Telehealth and the CHRONIC Act of 2017 (S. 870)

South Central Telehealth Resource Center

Senate on September 14, 2017. House of Representatives, allows for an expansion of telehealth/telemedicine coverage under the Medicare Advantage Plan B. While the act does not require a Medicare Advantage Plan to offer additional telehealth services, it does allow the option.

Medicare Reimbursement for Remote Monitoring Should Drive Adoption (What a long, strange trip it’s been….)

The cHealth Blog

The Centers for Medicare & Medicaid Services (CMS) released the 2018 Physician Fee Schedule about two weeks ago and there is at least one nugget in there that should speed the adoption of remote patient monitoring.

AHA report: Medicare, Medicaid underpaid hospitals by $76B in 2017 

FierceHealthIT

Many hospitals are making significant investments in community programs, despite losing nearly $77 billion in Medicare and Medicaid payments in 2017, according to new data from the American Hospital Association.

South Central Legislative/Regulatory Update – November 2017

South Central Telehealth Resource Center

Reimbursement will be based upon the applicable Medicare guidelines and coding for the different service providers. The post South Central Legislative/Regulatory Update – November 2017 appeared first on LearnTelehealth. The following is a list of legislative activities compiled by the Center for Connected Health Policy (CCHP) for telehealth and telemedicine within the South Central region (AR, MS, and TN).

ACOs saved Medicare $755M from 2013 to 2017, new analysis finds

FierceHealthIT

Accountable care organizations lowered Medicare spending by $755 million from 2013 to 2017, a new analysis found

MedPAC: Hospitals got $201B in Medicare payments last year, a 3.6% bump from 2017

FierceHealthIT

Hospitals got $201 billion in Medicare fee-for-service payments in 2018, a 3.6% increase from 2017 as Medicare is footing the bill for higher drug prices, a new analysis found

Part One: A Look Back on Health IT in 2017

Mobile Health Matters

2017 was a roller-coaster ride for healthcare, marked by exciting innovation, damaging cyberattacks, periods of lulls and disruptive change. However, the biggest issue in the market right now is that every hospital in the country is trying to break-even on Medicare reimbursement.

Dr. Nick van Terheyden and the Invisible Patient – Harlow On Healthcare

Health Blawg

The system has been implemented at Banner Health, for certain conditions, in the Medicare Advantage population, after Banner tested the BaseHealth algorithms by applying them to old data about patients that had been followed at Banner. The system has been implemented at Banner Health, for certain conditions, in the Medicare Advantage population, after Banner tested the BaseHealth algorithms by applying them to old data about patients that had been followed at Banner.

EHR 95

Opioids Caused 66% of Drug Deaths Worldwide in 2017

BHM Healthcare Solutions

Editor’s Note: Increasing costs for prescriptions is creating a long-term financial impact on Medicare Part D and its beneficiaries. Two-thirds of drug deaths around the world were caused by opioids in 2017, and that proportion was even higher in the U.S.,

Medicare made $23B in improper payments in 2017 due to documentation errors, GAO finds

FierceHealthIT

Medicare made more than $23 billion in improper payments in 2017 due to insufficient documentation, according to a new Government Accountability Office (GAO) report.

Connected Health Initiative (CHI) Check-In – Halfway Through 2017!

ConnectedHealth

2017 has been a busy year for the Connected Health Initiative (CHI). While most industries are quickly becoming more interconnected through mobile technology and sensors, we sadly cannot say the same for the American healthcare system, particularly the Medicare and Medicaid programs. Here’s a look at what we have accomplished, and look forward to, in 2017. The bill would amend Title XVIII of the Social Security Act to expand Medicare beneficiary access to telehealth services.

HEART Act Targets Medicare Limits on Telehealth

American Well

the Helping Expand Access to Rural Telehealth (HEART) Act targets the Center for Medicare & Medicaid Services’ (CMS) strict limitations on RPM reimbursements in rural areas. Of the 107,000 telemedicine visits for Medicare beneficiaries recorded in 2013, approximately 40,000 of them served rural areas. are on Medicaid and/or Medicare. The post HEART Act Targets Medicare Limits on Telehealth appeared first on American Well.

The The Five Biggest Areas of Opportunity for Digital Health

The Digital Health Corner

digitalhealth clinical trials digital health digital health technology EHR healthcare economics Healthcare IT healthcare reform informatics mHealth mobile health patient engagement remote patient monitoring smartphone apps technology telehealth ACOs government IT healthcare healthcare IT HHS hospitals Medicare medicine S4PMDigital health is unquestionably becoming part of healthcare lexicon and fabric.

