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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. Resources for other end-of-pandemic decisions are also provided.

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Telehealth Bolsters Patient Satisfaction (J.D. Power), and Providers Are Working to Catch Up (BDO)

Health Populi

Two studies published in May 2021 illustrate the value and importance of telehealth to patients in 2020, and a disconnect among many C-level executives working in hospitals, academic medical centers, and other care provider organizations. Power and BDO illustrate some mis-alignment between the demand and supply side of telehealth.

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Former CMS chief of staff previews 4 areas of value-based care in 2022

Healthcare IT News - Telehealth

Caravan Health President and CEO Tim Gronniger previously was chief of staff and director of delivery system reform at the Centers for Medicare and Medicaid Services. Caravan Health is a privately held company formed to create sustainable methodologies for health systems to excel in value-based care.

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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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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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Ohio Living achieves low readmission rates with telehealth

Healthcare IT News - Telehealth

percent, nearly half of the state’s Medicare average, by introducing telehealth services. Not only has the telehealth program helped improve patient adherence to health plans, but overall adherence to the telehealth program itself stands at 80 percent. HOW IT WORKS. " THE BIGGER TREND.

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

South Central Telehealth Resource Center

The CHRONIC Act – Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care Act – passed the U.S. House of Representatives, allows for an expansion of telehealth/telemedicine coverage under the Medicare Advantage Plan B. Medicare Participants. Medicare Advantage Participants. The Henry J.