CMS achieves lowest Medicare improper payment rate since 2010


Improper payments in Medicare have been on the decline since Congress passed the Improper Payments Elimination and Recovery Act of 2010. They reached an eight-year low of 8.12% in the Medicare fee-for-service program this year, according to CMS

Lessons from the Snow


Congress and the federal Center for Medicare and Medicaid Services have allowed reimbursement for remote health care to rural hospitals and clinics but nothing for the 77 percent of Americans living in urban areas.

Telemedicine - Where Both Sides Agree


The meeting will occur during the 2010 Summit of the American Telemedicine Association in Baltimore Maryland. CMS will soon announce the formation of the new Center for Medicare Innovation and rules governing Accountable Care Organizations as well as hospital re-admittance policies, both of which will support the use of telemedicine, are now being drafted.

Barking Up A New Tree


In a perfect world, programs such as Medicare would reimburse for the following: All clinical telemedicine services, as defined by CPT and HCPC codes; Telemedicine from any location of the patient - rural or urban; Telemedicine originating from any type of facility; Telemedicine services provided by any type of appropriate health professional; and Remote health services provided by any method of delivery: live or store-and-forward.

The Cost of Red Tape


Recently, the Centers for Medicare and Medicaid Services (CMS) came out with an interpretation of how a hospital should provide quality assurance for physicians providing health care via telemedicine to a patient in the hospital. It would affect all hospital-based telemedicine services across the country, including non-Medicare related services. The deadline for implementing this new interpretation is July 15, 2010.

Telemedicine and State Licensure


The National Broadband Plan, released by the Federal Communications Commission in March 2010 states: “State-by-state licensing requirements limit practitioners’ ability to treat patients across state lines. There has been talk by some parties that the same policy should be extended to physicians providing services to Medicare patients. State licensure of health care has become an important national concern.

CMS: Medicare improper payment rate fell as new fraud prevention efforts take hold


The Medicare improper payment rate for fee-for-service fell to the lowest level since 2010, a feat the Trump administration claims is due to aggressive fraud measures

2018 Medicare Fee-For-Service improper payment rate is lowest since 2010

2018 Medicare Fee-For-Service improper payment rate is lowest since 2010. Administrator, Centers for Medicare & Medicaid Services. 2018 Medicare Fee-For-Service improper payment rate is lowest since 2010 Significant progress in saving $4.59B in estimated improper payments for the Medicare Fee-For-Service program. Most notably: The 2018 Medicare-FFS improper payment rate decreased from 9.51


Telemedicine - 2010 & 2011 - Part 1 Public Policy


Here is the first of three pieces on where we have been in 2010 and where we are going next year for telemedicine. For telemedicine, 2010 appears to have been a watershed year - the point when many in charge of government healthcare programs finally started to seriously consider the benefits of such technology. Speeches in 2010 by the head of Medicare in the U.S. Plans to aggressively expand broadband access were unveiled by several countries in 2010.

Health Home Program and Data: New Challenges for Care Plans


The Affordable Care Act of 2010, Section 2703, introduced Health Home Program (HHP) for Medicaid recipients with chronic conditions. The Center for Medicare Services (CMS) oversees the Health Home Program, but each state has a health home authority that creates and manages their HHP.

KFF: MA plans per beneficiary to reach highest level in 2020 in a decade


The average number of Medicare Advantage plans per beneficiary will increase in 2020 to the highest level since 2010, according to a new analysis

Healthcare Access and Cost Top Americans’ Concerns in Latest Gallup Poll

Health Populi

The Gallup Poll , fielded in the first week of March 2018, found that peoples’ overall economic and employment concerns are on the decline since 2010, at the height of the Great Recession which began in 2008.

While Costs Are A Top Concern Among Most U.S. Patients, So Are Challenges of Poverty, Food, and Housing

Health Populi

Humana also launched a “Bold Goal” initiative to boost healthy food access for people enrolled in the plan’s Medicare Advantage programs.

Master Guide to Telehealth Statistics for 2019

Enzyme Health

Medicare currently covers many telehealth services depending on coverage level and geography, but still faces some restrictions, with Medicare Advantage plan beneficiaries (about 14 million patients) receiving the broadest access ( ATA Telehealth Basics ).

GAO: rural hospital closures increasing, South hardest hit

Henry Kotula

Rural hospital closures disproportionately occurred in the South, among for-profit hospitals and among organizations with a Medicare-dependent hospital payment designation. Since 2010, 86 rural hospitals have closed , and 44% of those remaining are operating at a loss — up from 40% in 2017.

