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Telehealth Reimbursement: End-of-Pandemic Emergency Update

Telebehavioral Health Institute

Private payers, Medicaid, and Medicare initiated widespread telehealth reimbursement approvals. The article below clarifies and summarizes the end-of-pandemic reimbursement decisions made by private payers, Medicare, and Medicaid. They can receive care from their homes rather than traveling to a health care facility.

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MedPAC members weigh future of telehealth coverage

Healthcare IT News - Telehealth

In a virtual public meeting this past Friday, members of the Medicare Payment Advisory Commission discussed how – and whether – to permanently expand telehealth in Medicare. Before the pandemic, Medicare's physician fee schedule covered a limited set of telehealth services in rural locations.

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Sun River Health shifts 67% of its visits to telehealth

Healthcare IT News - Telehealth

" A change in New York State and Medicare reimbursement along with receipt of the $753,367 FCC grant infused working capital on top of Sun River Health's investment in telemedicine. "Notably, our persistently mentally ill and chronically ill patients were the first to benefit from this service expansion. " MARKETPLACE.

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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). Many AICNY beneficiaries reside in group homes and use Federally Qualified Community Health Centers. THE PROBLEM.

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The Future of Hospitals in Post-COVID America (Part 1): The Market Response

Henry Kotula

Climate change is a powerful example. The second, extended shock has been a decrease in needed but not necessary care. Initially, many patients delayed seeking necessary care because of perceived infection risk. For example, Emergency Department visits declined 42% during the early phase of the pandemic.

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Welcome Back Kotter: New York’s next 1115 Waiver

Docnotes

In each region, the NYS Department of Health (DOH) will contract with a HERO entity, which may be an existing entity or a new corporate entity formed by regional participants, including MCOs, primary care and other clinical and community-based providers, QEs, SDHNs and others. there’s quite a bit to this part, which is the problem.

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“Pathways to Success,” an Overhaul of Medicare’s ACO Program

CMS.gov

Administrator, Centers for Medicare & Medicaid Services. Medicare Parts A & B. Pathways to Success,” an Overhaul of Medicare’s ACO Program. Today the Trump Administration announced our overhaul of the program for Accountable Care Organizations, or “ACOs,” in Medicare. Innovation models.