Medicare

Express Scripts Readies Emergency Support for Impacted Members in Advance of Hurricane Michael

Retrieved on: 
Tuesday, October 9, 2018
Specialty drugs, Health, Federal assistance in the United States, Healthcare reform in the United States, Presidency of Lyndon B. Johnson, Biotechnology, Accredo, Express Scripts, Tricare, Pharmacy, Medicare, Medicaid

In accordance with State of Emergency declarations in Alabama and Florida, Express Scripts (NASDAQ: ESRX) has implemented emergency procedures for its members in these areas, including Medicare, Medicaid and TRICARE beneficiaries, and patients who fill medications via the company's Accredo specialty pharmacy.

Key Points: 
  • In accordance with State of Emergency declarations in Alabama and Florida, Express Scripts (NASDAQ: ESRX) has implemented emergency procedures for its members in these areas, including Medicare, Medicaid and TRICARE beneficiaries, and patients who fill medications via the company's Accredo specialty pharmacy.
  • In addition, Express Scripts is contacting impacted home delivery pharmacy customers and Accredo specialty customers to reschedule pending medication shipments due to the storm, or to divert the shipment to an alternate address, as needed.
  • Members can call the number on the back of their prescription ID card, or visit https://www.express-scripts.com , for more information.
  • For additional emergency preparedness tips and information, please visit http://lab.express-scripts.com/lab/insights/adherence/rx-planning-in-tim...
    Express Scripts is a healthcare opportunity company.

Express Scripts Introduces Medicare Part D Plan Offerings for 2019

Retrieved on: 
Tuesday, October 9, 2018
Health, Pharmaceuticals policy, Federal assistance in the United States, Healthcare reform in the United States, Medicare, Presidency of Lyndon B. Johnson, Express Scripts, PDP, Pharmacy, Medicare Part D, Medicare Rights Center

ST. LOUIS, Oct. 9, 2018 /PRNewswire/ --Express Scripts (NASDAQ: ESRX) today introduced its Express Scripts Medicare Prescription Drug Plan (PDP) offerings for 2019, offering seniors three high-value options for coverage and savings.

Key Points: 
  • ST. LOUIS, Oct. 9, 2018 /PRNewswire/ --Express Scripts (NASDAQ: ESRX) today introduced its Express Scripts Medicare Prescription Drug Plan (PDP) offerings for 2019, offering seniors three high-value options for coverage and savings.
  • The Express Scripts Medicare Value and Choice plans provide broader medication access and preferred pharmacy options.
  • To learn more about the Express Scripts Medicare plan options, visit:
    express-scriptsmedicare.com/info , or call toll free 1.866.544.3794.
  • Express Scripts Medicare (PDP) is a prescription drug plan with a Medicare contract.

Pareto Intelligence Introduces Direct-to-EHR Messaging Solution for Enhanced Payer-Provider Communication

Retrieved on: 
Tuesday, October 9, 2018
Healthcare reform in the United States, Federal assistance in the United States, Presidency of Lyndon B. Johnson, Managed care, Medicare Advantage, Medicaid, Medicare, Government, United States, Politics

This solution can be applied to all markets, including Medicare Advantage (MA), Commercial and Affordable Care Act (ACA), and Medicaid populations.

Key Points: 
  • This solution can be applied to all markets, including Medicare Advantage (MA), Commercial and Affordable Care Act (ACA), and Medicaid populations.
  • Each member insight sent by Pareto Engage is generated by Pareto's advanced analytic platform and includes important information to support risk, clinical and quality improvement initiatives.
  • "Our revolutionary solution supports direct-to-EHR message delivery and response without any workflow deviations for providers, therefore driving toward better outcomes."
  • Pareto Intelligence is an analytics and advisory company that delivers technology solutions to improve value-based outcomes.

