Medicare Advantage
Bundled payment system has hindered innovation in kidney care
In the movie Steel Magnolias, actor Julia Roberts plays Shelby, a young patient with diabetic kidney disease torn between her desire to be a mother and the reality of pregnancy pushing her into a life on dialysis.
Costs attributable to COPD in 2029 projected to ‘nearly double’ 2019 estimated costs
In the U.S., the projected cost attributable to COPD in 2029 is $60.5 billion, which is nearly twice the 2019 estimated costs of $31.3 billion, according to findings published in CHEST.
Patients drawn to Medicare Advantage benefits, but higher costs, data issues remain
Sources of Healio | Nephrology News & Issues have made it clear that the explosive growth in the number of patients with end-stage kidney disease that join Medicare Advantage plans has overwhelmed everyone — payers and providers alike.
Independent dialysis providers face challenges with patient care under Medicare Advantage
Passage of the 21st Century Cures Act in 2021 allowed Medicare beneficiaries with end-stage kidney disease to enroll in Medicare Advantage plans regardless of their previous coverage or when they were diagnosed.
Dementia diagnosis rates 4% lower for Medicare Advantage enrollees
PHILADELPHIA — An analysis of more than 15 million Americans enrolled in Medicare found that those enrolled in the Medicare Advantage plan had a 4% lower dementia diagnosis rate than those in traditional Medicare, according to a presenter.
U.S. News & World Report again ranks Cleveland Clinic No 1. for cardiology, heart surgery
For the 30th straight year, Cleveland Clinic topped U.S. News & World Report’s Best Hospitals rankings for cardiology and heart surgery.
VIDEO: Education on Medicare Advantage, other health care options ‘critically important’
LONG BEACH, Calif. — Getting educated on the pros and cons of Medicare Advantage may be “critically important” for patients and providers in nephrology, a speaker said, here.
Medicare-billed laser trabeculoplasty more often performed by optometrists, data show
Despite a decrease in total Medicare-allowed payments for laser trabeculoplasty across the U.S. and in three key states from 2015 to 2018, there was an increase in payments by optometrists vs. ophthalmologists, according to research.
Medicare Advantage associated with decreased utilization of elective, inpatient TJA
Results showed patients with Medicare Advantage may have decreased utilization of elective, inpatient total joint arthroplasty procedures and increased time to evaluation and surgery vs. patients with traditional Medicare coverage.
Faster loss of kidney function linked with increased Medicare Advantage health care costs
Patients with chronic kidney disease who experience accelerated loss of kidney function are likely to have higher health care costs than patients who lose function at a slower rate, according to data published in Kidney Medicine.