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CMS Price Transparency Rule: Is it Working? – #HITsm Chat Topic

Healthcare IT Today

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 7/16 at Noon ET (9 AM PT). This week’s chat will be hosted by Hailey Froisland (@haileyfroisland) on the topicCMS Price Transparency Rule: Is it Working?”

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Telehealth Reimbursement: End-of-Pandemic Emergency Update

Telebehavioral Health Institute

Private payers, Medicaid, and Medicare initiated widespread telehealth reimbursement approvals. The article below clarifies and summarizes the end-of-pandemic reimbursement decisions made by private payers, Medicare, and Medicaid. Medicare Advantage plans may offer additional telehealth benefits.

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CMS Proposes”CMS-0057-P” to Streamline Prior Authorizations with Real-Time Approvals Using Interoperability in Healthcare

Telebehavioral Health Institute

Medicare and a supplemental plan) to receive care from multiple providers (e.g., In this article, the recent proposal identified as “CMS-0057-P” by the Centers for Medicare and Medicaid Services (CMS) for the concept of interoperability will be applied to the prior authorization process.

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Navigating Telehealth Reimbursement: V2V Session Insights

Health Recovery Solutions

Prior to the COVID-19 pandemic, CMS’ telehealth coverage was limited in scope and practice. Since then, the Centers for Medicaid and Medicare Services (CMS) has expanded coverage and waived restrictions to encourage more broad adoption of telehealth and remote patient monitoring (RPM) for providers.

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The $4 Trillion Health Economy of 2020

Health Populi

Three factors will drive healthcare costs to 2026: prices for medical goods and services, changes in income growth, and shifting enrollment from private health insurance to Medicare — driven by the aging of Boomers. That equates to 18.4% of the Gross Domestic Product (GDP) and $12,230.40 of health spending per person. healthcare.

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Avoiding Red Flags: Finding the Right Productivity Balance

Healthcare IT Today

The number of Medicare TPEs and commercial payer take-back audits alone is skyrocketing. They also look to flag “items and services that have high national error rates and are a financial risk to Medicare.” If, after three rounds of education sessions, there isn’t enough improvement, they are referred to CMS for next steps. .

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CHI urges Congress to focus on opportunities to modernize the American healthcare system through the responsible uptake of innovative technology tools to achieve value-based care goals

Connected Health Initiative

This is a timely topic, especially now that the public health emergency (PHE) has ended, removing access to a number of flexibilities designed to improve access to healthcare. For example, RPM and RTM are both subject to the 20 percent copay required for Medicare coverage.