care innovations

APRIL 25, 2018

million in telehealth claims per year “did not meet Medicare requirements,” the Office of Inspector General (OIG) at the Department of Health & Human Services (HHS) has thrust new light upon America’s byzantine telemedicine reimbursement policies and the limitations they place on the expansion of value-based care.

Telemedicine 49

Telemedicine Medicare Telehealth Health Policy 49

Advanced Medical Reviews

MAY 2, 2019

As the Center for Connected Health Policy (CCHP) notes, different telehealth modalities include: Live video: referred to as “synchronous” format and uses live interaction between two parties over video. Telehealth treatments in regards to physical therapy are currently not covered by Medicare. Occupational Therapy.

Telehealth 88

Telehealth mHealth Mobile Health Health Policy 88

South Central Telehealth Resource Center

SEPTEMBER 5, 2017

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. Reimbursement is also key to telehealth program growth.

Telehealth 57

Telehealth Medicare Telemedicine Primary Care 57

Connected Health Initiative

JUNE 24, 2020

The Connected Health Initiative (CHI) and our members worked tirelessly with the Department of Health and Human Services (HHS), Congress, and state officials to expand access to connected health solutions during COVID-19 pandemic. billion in 2018. Matched telehealth fees to in-person service fees.

Connected Health 52

Connected Health Telehealth Medicare Health Technology 52

GlobalMed

MARCH 30, 2020

Medicare, Medicaid and commercial plans all have different reimbursement policies for telemedicine services. Stay connected to the industry by following vendor blogs and sites like Center for Connected Health Policy or by getting active with American Telemedicine Association. Blazing the Telemedicine Trail.

Telemedicine 52

Telemedicine Telehealth Health Policy EHR 52

E-CareManagement

DECEMBER 1, 2014

Here’s the article in a nutshell: One of the most critical aspects of the Medicare Shared Savings Program (MSSP) ACO has been around the timing and certainty of requiring mandatory downside financial risk for physician and hospital participants. Click here to download a.pdf copy of the article.

Accountable Care 45

Accountable Care Medicare Health Policy 45

Health Populi

SEPTEMBER 14, 2018

As the patient is increasingly the payor, some of those savings accrue to her, especially if she uses a health savings account where OTC meds are claimable with a tax advantage. Note the new alliance between Walmart and Anthem to channel OTC meds to Medicare Advantage members). Ask my husband and daughter).

Medicare 193

Medicare Primary Care Pharmaceuticals Patient Experience 193

care innovations

AUGUST 21, 2018

Thank you to the Alliance for Connected Care, The Center for Connected Health Policy, Krista Drobac, Nathaniel Lacktman, David Ryan, the Center for Medicare and Medicaid Service and many others for your persistence in driving change and moving American healthcare forward. The new CPT codes do exactly that!

Remote care 40

Remote care Health Policy Connected Care Connected Health 40

American Well

MARCH 5, 2018

Unlike Medicare (which is for people over the age of 65), a federally administered program, Medicaid is administered by states. Since changes to reimbursement are happening all the time, it’s best to go to a site such at the Center for Connected Health Policy to find out what’s happening in your state.

Telemedicine 48

Telemedicine Connected Health Health Policy Primary Care 48

American Well

MARCH 5, 2018

Unlike Medicare (which is for people over the age of 65), a federally administered program, Medicaid is administered by states. Since changes to reimbursement are happening all the time, it’s best to go to a site such at the Center for Connected Health Policy to find out what’s happening in your state.

Telemedicine 48

Telemedicine Connected Health Health Policy Primary Care 48

DrKumo Remote Patient Monitoring

MARCH 30, 2023

To address health equality challenges, healthcare delivery must be streamlined to improve quality and provide care in many traditional health settings. Health policy initiatives must prioritize prevention and health promotion to address health conditions and disparities among different population groups.

Patient Experience 40

Patient Experience Digital Health Primary Care Health Policy 40

Henry Kotula

JULY 28, 2023

[link] In January 2023, the Rockefeller Institute published a three-part blog series on trends to watch in healthcare in 2023. The series covered broad issues related to the healthcare workforce, economy, and health policy, and highlighted internal industry changes and trends in service delivery, quality, and equity.

Public Health 41

Public Health Digital Health Primary Care Telehealth 41

Health Populi

MARCH 26, 2020

These projections are based on “current law,” the team from the CMS Office of the Actuary write, “developed using actuarial and econometric modeling methods in addition to judgments about future trends that affect the health care sector.”

Medical Billing 182

Medical Billing Public Health Medicare Health Information 182

E-CareManagement

NOVEMBER 2, 2014

A number of pundits are citing the systemic failure of ACOs, after additional Pioneer ACOs announced withdrawal from the program – Where do you weigh in on the prognosis for Medicare and Commercial ACOs over the next several years?” ” Republished courtesy of MCOL. more…).

Medicare 49

Medicare Accountable Care Health Policy 49

Health Populi

OCTOBER 28, 2019

Cost concerns are playing into peoples’ perspectives on health care reform proposals, with a majority of survey respondents saying they’d be more likely to vote for a candidate that would support expanding private health insurance reforms versus scrapping commercial insurance for a Medicare for All proposal.

Medical Billing 130

Medical Billing Medicare Mental health Public Health 130

Society for Participatory Medicine

NOVEMBER 30, 2020

It’s been an underlying aspect of my career ever since I got into health policy over two decades ago. Health Hats: What have you disrupted recently? You’ll hear CMS soon – Center for Medicare and Medicaid Services and Institute of Medicine. I’m a bit of a troublemaker, pushing boundaries. The disrupter.

EHR 52

EHR Pain management Health Policy Medicare 52

Health Populi

OCTOBER 1, 2018

This blog, Health Populi, covers the intersection of health, people, technology, and economics. Google,” WebMD, or any number of.gov,edu, or.com healthcare information on-ramps; or, to order medical supplies and equipment on ecommerce sites like Amazon, CVS, Walgreens, Walmart, and other retail health outlets.

Public Health 225

Public Health Primary Care Digital Health Telehealth 225

Health Populi

MARCH 2, 2020

[As an important sidebar for context, Fidelity Investments estimates that a couple retiring in 2019 would need $285,000 for health care costs in retirement, not including long-term care expenses, to cover expenses that Medicare would not reimburse].

Medical Billing 275

Medical Billing Medicare Health Policy 275

Health Populi

JUNE 27, 2019

[This, the impact of social determinants of health beyond health care, is the underlying theme of my book, HealthConsuming: From Health Consumer to Health Citizen ]. Elizabeth Warren assertively and transparently backed Bernie Sander’s Medicare for All proposal. Laugh about it, shout about it.

Mental health 214

Mental health Medicare Pharmaceuticals Public Health 214

Health Populi

NOVEMBER 5, 2018

In my 11 years of writing every one of over 2,000 Health Populi posts on this blog, I have never, ever mentioned the “f-word” here. It’s been a concept that, largely, only health policy wonks (like me) talked much about. What a difference a year makes. In their poll of 487 likely U.S.

Leadership 191

Leadership Public Health Medicare Health Policy 191