McBrayer Law Blog

SEPTEMBER 28, 2021

In April of 2019, the Centers of Medicare and Medicaid Service (CMS) finalized rules to increase telehealth benefits for Medicare Advantage enrollees, effectively incentivizing health systems with high numbers of private Medicare plan recipients to invest in telehealth services.

Telemedicine 64

Telemedicine Compliance COVID-19 Fraud 64

Healthcare IT News - Telehealth

JANUARY 4, 2021

Hospitals will negotiate hard with Centers for Medicare & Medicaid Services and Medicare Advantage plans to be paid on a per month basis to ensure there is a continuous revenue stream, moving away totally from a fee-for-service agreement. Hospitals will also lobby hard to receive revenues from telehealth services.

US Department of Health and Human Services 212

US Department of Health and Human Services COVID-19 COVID-19 Vaccine Hospitals 212

Health Populi

MARCH 19, 2019

Payors have begun to recognize the value of nudging consumers toward over-the-counter products under Medicare Advantage plans. Indirect costs are an additional layer of value: for companies, workers using OTC meds generate $34 billion in workplace productivity benefits.

Health Insurance 59

Health Insurance Hospitals Medicare Medicare 59

Jane Sarashon

MAY 20, 2022

But for people in the 50s and older, facing retirement sooner rather than later, the sticker-shock reality of a $315,000 price tag for health care costs will be a stress-inducing moment that could be long-lived. For additional context and potential sticker-shock, note that long-term care in the U.S.

Medicare 56

Medicare Medicare Medicaid Medicaid 56

HIT Consultant

FEBRUARY 8, 2023

FHIR was created to not only increase communication efficiency and interoperability compared to earlier standards, but also to facilitate implementation by giving clear specifications and allowing developers to take advantage of popular Web tools. Similar to a URL for a web page, every resource has an own identification tag.

HIPAA 52

HIPAA Medicaid Medicaid Compliance 52

Healthcare Law Blog

JANUARY 13, 2023

A lot of the week was spent with health plans and Medicare Advantage or Medicaid focused providers or management companies extolling the virtues of “whole person health,” “coordinated care” and other similar approaches. There are a lot of “blockbuster” drugs coming to market today and in the near future with eye-watering price tags.

COVID-19 98

COVID-19 Medicaid Medicaid Nurses 98

Hall Render

DECEMBER 1, 2023

to Recruit, Train Primary Care Students UAMS Gets $17.5M to hospitals Propella Therapeutics, Pittsboro firm with 5 employees, sold for $175M Winston-Salem’s clinical research organization Javara raises $9.43

Nursing Homes 40

Nursing Homes Nurses Ransomware COVID-19 40