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

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

Why it matters: As health systems push more care outside hospital walls, they’re charging extra “facility fees” for common services like blood tests, X-rays and, in some cases, even telehealth visits. 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

Health Populi

DECEMBER 30, 2019

A few of the mainstreaming-of-SDoH signposts in 2019 were: Cigna studying and focusing in on loneliness as a health and wellness risk factor. Humana’s Bold Goal initiative targeting Medicare Advantage enrollees. CVS building out an SDOH platform , collaborating with Unite US for the effort.

Public Health 314

Public Health Mental health Medicare Primary Care 314

Health Populi

JUNE 18, 2020

Kesselheim, are affiliated with the London School of Economics and Brigham and Women’s Hospital in Boston, note that 1% of medicines dispensed under Medicare Part D and Medicaid accounted for nearly $1 in $3 of drug spending in each program in 2015. bn between 2019 and 2015 (Part D) and from $4.8 bn to $32.8 bn to $9.9

BioTech 191

BioTech Medicare Life Science Telehealth 191