While National Health Care Spending Growth Slowed in 2017, One Stakeholder’s Financial Burden Grew: The Consumer’s

Health Populi

National health care spending growth slowed in 2017 to the post-recession rate of 3.9%, down from 4.8% to $10,739 in 2017, and the share of GDP spent on medical care held steady at 17.9%. in 2017. In 2017, that was equal to 12% of median income.

UnitedHealthcare Offers Health Data Support For Medicare Advantage ACO

Healthcare IT Today

UnitedHealthcare has struck a deal with national physician group Privia Health under which it will offer more and better data on patients enrolled in the payer’s Medicare Advantage plans.

The Next Fountain of Youth? Rethinking Connected Health for Our Aging Population

The cHealth Blog

Iora Health , a “whole new operating system for healthcare” that is focusing on the needs of Medicare patients. Last month I shared an update on my upcoming book, The New Mobile Age , and am excited to share a bit more about this work.

CGMs Can Be Durable Medical Devices, CMS Rules

Insulin Nation

On January 12, the Centers for Medicaid and Medicare laid out criteria for a continuous glucose monitor (CGM) to be considered a “durable medical device.” Under the new guidelines, CMS will pay between $236 and $277 for a CGM receiver covered under the FDA criteria in 2017. in 2017.

How Insulin Became So Expensive – A History

Insulin Nation

He had hit the dreaded donut hole of his Medicare Part D coverage. Kasia J. Lipska, a Yale School of Medicine endocrinologist, opened up her presentation on rising insulin costs by sharing the story of a patient with diabetes in crisis.

Dr. Nick van Terheyden and the Invisible Patient – Harlow On Healthcare

Health Blawg

The system has been implemented at Banner Health, for certain conditions, in the Medicare Advantage population, after Banner tested the BaseHealth algorithms by applying them to old data about patients that had been followed at Banner. The system has been implemented at Banner Health, for certain conditions, in the Medicare Advantage population, after Banner tested the BaseHealth algorithms by applying them to old data about patients that had been followed at Banner.

EHR 60

Dr. Nick van Terheyden and the Invisible Patient – Harlow On Healthcare

Health Blawg

The system has been implemented at Banner Health, for certain conditions, in the Medicare Advantage population, after Banner tested the BaseHealth algorithms by applying them to old data about patients that had been followed at Banner. The system has been implemented at Banner Health, for certain conditions, in the Medicare Advantage population, after Banner tested the BaseHealth algorithms by applying them to old data about patients that had been followed at Banner.

EHR 60

Dr. Nick van Terheyden and the Invisible Patient – Harlow On Healthcare

Health Blawg

The system has been implemented at Banner Health, for certain conditions, in the Medicare Advantage population, after Banner tested the BaseHealth algorithms by applying them to old data about patients that had been followed at Banner. The system has been implemented at Banner Health, for certain conditions, in the Medicare Advantage population, after Banner tested the BaseHealth algorithms by applying them to old data about patients that had been followed at Banner.

EHR 60

Dr. Nick van Terheyden and the Invisible Patient – Harlow On Healthcare

Health Blawg

The system has been implemented at Banner Health, for certain conditions, in the Medicare Advantage population, after Banner tested the BaseHealth algorithms by applying them to old data about patients that had been followed at Banner. The system has been implemented at Banner Health, for certain conditions, in the Medicare Advantage population, after Banner tested the BaseHealth algorithms by applying them to old data about patients that had been followed at Banner.

EHR 60

Dr. Nick van Terheyden and the Invisible Patient – Harlow On Healthcare

Health Blawg

The system has been implemented at Banner Health, for certain conditions, in the Medicare Advantage population, after Banner tested the BaseHealth algorithms by applying them to old data about patients that had been followed at Banner. The system has been implemented at Banner Health, for certain conditions, in the Medicare Advantage population, after Banner tested the BaseHealth algorithms by applying them to old data about patients that had been followed at Banner.

EHR 60

CMS data shows ACOs saved Medicare $314M in 2017

FierceHealthIT

New data released by CMS shows ACOs cut Medicare costs by hundreds of millions of dollars after accounting for shared savings payments. The National Association of ACOs said the data proves Track 1 ACOs are generating savings

Type 1 Organizers Help Plan Nationwide Protest for Health Care

Insulin Nation

The idea for the march germinated during a recent diabetes conference in early 2017, and people with Type 1 quickly reached out to other patient advocacy groups to quickly pull the rally together. Medicaid and Medicare continue to remain entitlements.

MACRA: The Yardstick for Quality that Health Systems Need

Mobile Health Matters

In addition, with the recent implementation of the Medicare Access and CHIP Reauthorization Act (MACRA), the rules surrounding healthcare reimbursement are being rewritten, incentivizing healthcare providers to prioritize the quality of patient visits over the quantity.

