Health care experts' podcasts on timely health policy topics.
Since the passage of the Affordable Care Act in 2010 CMS has been working to reform Medicare reimbursements from "fee for service" to "fee for value." (Earlier this year Secretary Burwell …
Excluding from taxable income the moneys employers spend in providing employees with health insurance dates back to WWII-era wage and price controls. Today, this tax policy, that amounts t…
The 2015 Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) will sunset three current Medicare performance measurement and incentive payment programs in 2018. (This year, 2016, w…
Measuring health care quality and outcomes effectively and efficiently remains a daunting task. Quality measures are largely seen as too process versus outcome focused, substantially irrel…
In an extremely busy year for Medicare delivery and payment reform, regulatory implementation of the 2015 Medicare Access and CHIP Reauthorization Act (MACRA) stands out. This past April…
What accounts for so called patient compliance or adherence or why is it the case physicians and other providers are frequently unable to successfully engage their patients. Why is it the …
Since, in part, April is recognized by DHHS as National Minority Health Month (this year's theme is "Accelerating Health Equity in the Nation") it is thoroughly appropriate to discuss Profe…
As a follow up to my April 1st conversation with Jim Gera concerning bundled payments, during this podcast Dr. Richard Morel discusses Medicare's other major payment reform program, Account…
Today, CMS launched the agency's second bundled payment demonstration, a mandatory five-year initiative in approximately 800 hospitals nation-wide. It's titled, the Comprehensive Care for …
California has been long known for health care delivery and payment reform (think, for example, Kaiser Permanente). With efforts nation-wide to better align health care quality and patien…
The Medicare program, now in its 51st year, still does not cover oral/dental health care such as exams, X-rays, cleanings, fillings, tooth extractions and dentures. (Medicare will cover a…
Much of the health care industry's effort to improve health care payment and delivery centers around improving primary care. This is largely because Americans suffer more disease/disease bu…
January 1st will mark the Affordable Care Act's (ACA) third health insurance expansion year. Under the ACA individuals with income below 400% of poverty are eligible for insurance subsidie…
Telehealth and remote monitoring services generally enable physicians to treat patients and monitor their health status remotely. Because of advances in wireless communication and biosenso…
In 2011 a 78 year old blind, amputated Vermont woman, Ms. Glenda Jimmo, was denied physical therapy services under Medicare because her condition was determined to not likely improve. Beca…
Beyond numerous other benefits derived by genetically modifying foods is herbicide resistance. This allows farmers the ability to control for weed growth without killing their crop, for exa…
Bundled or episodic health care payment for a clinically defined medical episodes of care has been used since at least the 1980s. However, recently CMS has initiated two bundled payment d…
This past July CMS announced a proposed demonstration that would either reduce or increase a Medicare home health agency's reimbursement based on quality performance. With a rapidly aging…
This past July 13th the White House convened its sixth Conference on Aging. The meeting's purpose is to identify elder care needs over the next 10 years. More specifically the meeting is…
For the past eight years the federal government has been working to create a unique medical device identification (UDI) number that would identify a medical device's manufacturer, the devic…