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Payers and Telehealth

Kansas Payers Push Back Against Telehealth Payment Parity

October 23, 2017 - Payers in Kansas are fighting proposals for payment parity in telehealth, saying a virtual visit shouldn’t be reimbursed at the same rate as in in-person visit. “Telemedicine services are not equivalent to in-person services and, therefore, should not receive parity to in-person services in reimbursements,” Coni Fries, of Blue Cross Blue Shield of Kansas City, said during...


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Study: States’ Private Payer Laws Are Harming Telehealth Growth

by Eric Wicklund

Two-thirds of the states in the US may have laws to promote telehealth and telemedicine coverage by private payers, but many of those laws are weakly written, giving payers too much discretion to set their own ground rules and turning providers...

Telehealth Stands to Gain from Anthem’s ER Policy Expansion

by Eric Wicklund

Anthem is expanding its strategy of denying payments for unnecessary ER visits, a move that could push more consumers across the country toward telehealth or mHealth services. The insurer, which administers Blue Cross Blue Shield plans in 14...

Ga. Payer Pushes Telehealth to Replace Unnecessary ER Visits

by Eric Wicklund

A Georgia insurer is taking strong steps to promote telehealth as a replacement for most emergency room visits. Starting in July, Blue Cross Blue Shield of Georgia will stop reimbursing for ER visits deemed to be unnecessary. The payer is recommending...

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...

Payers, Providers Seek Common Ground on New Telehealth Services

by Eric Wicklund

Healthcare providers are finding that telehealth reimbursement goes well beyond finding the right CPT code. With each state and even the federal government offering different and sometimes conflicting definitions for telemedicine and telehealth,...

North Carolina lawmakers eye telemedicine payment parity

by Eric Wicklund

Lawmakers in North Carolina – a state with a long track record of telemedicine and mHealth innovation – are poised to debate a bill that would establish reimbursement parity for payers. H.B. 283 would mandate that health plans cover...

A Payer Makes an Investment in Telehealth

by Eric Wicklund

A Mid-Atlantic-based health plan is making an intriguing investment in telehealth. Baltimore-based CareFirst BlueCross BlueShield is earmarking nearly $3 million in grant money to 10 nonprofits and public health programs to expand their telemedicine...

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