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Telemedicine and Medicare

MA Telehealth Bill Set For Passage; Others Aren’t So Fortunate

November 16, 2017 - A proposed bill to boost telehealth coverage in Medicare Advantage plans is set for passage, while other bills that would loosen Medicare’s restrictions on telemedicine and telehealth – including expanding telestroke services – are likely doomed. The Increasing Telehealth Access to Medicare Act (H.R. 3727) is included in this year’s Medicare extenders package, which...


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CMS Won’t Cover Telehealth in Medicare Diabetes Prevention Program

by Eric Wicklund

The Centers for Medicare and Medicaid Services has once again declined to cover virtual coaching platforms in the Medicare Diabetes Prevention Program, saying the mHealth and telehealth platform isn’t reliable enough to warrant reimbursement....

HIMSS Makes Its Pitch for Telehealth Legislation, Rural Broadband

by Eric Wicklund

One of the nation’s largest healthcare IT organizations is throwing its weight behind a telehealth bill stuck in Congress and investments in broadband infrastructure that would push telemedicine and mHealth into rural America. The Healthcare...

Texas Mulls Telemedicine Coverage for Workers’ Compensation Cases

by Eric Wicklund

Texas state officials are considering a new rule that would allow residents in workers’ compensation to use telemedicine – and allow healthcare providers to be reimbursed through Medicare. The Texas Division of Workers’ Compensation...

Telehealth Bills Get Senate Approval, Good News From CBO

by Eric Wicklund

A bill to boost telehealth coverage in Medicare Advantage plans would reduce healthcare expenditures by $80 million over the next decade, according to the Congressional Budget Office. The CBO’s cost estimate of H.R. 3727 is welcome news...

More Organizations Urge CMS to Boost Medicare Telehealth Coverage

by Eric Wicklund

Healthcare organizations and advocacy groups are ganging up on the Centers for Medicare & Medicaid Services in a bid to compel more telehealth and telemedicine coverage. The Healthcare Information and Management Systems Society (HIMSS), American...

Telehealth Bills Targeting Stroke Care, MA Plans Show Progress

by Eric Wicklund

Two bills designed to improve telehealth and telemedicine access sailed through Congressional subcommittee reviews on Wednesday. The House Energy and Commerce Subcommittee on Health approved H.R. 1148, the Furthering Access to Stroke Telemedicine...

Congress Mulls Proposal to Boost Telehealth Coverage in MA Plans

by Eric Wicklund

The latest telehealth bill surfacing in Washington DC targets Medicare Advantage plans. H.R. 3727, introduced on Sept. 11 by US Reps. Diane Black (R-Tenn.), Mike Thompson (D-Calif.), Doris Matsui (D-Calif..) and Susan Brooks (R-Ind.), would enable...

AMGA Lobbies CMS to Give Telehealth More Medicare Opportunities

by Eric Wicklund

The American Medical Group Association is lobbying for more Medicare acceptance of telehealth, by recommending five new CPT codes and a demonstration of the value of virtual coaching platform for those with diabetes. In a letter issued on Sept....

Medicare Spending on Telehealth Increases, But Barriers Remain

by Eric Wicklund

Healthcare providers may be using more telehealth and telemedicine than ever before, but Medicare Is still a significant barrier to growth. An analysis of the Centers for Medicare and Medicare Services’ 2016 payments for telehealth and...

CMS Reimbursing For Telemedicine Even As It Scales Back Programs

by Eric Wicklund

In a bit of good news-bad news for the telemedicine industry, federal officials said they will reimburse healthcare providers for their telemedicine expenses in a bundled payment program – even as they announced plans to scale back that...

Parkinson’s Patients, Doctors Find Value in Telehealth Visits

by Eric Wicklund

A telehealth program for patients with Parkinson’s disease received high marks from both patients and doctors, according to a paper published this week in Neurology. Whether such a program can be sustained, researchers say, may depend on...

Telemedicine Could Help Medicaid Patients With Specialty Access

by Eric Wicklund

New research indicates telemedicine consults for specialty referrals could improve much-needed access for Medicaid populations. It also could offer support to an innovative telehealth platform now being used in nine states to connect doctors,...

CMS Targets Telemedicine in Study to Curb SNF Hospitalizations

by Eric Wicklund

Three skilled nursing facilities in Florida are launching a telemedicine platform in a federal study to determine the cost-effectiveness of an off-hours virtual care service. The study could help the Centers for Medicare & Medicaid Services...

CBO Analysis Highlights ROI Challenge Faced by Telehealth Bills

by Eric Wicklund

A Congressional Budget Office analysis of a bill that would expand telestroke services may have hit upon a common roadblock in the advancement of telehealth and telemedicine legislation: The government won’t always see a quick ROI. The...

Congress is Coming at CMS From All Angles With Telehealth Bills

by Eric Wicklund

With the CONNECT for Health Act showing no signs of positive momentum on Capitol Hill, telehealth-friendly legislators are trying a new tactic: Introduce several telemedicine bills aimed at different facets of Medicare, with the hope that at...

New Bill Seeks to Expand Medicare Reimbursement for Telemedicine

by Eric Wicklund

A bill to expand Medicare coverage for telehealth services that has been kicked around on Capitol Hill since 2013 is once again in Congress’ hands. U.S. Rep. Gregg Harper (R-Miss.) has re-introduced the Telehealth Enhancement Act (H.R....

CMS Considers Telehealth for New Models of Behavioral Healthcare

by Eric Wicklund

Federal officials are looking at telehealth in their search for new models of care for Medicare and Medicaid beneficiaries with behavioral health issues. The Centers for Medicare & Medicaid Services has scheduled a September summit to develop...

House Committee Poised to Consider Medicare Telehealth Bill

by Eric Wicklund

A bill seeking Medicare reimbursement for telestroke services could be headed to a Congressional vote this September. The FAST Act of 2017 (H.R. 1148) is included in the roster of Medicare-related bills to be reviewed this week by the House Energy...

Feds to Probe Improper Telehealth Reimbursements Under Medicare

by Eric Wicklund

Federal officials are investigating whether physicians are receiving improper reimbursements for telehealth under Medicare Part B guidelines. The Health and Human Services Department’s Office of the Inspector General (OIG) will be checking...

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