Devoted Health Approved by CMS to Offer Medicare Advantage Plans to Floridians in 2019

Retrieved on: 
Monday, October 8, 2018
Healthcare reform in the United States, Federal assistance in the United States, Presidency of Lyndon B. Johnson, Health, Managed care, Medicare Advantage, Medicare, Medicaid, Medicare Rights Center, Draft:E-TeleQuote Insurance

WALTHAM, Mass., Oct. 8, 2018 /PRNewswire/ --Devoted Health today announced approval from the Centers for Medicare and Medicaid Services to offer Medicare Advantage Plans in the state of Florida.

Key Points: 
  • WALTHAM, Mass., Oct. 8, 2018 /PRNewswire/ --Devoted Health today announced approval from the Centers for Medicare and Medicaid Services to offer Medicare Advantage Plans in the state of Florida.
  • "Devoted Health is solely focused on a high-quality delivery of Medicare Advantage plans using world-class technology.
  • With Devoted Health, the two brothers are now committed to providing simpler, more effective healthcare for people on Medicare.
  • Launching Medicare Advantage plans in 2019, Devoted Health is on a mission is to provide simple, seamless, and affordable healthcare.

Devoted Health Approved by CMS to Offer Medicare Advantage Plans to Floridians in 2019

Retrieved on: 
Monday, October 8, 2018
Healthcare reform in the United States, Federal assistance in the United States, Presidency of Lyndon B. Johnson, Health, Managed care, Medicare Advantage, Medicare, Medicaid, Medicare Rights Center, Draft:E-TeleQuote Insurance

WALTHAM, Mass., Oct. 8, 2018 /PRNewswire/ --Devoted Health today announced approval from the Centers for Medicare and Medicaid Services to offer Medicare Advantage Plans in the state of Florida.

Key Points: 
  • WALTHAM, Mass., Oct. 8, 2018 /PRNewswire/ --Devoted Health today announced approval from the Centers for Medicare and Medicaid Services to offer Medicare Advantage Plans in the state of Florida.
  • "Devoted Health is solely focused on a high-quality delivery of Medicare Advantage plans using world-class technology.
  • With Devoted Health, the two brothers are now committed to providing simpler, more effective healthcare for people on Medicare.
  • Launching Medicare Advantage plans in 2019, Devoted Health is on a mission is to provide simple, seamless, and affordable healthcare.

Think Whole Person Healthcare Leads the Change in Healthcare

Retrieved on: 
Friday, October 5, 2018
Healthcare reform in the United States, Federal assistance in the United States, Liberalism in the United States, Medicare, Presidency of Lyndon B. Johnson, United States National Health Care Act, NEBRASKA, United States, Government

In fact, three of Nebraska's eight ACOs earned savings, with Think Whole Person Healthcare leading the pack.

Key Points: 
  • In fact, three of Nebraska's eight ACOs earned savings, with Think Whole Person Healthcare leading the pack.
  • These savings are even more meaningful considering that Think serves less than 6.5% of the state's overall Medicare ACO population.
  • We're pleased to be leading this change in Nebraska healthcare," said Think CEO, Rick Pane.
  • Think Whole Person Healthcare delivered the state's lowest cost of care in 2017 at $8,798.

Disruption in combination inhaled corticosteroid therapy may lead to an increased rate of costly exacerbations and hospitalizations for Medicare patients

Retrieved on: 
Thursday, October 4, 2018
Long-acting beta-adrenoceptor agonist, Medicare, Medication, Health, Chemistry

SAN ANTONIO, Oct. 4, 2018 /PRNewswire/ --Disruption of the refill of patients' regular combination inhaled corticosteroid therapy brand may have impacted symptoms and disease control and potentially lead to an increased rate of costly exacerbations and hospitalizations.

Key Points: 
  • SAN ANTONIO, Oct. 4, 2018 /PRNewswire/ --Disruption of the refill of patients' regular combination inhaled corticosteroid therapy brand may have impacted symptoms and disease control and potentially lead to an increased rate of costly exacerbations and hospitalizations.
  • Of the patients who did not switch to an alternate controller medication, 37 percent filled a prescription for an acute medication.
  • "This Medicare Part D formulary switch was associated with a disruption in the management of patients' respiratory conditions," says Dr. Katie Devane, lead researcher.
  • "Approximately 45 percent of the patients did not receive an ICS/LABA after the formulary block, which may have impacted patients' symptoms and disease control and potentially lead to an increased rate of costly exacerbations and hospitalizations."

