Reimbursement
Medicare began reimbursing physicians for advance-care planning counseling in 2016, but only about a third of adults have such a document.
The rule increases new technology add-on payment from 50 to 65% for cases with high costs involving eligible new technologies.
Many facilities seem unable to adjust expenses to coincide with declining volume, posing a fundamental risk to hospitals and health systems.
Expanding coverage, lowering healthcare costs, central to Democratic agenda.
CMS Administrator Seema Verma says administration is not afraid of legal push-back from providers or payers.
One of the largest private insurance plans to use population-based global budgets achieved success in slowing spending growth.
Patient response rates have been declining over the years; the response rate was 33% in 2008 but just 26% in 2017.
Children without insurance were 3.3 times more likely to be transferred than those covered under private insurance.
Smaller hospitals may lack the requisite expertise, personnel and financial resources necessary to make the leap.
Personalized communications and robust analytics capabilities can help MA plans avoid some of the pitfalls of coverage gaps.