Posts filed under ‘Medicare’

Payer 101: Three things every healthcare market researcher should know


How much do you know about the U.S. health insurance landscape?

In this post, we’ll discuss three basic aspects of U.S. health plan payers: type, geography, and size. Understanding these aspects will help you design a study sample that is representative of your market.

Continue Reading July 29, 2015 at 4:07 PM 1 comment

MedSpan Research’s Tips for Conducting Payer Research


MedSpan Research’s Mentions…Here’s a Tip!

 

MedSpan Research finds that many consumers do not know the type of Medicare (Fee for Service vs. Advantage) or Medicaid (state vs. managed) insurance they have. When conducting an Internet survey with consumers, ask them to look at their insurance card to give you an accurate answer.

June 23, 2015 at 9:02 AM Leave a comment

Medicare Acute and Post-Acute Care Payments for 30-day Episodes That Began With Hospitalization and Cost Depending on Location


For each of these types of admissions (congestive heart failure), the cost of post-acute care, on average, exceeds that of inpatient care arising from the initial admission and any readmissions. The location in which the patient is discharged is also a factor in the cost.

Continue Reading April 10, 2015 at 4:23 PM Leave a comment

Many Medicare Beneficiaries Seeing Their Needs Unmet, Especially When Care Being Prepaid


One of the most vulnerable patient groups in healthcare are the elderly. Still, there are Medicare beneficiaries reporting needs that are unmet. This includes any care that a patient requires, but does not receive.

Continue Reading April 6, 2015 at 11:32 AM Leave a comment

2015 Started Out With 89 New ACOs Joining the Medicare Shared Savings Program


89 new ACOs joined the Medicare Shared Savings Program starting January 2015, increasing the total participating ACOs to 424; including the Innovation Center’s 19 Pioneer ACOs. The 89 new Shared Services ACOs added 23,000 additional physicians and other providers to the Medicare Shared Savings Program’s provider network. The Share Services ACOs combined with the Innovation Center’s 19 Pioneer ACOs will serve over 7.8 million beneficiaries.

Continue Reading March 25, 2015 at 2:20 PM Leave a comment

Medicare Value-Based Purchasing Program to Give Incentive Payment Boost to 37% More Hospitals in 2015 Than 2014


in 2015, 463 more hospitals will be seeing a Medicare value-based purchasing program payment boost than 2014.

Continue Reading March 18, 2015 at 9:17 AM Leave a comment

How will private ACOs impact your business?


As healthcare reform shifts from traditional fee-for-service to alternative provider compensation models, such as shared savings/risk-sharing arrangements, provider organizations that aren’t already on the ACO bandwagon are closely watching the performance of ACOs around the country to see if they should get in the game. Last week, a private California ACO reported early success.

Continue Reading June 16, 2014 at 10:43 AM Leave a comment

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