A Recent KPMG Study Supports that Home Non-invasive Ventilation for COPD Reduces Costs and Hospitalizations

Retrieved on: 
Thursday, October 4, 2018
Healthcare reform in the United States, Health, Federal assistance in the United States, Liberalism in the United States, Medicare, Presidency of Lyndon B. Johnson, Chronic obstructive pulmonary disease, Non-invasive ventilation

It is time for both medical practice and health insurers, including Medicare, to catch up with changes in technology.

Key Points: 
  • It is time for both medical practice and health insurers, including Medicare, to catch up with changes in technology.
  • A chief finding was that patients using NIV at home with a high-touch care model have the lowest overall costs and hospitalization rates.
  • The KPMG study offers compelling evidence that both outcomes and costs can be improved through home NIV with a high-touch care model.
  • For example, only 22 percent of COPD patients with CRF using NIV died, compared to 38 percent of untreated patients.

Tranquil Care Hospice Awarded Community Health Accreditation Partner (CHAP) Accreditation

Retrieved on: 
Wednesday, October 3, 2018
Health, Accreditation, Quality assurance, Caregiving, Hospice, Chap, Medicare, Community Health Accreditation Program

SANTA MONICA, Calif., Oct. 03, 2018 /PRNewswire-PRWeb/ -- Tranquil Care Hospice, the only hospice services company based in Santa Monica, CA, announced today that they have been awarded CHAP (Community Health Accreditation Partner, Inc.) Accreditation under the CHAP Hospice Standards of Excellence.

Key Points: 
  • SANTA MONICA, Calif., Oct. 03, 2018 /PRNewswire-PRWeb/ -- Tranquil Care Hospice, the only hospice services company based in Santa Monica, CA, announced today that they have been awarded CHAP (Community Health Accreditation Partner, Inc.) Accreditation under the CHAP Hospice Standards of Excellence.
  • By achieving CHAP Accreditation, Tranquil Care Hospice has also been deemed to meet the Medicare Conditions of Participation and is certified as a Medicare provider.
  • "By achieving CHAP Accreditation, Tranquil Care Hospice has shown a commitment to excellence," said Karen Collishaw, CHAP President & CEO.
  • By receiving CHAP Accreditation, Tranquil Care Hospice has demonstrated that it meets the industry's highest nationally recognized standards.

Acuity Matters: Study Demonstrates Long-Term Care Hospitals Provide Superior Outcomes for Country's Most Severely Ill Patients across All Post-Acute Care Settings

Retrieved on: 
Wednesday, October 3, 2018
Health, Healthcare reform in the United States, Federal assistance in the United States, Presidency of Lyndon B. Johnson, Medical terminology, Health informatics, Medicare, Medicaid, Long-term care, Long-term acute care facility, Bundled payment

WALLINGFORD, Conn., Oct.3, 2018 /PRNewswire/ -- A landmark outcomes study was publicly released today demonstrating that long-term care hospitals provide superior outcomes for the Nation's most severely ill patients than in any other post-acute care setting.

Key Points: 
  • WALLINGFORD, Conn., Oct.3, 2018 /PRNewswire/ -- A landmark outcomes study was publicly released today demonstrating that long-term care hospitals provide superior outcomes for the Nation's most severely ill patients than in any other post-acute care setting.
  • The research for the study was based on 2016 data from the Centers for Medicare & Medicaid (CMS).
  • The data indicates that although long-term care hospitals care for an overall sicker population, such institutions provide significantly better outcomes for patients of the highest acuity with:
    than patients of the same severity of illness recovering in other post-acute settings.
  • "The Medicare data demonstrates what LTCHs have known all along: our nation's sickest patients achieve significantly better outcomes in long-term care hospitals than in any other post-acute care setting."