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How Medicare Advantage Programs Can Address Social Risk and Improve Health Outcomes

HIT Consultant

Brian Norris, Managing Director of Strategic Consulting at MedeAnalytics There are almost 33 million people enrolled in eligible Medicare programs. Nearly half are enrolled in Medicare Advantage (MA) plans, and that number is expected to continue its climb. Strategies for MA Plans to Address Social Needs 1.

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Patient discharge delays pose threat to health outcomes, AHA warns

Healthcare Dive

The hospital lobby is asking Congress to establish a temporary per diem Medicare payment to help ease healthcare capacity issues.

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Medicare Advantage seniors have better health outcomes, study finds

Healthcare Dive

New research from Harvard and Inovalon found MA beneficiaries had fewer hospital readmissions, fewer preventable hospitalizations and lower rates of high-risk medication use than those in traditional Medicare.

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HIMSSCast: Whole person care and data interoperability drivers

Healthcare It News

Social determinants of health – the food, shelter and security attributes of patients that exist outside of care settings – contribute disproportionate risks for disease, hospital readmissions and a lack of access to quality healthcare among vulnerable populations, including people on Medicare. Like what you hear?

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ACOs not shown to improve mental health outcomes: study

Fierce Healthcare

Accountable care organizations do not positively influence treatment and outcomes for chronic mental health conditions for Medicare patients, according to a study in Health Affairs. | A new study pours water on the belief that ACOs are well-suited to handle chronic mental health conditions its patients experience.

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Moving aging patients from confusion to the point of care

Healthcare It News

By making use of technologies such as artificial intelligence, providers can empower senior patients with the extra guidance and support that informs them and gets them to the point of care, according to Karl Ulfers, cofounder and CEO at DUOS, a senior-focused digital care navigation platform designed for Medicare beneficiaries.

Medicare 300
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OptimizeRx AI pilot identifies non-adherence risks

Healthcare It News

The company found that machine learning was able to accurately predict healthcare providers with at-risk patients due to loss of insurance coverage, including Medicare coverage gaps. Rochester, Michigan-based OptimizeRx Corp., which provides care-focused engagement throughout patient journeys and connects more than 60% of U.S.