South Central Telehealth Resource Center

OCTOBER 24, 2017

House of Representatives, allows for an expansion of telehealth/telemedicine coverage under the Medicare Advantage Plan B. Medicare Advantage Plan B is an optional insurance that covers medically necessary and preventative healthcare services, supplies, and select prescription medications for individuals 65 and older.

Telehealth 57

Telehealth Medicare Accountable Care Telemedicine 57

care innovations

APRIL 25, 2018

million in telehealth claims per year “did not meet Medicare requirements,” the Office of Inspector General (OIG) at the Department of Health & Human Services (HHS) has thrust new light upon America’s byzantine telemedicine reimbursement policies and the limitations they place on the expansion of value-based care.

Telemedicine 49

Telemedicine Medicare Telehealth Health Policy 49

Insulin Nation

APRIL 24, 2015

North Carolina legislators introduced identical bills in the state’s House (HB 20, January 28, 2015) and Senate (SB 27, February 3, 2015) to require medical practitioners who provide well-child care to ensure that diabetes screening is performed upon each child at birth, and then at ages one and two. She died two months later.

Health Policy 105

Health Policy Public Health Medicare 105

ACA Times

MAY 1, 2019

Department of Health and Human Services’ Center for Medicare and Medicaid Services (CMS) has extended the period of non-enforcement for certain non-compliant health policies under the Affordable Care Act through the end of 2020. billion were assessed to employers for failing to comply with the ACA in the 2015 tax year.

Medicare 40

Medicare Health Policy 40

BHM Healthcare Solutions

MAY 29, 2018

New research released by WellCare Health Plans, Inc. The study examined medical expenditures associated with 2,718 WellCare Medicaid and Medicare Advantage plan members who accessed WellCare’s Community Assistance Line—a toll-free, nationwide line open to the general public. WellCare Health Plans, Inc.

Public Health 40

Public Health Medicare Health Policy 40

Henry Kotula

NOVEMBER 28, 2017

Though not as high profile as Anthem’s policies, payers have been narrowing provider networks to bring down costs. This has been especially true in ACA exchange plans and Medicare Advantage (MA). Deductibles went from accounting for less than 25% of cost-sharing payments in 2005 to almost half in 2015.

Medicare 32

Medicare Accountable Care Telemedicine Patient Experience 32

Henry Kotula

APRIL 14, 2023

But five states are currently considering laws to curb facility fees for certain services or strengthen existing laws, per the National Academy for State Health Policy , which has proposed model legislation. Connecticut is updating a 2015 law that required notifications when facility fees were being charged by hospitals.

Health Policy 41

Health Policy Nursing Medical Billing Medicare 41