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Public Awareness and Use of Price Transparency: Report From a National Survey
HPT requires hospitals to post prices or negotiated rates of common, “shoppable,” services, as defined by the Centers for Medicare and Medicaid (CMS), in a machine-readable format. Examples of these shoppable services include common blood tests and radiology services such as X-rays and mammograms. In July 2022, the CMS also mandated that payers post the prices for a more expansive set of services, under the Transparency in Coverage (TIC) regulation [6].
Interact J Med Res 2024;13:e64439
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Unintended Consequences of Data Sharing Under the Meaningful Use Program
The Meaningful Use program requires providers to share data with the Centers for Medicare and Medicaid Services (CMS) to ensure satisfactory health care quality. Using the Quality Reporting Document Architecture [4], providers are required to submit data in support of the quality measures applicable to their practice. If covered providers do not submit data, their rate of reimbursement is reduced.
JMIR Med Inform 2024;12:e52675
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For example, on page 4, the author states, “Nicholas et al performed a cross-sectional study of 8204 Medicare beneficiaries who received care from excluded providers. It revealed that patients treated by fraudsters experience a 13%-23% increased risk of mortality and 11%-30% higher risk of hospitalization (Nicholas et al, 2019).” Note, that the start of the sentence, “Nicholas et al” needs a period and a year in the citation.
JMIRx Med 2024;5:e57701
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For example, on page 4, the author states, “Nicholas et al performed a cross-sectional study of 8204 Medicare beneficiaries who received care from excluded providers. It revealed that patients treated by fraudsters experience a 13%-23% increased risk of mortality and 11%-30% higher risk of hospitalization (Nicholas et al, 2019).” Note, that the start of the sentence, “Nicholas et al” needs a period and a year in the citation.
2.
JMIRx Med 2024;5:e57116
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The Centers for Medicare and Medicaid (CMS) require federally funded health care organizations to screen out providers against two sources at regular intervals: the Office of Inspector General’s (OIG) List of Excluded Individuals and Entities (LEIE) and the General Services Administration’s (GSA) SAM.gov exclusion list [6].
JMIRx Med 2024;5:e52198
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For reference, we gathered Medicare-reported facility and physician fees, adjusted by state [4]. We calculated the percentage of hospitals reporting cash and commercial insurance prices and compared median prices by payment type.
This study used publicly available online data sets and did not qualify as human subject research; therefore, institutional review board approval was not required at the University of Connecticut Health Center.
JMIR Dermatol 2023;6:e50381
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In 2018, the Center for Medicare and Medicaid Services launched the Medicare DPP offering an unprecedented opportunity to reach the estimated 48.3% (25.9 million) of older adults with prediabetes [9]. Despite macrolevel policy support for disseminating lifestyle change programs (LCPs) such as the Medicare DPP, significant challenges hinder translation. There are gaps in program accessibility and population reach and challenges to community and organizational uptake and sustainability of LCPs [9-15].
JMIR Res Protoc 2023;12:e50183
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In 2019, the Center for Medicare and Medicaid Services (CMS) launched the remote physiologic monitoring (RPM) program that provided reimbursement for using technology to monitor patients between visits [1]. RPM delivers continuous or periodic digital data to a central location. These data typically are reviewed by clinical staff (eg, nurses, medical assistants) whose time is billed “incident to” the supervising physician. RPM offers an intuitive complement to remote care delivered via telehealth.
JMIR Mhealth Uhealth 2023;11:e46046
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Approximately 43% of all Medicare beneficiaries are enrolled in Medicare Advantage plans, totaling 24.4 million Americans as of July 2020 [1]. As the Medicare Advantage population lives longer with more chronic conditions, the need for palliative services and serious illness care management becomes increasingly important [2].
JMIR AI 2023;2:e42253
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