Care Coordination in Fee-For-Service Medicare

MedPAC (The Medicare Payment Advisory Commission) published a data book in June 2012 on Health Care spending and the Medicare program. One section of this data book highlighted the following topics on Care Coordination in Fee-For-Service Medicare:

• Consequences of poor care coordination
• Reasons for poor care coordination
• Care coordination: Models and Types
• Illustrative models of care coordination
• Care coordination demonstrations in FFS Medicare
• Potential evidence of a reduction in hospitalizations in Medicare care coordination demonstrations
• Challenges of establishing an effective care coordination intervention
• Care coordination and Medicare payment policy

To view and download the full chapter, please go to the following link: Care Coordination in Fee-For-Service Medicare

For additional billing and coding resources, please click the following link: Medical Reimbursement, Inc. Resources

Dual-Eligible Beneficiaries

MedPAC (The Medicare Payment Advisory Commission) published a data book in June 2012 on Health Care spending and the Medicare program. One section of this data book highlighted statistics on dual-eligible beneficiaries (those who qualify for both Medicare and Medicaid)

The data book discussed the following:

• Percent of fee-for-service beneficiaries
• Percent of fee-for-service spending
• Ages of dual-eligible beneficiaries and non-dual-eligible beneficiaries
• Health status of of dual-eligible beneficiaries and non-of dual-eligible beneficiaries
• Demographics differences among dual-eligible beneficiaries and non-dual-eligible beneficiaries
• Differences in spending and services use rate of dual-eligible beneficiaries and non-dual-eligible beneficiaries
• Medicare and total spending are concentrated among dual-eligible beneficiaries

In addition to these statistics, the data book has additional web resources on dual-eligible beneficiaries.

To view and download the full guide, please go to the following link: Dual-Eligible Beneficiaries

For additional billing and coding resources, please click the following link: Medical Reimbursement, Inc. Resources