Telehealth and Underserved, Vulnerable Populations: Prisons, Schools, Military, Seniors

Enzyme Health

Beginning in 2010 just for behavioral and nutritional health, the program now serves over 40 specialties, has a 98% satisfaction rate, and has saved 1.5

The Role of Case Management in Healthcare


By using dedicated managers to handle 750 different Medicare beneficiaries, this payer-provider union reduced readmisssions by 56 percent compared to Medicare-covered individuals in Maine who weren’t receiving any specific attention of this variety.

2019: Healthcare IT gains new ground

Healthcare IT News - Telehealth

But at the tail end of the 'teens, we see a flowering of innovation that could only have been dreamed of in 2010. 2019: Year in Review It's been an eventful year for health IT.

USDA Telehealth Report Sees ‘Lag’ in Rural Access

care innovations

Meanwhile, lawmakers and policymakers alike have agreed on the need for telehealth expansion, including provisions in the 2010 Patient Protection and Affordable Care Act (ACA), the USDA/Rural Utility Service (RUS)-administered rural telemedicine program. A new U.S.

How Hospitals Are Reducing Medical Costs with Telehealth

American Well

The federal government has pegged the cost of hospital readmissions for Medicare patients at $26 billion annually, with $17 billion accounting for readmissions that result in patients not receiving the right care.

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.

12 Ways Telehealth is Saving Small Hospitals


Avoid Medicare readmission penalties. According to a University of North Carolina study, 113 have shuttered since 2010. Today’s hospitals are under pressure.

Trump’s Health Picks Provide Clues to Affordable Care Act Fate

Insulin Nation

In addition, it was announced that Mr. Trump has chosen Seema Verma, a private health policy consultant who worked closely with the state of Indiana, to be the head administrator of the Centers for Medicare and Medicaid Services. Verma, who would head the Medicare and Medicaid programs.

Telemedicine Trends: Awareness & Support for Digital Care on the Rise

care innovations

More than 70 rural hospitals have closed since 2010 , reports NPR , and experts are increasingly pointing to telehealth as a possible solution. And back in February, Congress passed the “Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care Act” — also known as the CHRONIC Care Act, which removes “outdated restrictions that limit Medicare from reimbursing for telehealth,” as the bipartisan team of senators who sponsored the legislation said in a joint statement.

2015 Trends for Rural Hospitals and Rural Healthcare

BHM Healthcare Solutions

According to the NC Rural Health Research Program there have been 56 rural hospital closures since 2010. From difficulties implanting new HER systems to the re-evaluation of Medicare reimbursements, rural hospitals are looking for new ways to stay afloat.

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. Despite what you may have read elsewhere, Meaningful Use was not part of the Patient Protection and Affordable Care Act, the 2010 bill that’s come to be known as Obamacare.

Getting Started with Telehealth


CCHPCA State Laws and Reimbursement Policies and their State Telehealth Laws and Reimbursement Policies PDF (April 2017) – This resource also you to stay up to date on all Telehealth laws, policies, regulations, and Medicare/Medicaid programs state by state. Medicare.

The Burgeoning Role Of Venture Capital In Health Care

Henry Kotula

B etween 2010 and 2017, the value of investments in digital health increased by 858 percent, and the number of financing deals in this sector increased by 412 percent; more than $41.5 [link] ; The US health care system relies heavily on private markets.


Weekender 6/7/19

HIStalk Weekender

A healthcare cyberattack report by cloud endpoint protection vendor Carbon Black notes that hackers are going after administrative records of physicians that can be used to fraudulently bill Medicare and other insurers. Weekly News Recap.

Getting Started with Telehealth


CCHPCA State Laws and Reimbursement Policies and their State Telehealth Laws and Reimbursement Policies PDF (April 2017) – This resource also you to stay up to date on all Telehealth laws, policies, regulations, and Medicare/Medicaid programs state by state. Medicare. Medicare Telehealth Payment Eligibility Analyzer. For example, Medicare only reimburses for the time spent while the video is streaming. The Complete Telehealth Guide for Therapists.

Telemedicine Today (#tday): June 2015

American Well

For its part, the Centers for Medicaid and Medicare Services (CMS) is taking a step forward in supporting the wider use of telemedicine. When final payment rules governing how Medicare will pay healthcare providers and suppliers in 2015 were released last October, CMS added seven procedures to the telehealth list of covered services, including annual wellness visits, psychotherapy services, and prolonged services in the office.

Weekender 8/10/18

HIStalk Weekender

CMS releases a draft rule that would overhaul the Medicare Share Savings Program. Weekly News Recap. UnitedHealth Group is reportedly the only non-financial company that’s in the running to acquire Athenahealth.

150 top places to work in healthcare

Henry Kotula

From 2010 to 2015, Fortune named Meridian Health among the 100 Best Companies to Work For, and NJBiz named the health system among the Best Places to Work in New Jersey for 11 years in a row. For employees over 55 years old, the hospital offers free Medicare and health claims assistance.