The Graham-Cassidy Bill Will Cost People with Diabetes Money

Insulin Nation

The Center for American Progress, a left-leaning think tank, used Medicare and Medicaid data to estimate that people with diabetes (without complications) could face a new premium of $5,600 annually under this provision.

Can you identify 7 qualities of a successful telehealth program?

South Central Telehealth Resource Center

New legislation at state and federal levels is making it possible for telehealth services to be reimbursed by Medicare, Medicaid and private insurance carriers. In addition to self-pay patients, reimbursement can be sought through Medicaid, Medicare and commercial/private payers.

JDRF and ADA Blast Trump Budget Proposal

Insulin Nation

health care expenditure and one-third of Medicare expenditures, or $600 billion a year, according to an estimate by the American Diabetes Association.

Did Novo Illegally Use Diabetes Educators to Boost Drug Sales?

Insulin Nation

Also, they argue that CDEs were told to help physicians learn how they could bill the Medicare and Medicaid programs for what was learned through Changing Life Through Diabetes program, and that this resulted in fraudulent billing to these federal programs.

New Diabetes Bill Signed into Law by President Trump

Insulin Nation

The National Clinical Care Commission Act was signed into law by President Trump on November 2nd, 2017. We don’t want to shock you, but there was a successful bipartisan effort to pass legislation in Washington, DC, and it was focused on the advancement of diabetes care.

MACRA: Medicare’s Opportunity to Finally Embrace Connected Health Technology

ConnectedHealth

The nation’s healthcare system is in the middle of a major transition – one that, if done well, will have an incredible impact on the lives of millions Americans who rely on Medicare. For a long time, Medicare has had a reputation for being bureaucratic, lethargic, wasteful, and outdated. Further, the Center for Medicare and Medicaid Services (CMS), which administers Medicare, has been slow to incorporate advances in advanced health technology in the program.

New Medicare and Medicaid Rules Open Opportunities for Connected Health Tech for Doctors and Patients

ConnectedHealth

The Centers for Medicaid and Medicare Services (CMS) introduced final rulemaking featuring a CHI provision that enables doctors to leverage remote monitoring tools and use patient-generated health data in their medical practice. Until now, connected health technologies have been effectively locked out of the most important part of America’s healthcare system, Medicare and Medicaid.”

Telemedicine Services Demand Pressures Payers

BHM Healthcare Solutions

Foley’s 2017 Telemedicine and Digital Health Survey reflects a surging demand for telemedicine services among providers and patients, and a broader acceptance of the technology by other major players in the health care industry.

The CONNECT Act May Ease Telehealth Restrictions — Here’s How

American Well

The CONNECT for Health Act would improve coverage of telehealth and remote patient monitoring as basic benefits in Medicare Advantage. Avizia CEO Mike Baird and the executive director for the Alliance for Connected Care , Krista Drobac, spoke with Becker’s Hospital Review to discuss how the CONNECT for Health Act may ease telehealth restrictions—and provide Medicare beneficiaries access to better care.

CBO Score Allows CHRONIC Care Act to Pass Hurdle

American Well

A bipartisan group of US Senators recently reintroduced the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (or CHRONIC, for short) Care Act of 2017 (first introduced in 2016 ), intended to improve healthcare outcomes for Medicare recipients living with chronic conditions. To facilitate these improved outcomes, the bill included various new provisions to Medicare. Beginning in 2020, it will expand telehealth coverage under Medicare Advantage Plan B.

CMS Increases Telemedicine Reimbursement

American Well

At the start of November 2017, the Centers for Medicaid and Medicare Services (CMS) passed their final rules for the 2018 Quality Payment Program (QPP) and Physician Fee Schedule (PFS). Before, CMS had different telehealth rates and codes for both Medicare and Medicaid, as did most private insurers. As of January 1, 2018, Medicare is removing the requirement to use the GT modifier on professional claims for telehealth services.

Private insurance accounted for 42% of drug spend in 2017: KFF

FierceHealthIT

Total expenses for prescription drugs are significantly larger for private insurance companies than for Medicaid or Medicare Part D

What the CONNECT for Health Act could mean for patients and the federal budget

American Well

The current Medicare rules on telehealth are counter intuitive and an outdated way to care for patients. Current policy restricts utilization of and reimbursement for telehealth by narrowly defining conditions around eligibility for Medicare coverage. Today, Medicare does not cover: “Store?and?forward” Otherwise covered Medicare services of physical therapy, occupational therapy, speech?language

Measuring Telehealth: Laying A Consistent Foundation For Growth

BHM Healthcare Solutions

Editor’s Note: Telehealth services extends networks beyond urban hubs and expands payers’ member enrollments. BHM offers services geared toward controlling expenses and integrating the behavioral health opportunities presented by measuring telehealth.