In South Florida, one of the nation’s top privately-run Medicare insurance plans faces a federal investigation into allegations that it overbilled the government by exaggerating how sick some of its patients were.
Today, Representatives Earl Blumenauer (OR-03) and Tom Petri (WI-06) introduced the bipartisan Medicare Transitional Care Act, which will support and coordinate care for Medicare beneficiaries as they move from the hospital setting to their homes or other care setting and ensure that appropriate
People with diabetes are 50 times more likely to develop a foot ulcer than those without, and diabetes-related foot problems are a leading cause of hospital admissions among people with diabetes. It’s the number one cause of medical amputations, which run a total cost of $80,000, including the surgery itself, wound care, prosthetic fitting and follow up treatment, according to the Centers for Disease Control and Prevention.
Teams of doctors, physician assistants, nurses and community health workers would be encouraged to work more closely to treat chronically sick Medicare patients under a bipartisan proposal being pushed in Congress by U.S. Sen. Ron Wyden of Oregon.
July 29, 2013 -- Just removed from a whirlwind trip to the nation’s capital, Bend-based physical therapist and consultant Tannus Quatre reported encouraging news in the struggle to reform Medicare reimbursement practices in the U.S.
February 25, 2013 -- At 63 and self-employed, I'm too young for Medicare, I make too much money to qualify for Medicaid, but I don't make nearly enough to afford an individual insurance policy.
December 6, 2012 – Dr. Don Berwick believes the Triple Aim is critical to the success of healthcare reform over the next few years. That means better care for individuals, better health for populations and lower healthcare costs.
“The fundamental flaw in American healthcare is fragmentation,” said the former administrator of the Centers for Medicare and Medicaid Services, who appears in Portland next Thursday to keynote the 2012 State of Reform Conference.
October 15, 2012 -- In the first study of its kind, a group of health policy experts has determined the amount of money that Medicare has overpaid private insurance companies under the Medicare Advantage program and its predecessors over the past 27 years and come up with a startling figure: $282.6 billion in excess payments, most of them over the past eight years.
That’s wasted money that should have been spent on improving patient care, shoring up Medicare’s trust fund or reducing the federal deficit, the researchers say.
Oct. 11, 2012 — Oregon Medicare beneficiaries need to remember that annual enrollment this year is from Oct. 15 to Dec. 7. Any Medicare Advantage (MA) or prescription drug plan (Part D) changes must be made between these dates so that coverage begins without interruption on Jan. 1, 2013.