Reducing Burden In A Value-Based Care Model: What Physicians Need To Know
Physicians who treat a high-volume of Medicare patients will see changes January 1, as changes to Quality Payment Program (QPP) reimbursement models—MIPS (Merit-Based Incentive Payment System) and APMS (Alternative Payment Models)—take effect as part of the nation’s transition to value-based care. Value-based care ties reimbursements to outcomes, replacing the outdated fee-for-service model which garnered criticism […]
Value-Based Care & Compensation
Change is a necessary force in rebalancing systems. Even a tiny application of change can yield substantial effects over time. Americans are changing how we approach healthcare reimbursement and compensation from a solid “Fee For Service” (FFS) tradition to a Value-Based Care (VBC) model. “All physicians are familiar with the physician fee schedule (PFS) model […]
New 2022 Rates Position CMS’ Chronic Care Programs Are Ripe for Increased Revenue, Improved Outcomes
If you’ve implemented chronic care management (CCM) or remote physiologic monitoring (RPM, a.k.a. remote patient monitoring) in your practice, you know that they generate new streams of revenue while allocating more time to take better care of your patients—with potentially life-saving results. In fact, Medicare is so confident that these programs will pay off that […]
High-Dose Flu Vaccine: Is The Hype Real?
The CDC estimates that during the 2019-2020 influenza season, approximately 38 million people were infected with the flu in the U.S. With COVID-19 and flu season overlapping this year, it is crucial for patients to receive the flu vaccine to prevent hospitalizations and mortality. Studies show that people 65 years and older are most vulnerable […]
This Vaccine Is Worth A Shot
Herpes zoster, more commonly known as shingles, affects close to one million people per year in the US1. It is caused by the reactivation of a virus called varicella zoster which results in a painful skin rash, which may lead to postherpetic neuralgia that may persist for up to 90 days after initial resolution of […]
Pneumonia Vaccine – Who Should Get It And When?
Pneumococcal diseases can cause critical infections such as pneumonia, sepsis, and meningitis. Although more common in children, adults are at greater risk of serious complications and death from these infections. Currently, there are two vaccines that can help prevent pneumococcal disease: Prevnar 13 and Pneumovax 23. Knowing which to give and to which age group […]
Challenges to Good Health Among African Americans
By PharmD Live Staff Writer The Social Determinants of Health in the African-American community include all of the factors of the U.S. Government’s Healthy People 2030, a set of data-driven national goals for improving health for all Americans. Included is a focus on the Merit-based Incentive Pay System (MIPS). From poverty to food insecurity and […]
The Hidden Risks in RPM Billing: What Every US Healthcare Practice Should Know in 2025
RPM’s Booming Promise and Its Perils Remote patient monitoring (RPM) is not just a trend but a core pillar of modern US healthcare. By 2025, over 71 million Americans (26% of the population) are expected to use RPM services, with the US market projected to double to $29+ billion by 2030. RPM delivers proven clinical benefits: reducing hospital admissions by 38% and ER […]
Patient Consent in RPM: A Non-Negotiable Compliance Step for US Healthcare in 2025
Introduction: Why Patient Consent Matters More Than Ever in RPM Remote Patient Monitoring (RPM) is revolutionizing chronic care management by improving patient outcomes and unlocking sustainable revenue streams for healthcare providers. But in 2025, RPM patient consent compliance is more than a billing formality; it is a legal, regulatory, and ethical imperative. Without documented patient consent: These consequences […]
Polypharmacy in Seniors: The New Health Crisis
By Cynthia Chioma Nwaubani, PharmD, BCGP | CEO & Founder | PharmD Live Background on Polypharmacy in Seniors The population of persons 65 years and older is rapidly increasing. Approximately 49 million Americans are age 65 and older, and for the next 19 years,10,000 people will turn 65 every day. Projections estimate that the population of […]