historic Prescription Drug Price Negotiations
This Viewpoint evaluates the legal claims and policy implications of historic drug price negotiations possible with the Inflation Reduction Act of 2022.
Source: JAMA - Journal of the American Medical Association - September 20, 2023 Category: General Medicine Source Type: research
Screening for Social Determinants of Health Among Medicare Beneficiaries in Primary Care During the Covid-19 Pandemic in Prince George ’s County, Maryland
AbstractPrimary care providers in Prince George ’s County, Maryland reported inconsistencies in their ability to identify and refer patients with social care needs. This project aimed to improve health outcomes of Medicare beneficiaries by implementing social determinant of health (SDOH) screening to identify unmet needs and improve rates of re ferral to appropriate services. Buy-in was achieved from providers and frontline staff via stakeholder meetings at a private primary care group practice. TheHealth Leads questionnaire was modified and integrated into the electronic health record. Medical assistants (MA) were train...
Source: Journal of Community Health - September 18, 2023 Category: International Medicine & Public Health Source Type: research
1 in 4 Older, Low-Income Americans Are Uninsured
MONDAY, Sept. 18, 2023 -- As people age, health issues tend to mount, but roughly a quarter of low-income adults over 65 have no medical insurance.
That ’s the age when most Americans become eligible for Medicare, the federal health insurance for...
Source: Drugs.com - Daily MedNews - September 18, 2023 Category: General Medicine Source Type: news
Health Care Transparency —What You See Should Be What You Get
The rapid increase in out-of-pocket medical costs has motivated the implementation of policies that provide consumer-friendly and actionable cost information. The aims of price transparency regulations include a more engaged health care consumer and enhanced competition among clinicians, ultimately leading to improved patient-centered outcomes and increased efficiency in medical spending. An important example is the Centers for Medicare& Medicaid Services (CMS) Hospital Price Transparency Rule that requires hospitals to disclose cash prices and commercial payer –specific negotiated rates for 70 clinical services deemed to be shoppable.
Source: JAMA Internal Medicine - September 18, 2023 Category: Internal Medicine Source Type: research
Tele-Neuropsychology: From Science to Policy to Practice
CONCLUSIONS: More studies of the reliability and validity of in-home tele-np-t using randomization methodology are necessary to support inclusion of tele-np-t codes on the CMS and CPT telehealth lists, and subsequently, the integration and delivery of in-home tele-np-t services across providers and institutions. These actions are needed to maintain equitable reimbursement of in-home tele-np-t services and address the widespread disparities in healthcare access.PMID:37715508 | DOI:10.1093/arclin/acad066
Source: Archives of Clinical Neuropsychology - September 16, 2023 Category: Psychiatry & Psychology Authors: Scott A Sperling Shawn K Acheson Joshua Fox-Fuller Mary K Colvin Lana Harder C Munro Cullum John J Randolph Kirstine R Carter Patricia Espe-Pfeifer Laura H Lacritz Peter A Arnett Stephen R Gillaspy Source Type: research
CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
The Centers for Medicare and Medicaid Services is seeking comments on the following information collections: 1) Add-On Payments for New Medical Services and Technologies Paid Under the Inpatient Prospective Payment System (IPPS); and 2) Health Insurance Common Claims Form. Comments are due by October 16, 2023.
Source: Federal Register updates via the Rural Assistance Center - September 15, 2023 Category: Rural Health Source Type: news
