Public Programs Provide Stability for Commercial Insurers

The top five commercial insurers in the United States are UnitedHealthcare, Anthem, Aetna, Cigna, and Humana. Medscape reports these insurers make up 43% of the nation’s population with health insurance coverage. New research has shown that these providers are becoming more reliant on public programs to provide stability. Their profit and growth are becoming more dependent on programs like Medicaid …

Alert Your Patients – Medicare Open Enrollment Easier in 2018

It’s that time of year again! We are approaching the time of lights illuminating houses and snowmen lining the sidewalks. Where we spend time with our families and a glass of cocoa in front of a warm fire. As the cold weather sets in, and the holidays approach it’s time to start thinking about more than travel plans. While we …

Open Payments

Open Payments: Increased Transparency in Healthcare Gains Momentum

When a doctor or hospital has a financial relationship with a manufacturing company, they trade money for things like research, gifts, public speaking, food, and travel. The Affordable Care Act (ACA) requires that when companies and providers make this exchange, they disclose the spending. CMS has created a program called Open Payments that the federal government maintains. CMS works to …

CMS Reveals How Much Physicians Earn

CMS Reveals How Much Physicians Earn

Earlier this year CMS announced that they now have information outlining Medicare data and its relation to how much physicians earn. This type of clarity has not always been available to the public. In the past, CMS could only release information including a physician’s name, address, and phone number. This was because of rules and regulations put in place by …

CMS Makes Medicare Card More Secure

CMS Makes Medicare Card More Secure

Unfortunately, scammers target vulnerable populations including people over the age of 65. It has been this way for centuries and most likely not changed. They aim for older individuals over the phone, claiming to be a representative of Medicare. To inhibit this, CMS has announced they will be issuing more secure Medicare cards to all Medicare recipients starting in 2018. …

Specialists Offer Chronic Care Management Services

It would seem to many providers that Chronic Care Management (CCM) services make the most sense for Primary Care Physicians (PCP). After all, they are the clinicians that manage a multitude of ailments for their patients, specifically those with multiple chronic illnesses.  However, general practitioners are not always on board with adding Chronic Care Management to the services they offer.  …

New Billing Codes for Chronic Care Management Attract Specialists

In 2015, the Centers for Medicare and Medicaid Services (CMS) recognized the need for Chronic Care Management (CCM) services.  In response to the overwhelming research showing the impact that CCM was having on patients around the world, they introduced billing code 99490.  Though the reimbursement rates vary from state to state (some as high as $50 and others as low …