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Telemedicine and Medicare

CMS Eyes Reimbursements for Mobile Integrated Healthcare Programs

February 14, 2019 - Federal officials will be testing a new Medicare reimbursement model that supports telehealth and mHealth programs that replace Emergency Department visits. The Health and Humans Services Department’s Center for Medicare and Medicaid Innovation this week unveiled the Emergency Triage, Treat and Transport (ET3) model, aimed at reimbursing programs that offer an alternative to...


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CMS Pushes Telehealth to Replace Some In-Person Visits in MA Plans

by Eric Wicklund

Healthcare providers treating patients on Medicare Advantage plans may soon be able to use telehealth in place of in-person care when appropriate. The update was one of several unveiled Friday by the Centers for Medicare & Medicaid...

CMS Pushes Telehealth, mHealth, But Are Providers Paying Attention?

by Eric Wicklund

Many hospitals and health systems aren’t prepared to take advantage of new reimbursement opportunities for mHealth and telehealth. That’s the takeaway from a survey conducted by Reaction Data, which finds that providers...

Telehealth Helps CMS Bundled Payment Program Show Some Savings

by Eric Wicklund

Mandatory bundled payment programs for joint replacement surgery can save a modest amount of money through the use of telehealth services for rehab, according to a recent analysis. As reported in the New England Journal of Medicine, an...

AAFP Says CMS Changes Could Tilt the Scales to DTC Telehealth

by Eric Wicklund

The national organization representing family physicians is pushing back against proposed changes to Medicare Advantage plans, saying the proposal supports direct-to-consumer telehealth at the expense of primary care...

How One SNF Used Telemedicine to Qualify for a Medicare Bonus

by Eric Wicklund

A telemedicine platform that provides real-time virtual care has helped a Long Island skilled nursing facility reduce hospital transfers, improve patient care and staff morale – and earn more than $150,000 in Medicare bonuses for the...

Congress Facing Pressure to Pass Telehealth Bill for Senior Care

by Eric Wicklund

Connected care advocates are lobbying Congress to pass the Reducing Unnecessary Senior Hospitalizations (RUSH) Act of 2018, which aims to reduce rehospitalizations at qualified skilled nursing facilities by giving them more...

CMS Code Gives Docs a Chance to Use Store-and-Forward Telehealth

by Eric Wicklund

Healthcare providers looking for new ways to implement telehealth and telemedicine are getting a Christmas present from the Centers for Medicare & Medicaid Services: a new code for asynchronous (store-and-forward) telehealth...

CMS Gives Telehealth a Nudge With Coverage for Virtual Check-Ins

by Eric Wicklund

Last week’s release of The Centers for Medicare & Medicaid Services’ 2019 Physician Fee Schedule and Quality Payment Program offered good news for providers looking to implement telemedicine for virtual check-ins. While...

CMS Proposes Telehealth Expansion for Medicare Advantage Plans

by Eric Wicklund

The Centers for Medicare & Medicaid Services is looking to expand telehealth access for members enrolled in Medicare Advantage plans. As part of a 362-page proposal issued on October 26, the Centers for Medicare & Medicaid...

Telemedicine Gives SNFs a Tool to Improve Care, Cut Medicare Costs

by Eric Wicklund

An after-hours telemedicine platform helped a Brooklyn-based skilled nursing facility eliminate almost 100 hospitalizations and save roughly $1.5 million in Medicare costs in one year. Those outcomes are included in a case study published...

CMS Overhaul of ACO Rules Includes a Nod to Telehealth’s Value

by Eric Wicklund

A federal effort to revamp the rules around Accountable Care Organizations includes a few nods to telehealth and telemedicine, giving healthcare providers hope that connected care platforms will become more prominent in an overhauled...

Congress Looks to Give SNFs More Telemedicine for Senior Care

by Eric Wicklund

In the latest effort by Congress to compel Medicare to embrace telehealth, a group a lawmakers have submitted a bill that would enable skilled nursing facilities to adopt connected health technology. The Reducing Unnecessary Senior...

CMS Makes a ‘Landmark Change’ in RPM, Telehealth Reimbursement

by Eric Wicklund

Earlier this month, the Centers for Medicare & Medicaid Services unveiled its proposed 2019 Medicare Physician Fee Schedule and Quality Payment Program, with several amendments designed to boost remote patient monitoring and telehealth...

CMS Proposes More Medicare Reimbursement For Telehealth, RPM

by Eric Wicklund

The federal government is once again moving toward acceptance of telehealth and remote patient monitoring with new rules on how Medicare reimburses providers for their use of connected health technology. The Centers for Medicare &...

Medicare Advantage Members Are Using mHealth, But Their Plans Aren’t

by Eric Wicklund

Medicare Advantage members are using mHealth tools to monitor chronic health conditions. However, the same can’t be said for their health plans. That disparity was picked up in HealthMine’s Medicare Report, based on a 2017...

Is CMS Giving Telehealth Its Due In Its New Rural Health Strategy?

by Eric Wicklund

CMS is making telehealth and telemedicine a cornerstone in its first Rural Health Strategy. The Centers for Medicare & Medicaid Services unveiled the first-ever program this past week, releasing a five-point, eight-page initiative to...

Feds Take CMS to Task Over Improper Telehealth Reimbursements

by Eric Wicklund

About three of every 10 Medicare reimbursements for telehealth in 2014-15 were made in error, according to a recent audit by federal regulators. The U.S. Health and Human Services Department of the Inspector General announced last week...

Community Health Centers Use Telehealth to Boost Specialty Consults

by Eric Wicklund

A unique partnership in Washington is using telehealth to connect physicians in 20 community health centers with volunteer doctors across the country for specialist consults. Community Health Plan of Washington (CHPW), a not-for-profit...

CMS Under Pressure to Cover mHealth Tools for Diabetes Management

by Eric Wicklund

As federal regulators approve more mHealth devices for diabetes care management and coordination, some in Congress are lobbying for better Medicare coverage of digital health. A bipartisan group of lawmakers this week asked the Centers...

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