Beyond the Legislation


These independent bodies could bring about significant changes in Medicare and even affect private insurance plans in ways that will help integrate telemedicine into the normal delivery of care. What a year. After months of grueling debates, public clamor and hundreds of legislative proposals, national health reform legislation for the United States is almost here.

Telemedicine, Telehealth, Remote Monitoring and the Latest Congressional Health Reform Proposal


The bill calls on the federal Center for Medicare and Medicaid Services (CMS) and other parts of the Department of Health and Human Services (HHS) to compile data and launch pilot programs designed to reduce hospital readmissions. Language beginning on page 97 of the document addresses recommendations made by the Medicare Payment Advisory Committee (MedPAC) about readmissions. This week, the United States Senate Finance Committee announced its proposed health reform bill.

How Big IS Telemedicine?


Multiple payers - Back to the radiology example: that read can be billed through Medicare, Medicaid, a hundred different private payers, or inside a closed system such as the U.S. If I had a nickel for every time I was asked this question. There are some interesting facts that have recently come out about the telemedicine market (explained below).

Senate Hears Testimony for Medicare CGM Coverage

Insulin Nation

Despite the committee’s title, much of the testimony came from young people affected by Type 1 diabetes as part of a lobbying effort to get Medicare to cover continuous glucose monitors (CGMs). Two months later, a Medicare appeals council reversed the judge. The U.S.

Did Republicans just say they were fine with ‘death panels’ themselves?

Meaningful HIT News

Remember the “death panels” hysteria in 2009 or so when the Affordable Care Act was under development? PolitiFact called “death panels” the “lie of the year” for 2009, not surprising, since the idea apparently originated with that truth stretcher extraordinaire, former Alaska Gov. That idiocy came from language in the ACA that authorized Medicare to pay for voluntary end-of-life counseling.

How Digital Health Can Stimulate Economic Development

Health Populi

In February 2009, President Barack Obama signed into law the American Recovery and Reinvestment Act (ARRA), less formally known as the Stimulus Bill. The policy’s acronym fully spelled-out was the Health Information Technology for Economic and Clinical Health Act of 2009.

Electronic Health Records Vendor to Pay $57.25 Million to Settle False Claims Act Allegations

Healthcare Guys

Greenway Health LLC (Greenway), a Tampa, Florida-based developer of electronic health records (EHR) software, will pay $57.25

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National Clinical Care Commission: “Laser-like” Review of Diabetes Programs, Policies

Insulin Nation

For example, bills sponsored by members of caucuses in each chamber during the 114th Congress to mandate Medicare coverage for continuous glucose monitors were unsuccessful. Currently one in three Medicare benefit dollars is paid out for diabetes care.

Confronting the Diabetes Epidemic – with Tom Daschle

Insulin Nation

By his estimates, 1 in 8 health-care dollars and 1 in 3 Medicare dollars in the U.S. Centers for Medicare and Medicaid Services recently slashed the federal government’s reimbursement rate for most diabetes test supplies by 72 percent.

A new focus: How to become empowered patients

Meaningful HIT News

For those not up on the lingo, “meaningful use” is the standard healthcare providers must meet to qualify for Medicare and Medicaid bonus payments for use of health information technology and/or avoid penalties for not being “meaningful” users of electronic health records. Attention, kind readers.

Are PBMs Driving Up The Price of Insulin?

Insulin Nation

The Medicare program relies on private insurance carriers, under long-term national and regional contracts, to pay out benefits and make available purchase of prescription drugs at discount for Part C and often deeper discount for Part D beneficiaries.

Weekender 5/18/18

HIStalk Weekender

My first inclination is to at least publish the Medicare price. The doctor had been reprimanded by the state in 2009 for excessive ordering of lab and radiology tests. Weekly News Recap. The VA signs a 10-year, $10 billion contract with Cerner for its new EHR.

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By 2020, 1-in-5 Healthcare organisations will adopt Blockchain says new IDC report

Lloyd Price

Since the enactment of the HITECH Act of 2009, which required the industry to adopt EHRs, data sharing between disparate vendor platforms, geographically dispersed facilities and unassociated medical institutions has improved; but data transparency has not.

Weekender 7/13/18

HIStalk Weekender

Medicare (which also sets the rules for most commercial payers) has a very limit set of originating sites (locations where the patient can be during the visit). Weekly News Recap.

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The Tech Giants are Coming for Healthcare

Lloyd Price

Since it raised its first fund in 2009, it has backed nearly 60 health-related enterprises. They are rounding out this scenario with key executive hires from the healthcare industry with expertise in primary care for Medicare patients.

The Top Telehealth Terms to Know

American Well

Webside Manner: Coined in 2009 by American Well, webside manner refers to how a healthcare professional interacts and communicates with a patient via online video. As Albert Einstein once said, “If you can’t explain it simply, you don’t understand it well enough.”

Paying more and getting less: As hospital chains grow, local services shrink

Henry Kotula

In 2015, the most recent year of data, these service reductions accounted for nearly half of the hospital closures recorded around the country, according to the Medicare Payment Advisory Commission. (By [link]. When most hospitals close, it’s plain to see.

150 top places to work in healthcare

Henry Kotula

For employees over 55 years old, the hospital offers free Medicare and health claims assistance. [link].