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Telemedicine and Medicare

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

August 10, 2018 - 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 Medicare Shared Savings Program. In a proposed rule published late Thursday, the Centers for Medicare & Medicaid Services (CMS) announced that it...


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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...

Telehealth, Telemedicine Reimbursement Score Big in New Budget Deal

by Eric Wicklund

Telehealth and telemedicine reimbursement scored huge successes in the budget deal signed into law by President Donald Trump, with one senator saying the law does more for Medicare coverage of telehealth than any past legislation. The...

Senate Passes VETS Act, Enhancing Telehealth Access for Veterans

by Eric Wicklund

Veterans will soon be able to access healthcare no matter where they live through a telehealth connection. The Senate has unanimously passed The Veterans E-Health & Telemedicine Support (VETS) Act of 2017 (S.925), following the...

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

by Eric Wicklund

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...

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...

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...

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’...

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...

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...

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...

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.),...

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...

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