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mHealth Reimbursement

Providers Must Negotiate Telehealth Reimbursement With Payers

April 25, 2017 - Healthcare providers looking to launch a new telemedicine or mHealth program may find an unexpected ally in commercial health plans. While only 31 states and the District of Colombia mandate that private payers cover telehealth visits as they reimburse for in-person visits, health plans will negotiate policies with providers that include coverage for digital health services if they can be...


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Providers Must Negotiate Telehealth Reimbursement With Payers

by Eric Wicklund

Healthcare providers looking to launch a new telemedicine or mHealth program may find an unexpected ally in commercial health plans. While only 31 states and the District of Colombia mandate that private payers cover telehealth visits as they...

Bill Seeks Medicare Reimbursement for New Telehealth Programs

by Eric Wicklund

Congress will revisit a bill that seeks to expand telehealth across the nation by improving Medicare reimbursements. Sens. Cory Gardner (R-Colo.) and Gary Peters (D-Mich.) have re-introduced the Telehealth Innovation and Improvement Act, after...

WEDI Brief Outlines Challenges to Telehealth Reimbursement

by Eric Wicklund

Healthcare providers face many challenges in launching and sustaining a telehealth program – including finding the right CPT codes, if they exist, for reimbursement. In many cases, a telehealth or telemedicine procedure is so new, a proper...

CMS Urged to Reimburse Telehealth for Stroke, Cardiac Care

by Eric Wicklund

The American Heart Association is calling on Medicare to support telehealth, saying the technology is “tragically underutilized” to treat stroke patients and those with heart disease and could save the country billions of dollars...

Payers urge CBO to Give Telemedicine a Fair Shake

by Eric Wicklund

Nearly a dozen national health plans have asked the Congressional Budget Office to pay more attention to telemedicine when scoring Congressional bills on Medicare. In a letter to CBO Director Keith Hall, 11 health plans say telemedicine programs...

New Report Charts Slow Progress for Telehealth Reimbursement

by Eric Wicklund

Telehealth is slowly becoming an accepted means of delivering healthcare, according to the latest state-by-state analysis of the Center for Connected Health Policy. An update of the CCHP’s fourth annual report, issued in March, finds that...

Has Missouri Found a New Way to Boost Telehealth in Schools?

by Eric Wicklund

Missouri schools struggling to pay for special needs programs and teachers may get relief from an unexpected source: The state’s new telehealth law. The legislation, approved in June and taking effect this month, lays out the groundwork...

Survey: No Reimbursement, No Telehealth

by Eric Wicklund

Primary care physicians aren’t using telehealth because they aren’t reimbursed for it. That’s the gist of a survey of about 550 family physicians, conducted in 2014, which found doctors staying away from the technology because...

AAFP Criticizes CMS on Telemedicine Reimbursement Restrictions

by Eric Wicklund

The American Association of Family Physicians is taking CMS to task for elements of the 2017 Medicare physician fee schedule that hinder telemedicine reimbursements for store-and-forward, observational care and ED services. "In light of...

Telehealth Growth, Savings Tied to Parity Laws

by Eric Wicklund

Telehealth will only succeed if providers are reimbursed at the same rate as in-person care. That’s the conclusion drawn from a health policy brief developed by Health Affairs and the Robert Wood Johnson Foundation. It argues that the nation’s...

CMS Gives Green Light to Digital Health Diabetes Prevention Program

by Eric Wicklund

A diabetes-based preventive health program that would reimburse providers who use digital health has received the full blessing of the Centers for Medicare & Medicaid Services. CMS is proposing to expand its Medicare Diabetes Prevention Program...

UK Unveils New mHealth Reimbursement Program

by Eric Wicklund

Roughly 20 innovative health products, including apps and mHealth devices, will be offered free of charge each year to patients and providers in the UK’s National Health Service under a new program to boost innovation and patient engagement....

CMS to Reimburse for Specialty Care Consults in Connecticut

by Eric Wicklund

Connecticut health centers are now being reimbursed for telemedicine consults with specialists, helping residents who would sometimes have to wait a year for an appointment. The announcement by the Centers for Medicare & Medicaid Services...

How Telemedicine Saved One VA Hospital $64K A Year

by Eric Wicklund

A rural New England VA hospital is saving roughly $64,000 a year in travel costs through telemedicine, according to a recent study. That figure makes up less than 4 percent of the total travel budget of the VA Hospital in White River Junction,...

Telehealth Rallies Behind the CONNECT Act

by Eric Wicklund

A bipartisan bill introduced to Congress this week might have an impressive list of supporters and some pretty heady projections on cost savings, but can it succeed where so many promising bills before it have failed? Long-anticipated and heavily...

ATA Lobbies Medicare for More Telehealth Reimbursement

by Eric Wicklund

The American Telemedicine Association is lobbying Medicare to reimburse physicians for a number of services conducted via telemedicine. In a letter to the Centers for Medicare & Medicaid Services, the ATA is asking that 35 of the American...

The Challenges of Implementing mHealth

by Ryan Mcaskill

There are a number of challenges that providers need to overcome in order to successfully implement mHealth. Many experts believe that mobile health systems will play a major role in the future of the healthcare landscape. Many hospitals are...

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