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Medicare Next Generation ACO Model Telehealth Expansion Waiver

Telebehavioral Health Institute

As previously discussed, in the United States traditional fee-for-service system of Medicare, use of the telehealth benefit is limited to rural Health Professional Shortage Areas (HPSA). As of January 2018, this restriction has changed for more than 50 “Accountable Care … Read more.

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Medicaid’s Telehealth Expansion Waiver Changes ACO Restrictions

Telebehavioral Health Institute

For years now, the CMS and Medicare have been open to recognizing telehealth. Although telehealth is covered, there are restrictions. For instance, Medicare limits its coverage to rural Health Professional Shortage Areas (HPSA). Fret not because as of January 2018, … Read more.

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CMS Reveals New Direction for MSSP Which Adds Risk on ACOs

BHM Healthcare Solutions

CMS announced a “new direction” for the Medicare Shared Savings Program (MSSP) dubbed “Pathways to Success.” The changes will redesign participation options in hopes of encouraging accountable care organisations to take on risk quicker. CMS said ACOs taking on more risk can lead to more savings for the Medicare Trust Funds.

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CBO Score Allows CHRONIC Care Act to Pass Hurdle

American Well

Will Expand Medicate Telehealth Coverage. 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.

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CBO Score Allows CHRONIC Care Act to Pass Hurdle

American Well

Will Expand Medicate Telehealth Coverage. 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.

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5 payer trends to watch in 2018

Henry Kotula

Here’s a look at five payer trends to watch for in 2018, and some tips for preparing to deal with them. Expect payers to accelerate those programs and policies and search for more cost-saving levers in 2018. This has been especially true in ACA exchange plans and Medicare Advantage (MA). They’ve shown success.

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Telemedicine triage kiosks reduce ER visits by 11% for ACO

Healthcare IT News - Telehealth

The Alliance for Integrated Care of New York (AICNY) oversees the healthcare needs of roughly 6,200 dually eligible Medicare and Medicaid beneficiaries with intellectual and developmental disabilities (IDD). Over three quarters of 2018, AICNY inpatient expenditures saw a 6% reduction. THE PROBLEM.