In recent years, the Medicare program has implemented various bundled payment programs to reduce healthcare costs and improve the quality of care. These programs aim to incentivize healthcare providers to work collaboratively to provide more efficient and effective patient care, ultimately resulting in better outcomes and cost savings for patients and the healthcare system. … [Read more...] about Target Prices Influence Hospital Participation And Shared Savings In Medicare Bundled Payment Program
Medicare Advantage Special Needs Plans For Patients With Renal Disease
End-Stage Renal Disease (ESRD) is a severe condition in which the kidneys can no longer function correctly, leading to a buildup of toxins in the body. Treatment for ESRD includes dialysis or a kidney transplant, which can be expensive and overwhelming for patients. Medicare Advantage Special Needs Plans (SNPs) have been developed to provide targeted care for patients with … [Read more...] about Medicare Advantage Special Needs Plans For Patients With Renal Disease
Pathways for Specialty Care Coordination and Integration in Population-based Models
As the US population ages, Medicare has become an essential resource for millions of Americans seeking access to quality healthcare. However, navigating the complex web of providers, specialists, and services within the Medicare system can be challenging, especially for those with chronic or complex medical conditions. Many healthcare organizations are turning to … [Read more...] about Pathways for Specialty Care Coordination and Integration in Population-based Models
CMS Artificial Intelligence Health Outcomes Challenge
The Centers for Medicare and Medicaid Services (CMS) Artificial Intelligence (AI) Health Outcomes Challenge was a multi-phase competition designed to encourage the development of AI tools to predict unplanned hospital admissions and adverse events in Medicare beneficiaries. The competition was launched in 2019 and concluded in 2021, with six finalist teams receiving … [Read more...] about CMS Artificial Intelligence Health Outcomes Challenge
Comparing Medicare Advantage And Traditional Medicare: A Systematic Review
As the population of the United States ages, more and more people are becoming eligible for Medicare. Medicare is a federal health insurance program that covers people 65 or older, people with specific disabilities, and people with end-stage renal disease. However, two types of Medicare plans are available to eligible individuals: traditional Medicare and Medicare Advantage. … [Read more...] about Comparing Medicare Advantage And Traditional Medicare: A Systematic Review