Tag: Medicaid

6Aug, 2015

U.S. Healthcare Cost Back on Up Swing… on way to $5.4 Trillion (USD)

By: Charity Darby | Tags: ACA, CMS, EHR, EMR, GDP, Inflation, insurance, Mandates, Medicaid, Medicare, Regulations, Spending, U.S. Healthcare, Wellness

Since 2009 healthcare cost appeared to be changing their mid-range trend line. Some, including the President of the United States, have tried to connect that “drop” in the cost of healthcare to the passage of the Affordable Care Act of 2010 (ACA and sometime referred to as “ObamaCare”); however, most know that ACA did literally nothing to control cost, or did very little to reform how we pay for healthcare. In fact, some could say, and I have said that the ACA will actually add to long-term healthcare cost, and […]
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5Jun, 2015

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Back to the Future on ICD-10?

By: Charity Darby | Tags: CMS, HHS, ICD-10, ICD-11, ICD-9, Medicaid, Medicare, WHO

A year ago, we were all on ICD-10 watch at this time. Odd makers were all taking sides as to what would happen with the deadline of October 1, 2014 to submit on ICD-10 billing codes to Medicare and Medicaid (the largest single payer of medical care in the United States). Insurance companies and hospitals were all rushing to meet the deadline to have Congress intervene and push off a full year. Today the watch is the same, and maybe with the Medicare Sustainable Growth Rate (SGR) issue resolved, (see […]
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17Apr, 2015

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The SGR Is Dead!

By: Charity Darby | Tags: fee-for-service, Medicaid, Medicare, medigap, operating costs

We are now at the beginning of real healthcare payment reform in the United States. The President of the United States signed in to law the “Medicare Access and CHIP Reauthorization Act of 2015.” The new law represents 2 years of bipartisan hard work at the Capitol, and resolves a dilemma created by the Balanced Budget Act of 1997. Prior to today, legislative action has been required 17 times since 2003 to prevent catastrophic reimbursement cuts to Medicare service providers; this always creates huge political maneuvering not to mention, a […]
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PWeR Blog

U.S. Healthcare Cost Back on Up Swing… on way to $5.4 Trillion (USD)

Back to the Future on ICD-10?

The SGR Is Dead!