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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. Fret not because as of January 2018, … Read more. The post Medicaid’s Telehealth Expansion Waiver Changes ACO Restrictions appeared first on TBH Institute Blog.

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Deaconess Health RPM program reduces cost of care by $7.4 million

Healthcare IT News - Telehealth

The Evansville, Indiana-based health system – which includes 11 hospitals with more than 900 total beds, 96 locations, its own accountable care organization, and a large 538-provider multispecialty group – serves patients in 26 mostly rural counties in Southwestern Indiana, Southeastern Illinois and Western Kentucky.

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Increases in Employee Healthcare Costs Pushing Businesses to Innovative Solutions to Lower Costs

ACA Times

And the cost of providing that insurance to employees is expected to continue to rise in 2018. The National Business Group on Health (NBGH) recently conducted the Large Employers’ 2018 Health Care Strategy and Plan Design Survey and found that the total healthcare (medical and pharmaceutical) costs this year will be $13,482 per employee.

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CMS Reveals New Direction for MSSP Which Adds Risk on ACOs

BHM Healthcare Solutions

The changes will redesign participation options in hopes of encouraging accountable care organisations to take on risk quicker. The change also includes new tools and flexibilities in the Bipartisan Budget Act of 2018, including new beneficiary incentives, telehealth services and beneficiary assignment methodology choices.

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Employers Take on Health Activism, Embracing Behavioral Health, Virtual Care, AI, and Transparency

Health Populi

The study was fielded in May-June 2018 and represents actions that employers will take in 2019 for health benefits, Brian Marcotte, President and CEO of NBGH, explained this morning during a press conference launching the report. orthopedic/musculoskeletal, and fertility. 71% of employers see AI having a significant impact on healthcare.

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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. Looking ahead to next year, you can expect payers to implement more cost-saving measures and push for value-based contracting.