Being Transparent About Healthcare Transparency – My Post on the Medecision Blog

Health Populi

With new rules emanating from the White House this month focusing on health care price transparency, health care costs are in the spotlight at the Centers for Medicare and Medicaid Services.

Four Technology Health and Aging Blog Posts from September 2018

Aging in Place Technology Watch

Here are four blog posts from September 2018: Investors continue to salivate over health tech. And even when investments or company roll-ups are specifically about the Medicare population – frothy writers cannot bring themselves to use clear wording.

$1.2 Billion International Telemedicine Medicare Fraud Crackdown

Telebehavioral Health Institute

Billion International Telemedicine Medicare Fraud Crackdown appeared first on TBH Institute Blog. Blog Medicare fraud telemedicine Medicare fraud

Health Care and the Democratic Debates – Part 1 – Medicare For All, Rx Prices, Guns and Mental Health

Health Populi

Elizabeth Warren assertively and transparently backed Bernie Sander’s Medicare for All proposal. Let’s take on pharma, allow negotiations of prices under Medicare.

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).

CMS BLOG: Medicare for All? Just another name for a government-run, single payer system

CMS.gov

CMS BLOG: Medicare for All? Seema Verma, Administrator, Centers for Medicare & Medicaid Services . Medicare Part C. Medicare Part D. Medicare for All? When listening to those advocating ‘Medicare for All’ it’s good to be skeptical about their promises. As head of the agency that serves over 58 million Medicare beneficiaries, I deal first-hand with the challenges of government run healthcare. Medicare for All’ is Obamacare on steroids.

Why It's Time to Embrace Telemedicine

eVisit

What’s this new thing called Telemedicine? For starters, it’s not new! I t’s more than 40 years old and was developed as a way to use improvements in communication technology to bring quality medical diagnoses and care to individuals in remote parts of the world.

Telehealth Place of Service Code

Telebehavioral Health Institute

The Centers for Medicare and Medicaid Services (CMS) is a government agency within the US Department of Health and Human Services (HHS). The post Telehealth Place of Service Code appeared first on TBH Institute Blog.

MACRA & Telehealth Reimbursement

Telebehavioral Health Institute

In May 2018, the Center for Medicare and Medicaid Services Administration (CMS) released a brief but noteworthy document entitled, Summary of Policies in the Calendar Year (CY) 2018 Medicare Physician Fee Schedule … Read more. The post MACRA & Telehealth Reimbursement appeared first on TBH Institute Blog. MACRA is a new legislation in the United States.

New 2019 CPT Codes for Telehealth Reimbursement

Telebehavioral Health Institute

The new electronic version of the 2019 CPT manual is available from the Centers for Medicare and Medicaid Services (CMS). The post New 2019 CPT Codes for Telehealth Reimbursement appeared first on TBH Institute Blog.

MACRA: New Reimbursement Legislation in the US

Telebehavioral Health Institute

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is new legislation in the United States. In May 2018, the Center for Medicare and Medicaid Services Administration (CMS) released a brief but noteworthy document entitled, Summary of Policies in the … Read more. The post MACRA: New Reimbursement Legislation in the US appeared first on TBH Institute Blog.

HEART Act Targets Medicare Limits on Telehealth

American Well

the Helping Expand Access to Rural Telehealth (HEART) Act targets the Center for Medicare & Medicaid Services’ (CMS) strict limitations on RPM reimbursements in rural areas. Of the 107,000 telemedicine visits for Medicare beneficiaries recorded in 2013, approximately 40,000 of them served rural areas. are on Medicaid and/or Medicare. The post HEART Act Targets Medicare Limits on Telehealth appeared first on American Well.

Facility Fees & Telehealth Reimbursement

Telebehavioral Health Institute

The post Facility Fees & Telehealth Reimbursement appeared first on TBH Institute Blog. Blog Center For Medicare And Medicaid Cpt Codes Telehealth ReimbursementProperly identifying facilities that rely upon reimbursable services can also point the way for additional fees that are exclusive to telehealth. For example, “facility fees” are often reimbursable. They are the U.S. government’s way of supporting the technology infrastructure costs … Read more.

CMS’ Rural Health Strategy Could Expand Medicare Telehealth Reimbursement

care innovations

Congress and the Centers for Medicare & Medicaid Services (CMS) have generated hope among health plans, insurers, providers and patients that Medicare telehealth reimbursement is set to expand significantly in the year ahead. points out at the AHIP Blog.

MIPS Audits: Lessons Learned from Meaningful Use

Healthcare IT Today

The following is a guest blog post by Jim Tate, Founder of EMR Advocate & MIPS Consulting. Just as the Meaningful Use (MU) EHR Incentive program brought potential audits to providers, so it will be with the MIPS program.

Medicaid’s Telehealth Expansion Waiver Changes ACO Restrictions

Telebehavioral Health Institute

For years, the CMS and Medicare have been open to recognizing telehealth. For instance, to date, Medicare has limited its coverage to serving only clients/patients in rural Health Professional Shortage Areas (HPSA). The post Medicaid’s Telehealth Expansion Waiver Changes ACO Restrictions appeared first on TBH Institute Blog. Easy 3-Part TBHI Online Webinar Series) Medicaid Medicare Next Generation ACO Model Telehealth Expansion Waiver Next Generation ACO TBHI

Medicaid’s Telehealth Expansion Waiver Changes ACO Restrictions

Telebehavioral Health Institute

For years now, the CMS and Medicare have been open to recognizing telehealth. For instance, Medicare limits its coverage to rural Health Professional Shortage Areas (HPSA). The post Medicaid’s Telehealth Expansion Waiver Changes ACO Restrictions appeared first on TBH Institute Blog. Easy 3-Part TBHI Online Webinar Series) Medicaid Medicare Next Generation ACO Model Telehealth Expansion Waiver Next Generation ACO TBHI

Telehealth Place of Service Code & Telehealth Reimbursement

Telebehavioral Health Institute

The Centers for Medicare and Medicaid Services (CMS) is a government agency within the US Department of Health and Human Services (HHS). The post Telehealth Place of Service Code & Telehealth Reimbursement appeared first on TBH Institute Blog. Blog Center for Medicare and Medicaid Services (CMS) handout CMS Medicaid ReimbursementCMS oversees insurance billing code set in the United States.1

Healthcare and the F-Word: Health Politics Rank High on November 6, 2018

Health Populi

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. ACA Affordable Care Act Health Consumers Health costs Health insurance Health politics Health reform Healthcare access Medicaid Medicare

Heart-Love – Omron’s Holy Grail of Blood Pressure Tracking on the Wrist

Health Populi

Here is Omron’s blog written for #CES2018 on Going for Zero. It’s February 1st, which marks the first of 28 days of American Heart Month – a time to get real, embrace, learn about, and engage with heart health. Heart disease kills 610,000 people in the U.S.

E-Prescribing of Controlled Substances Still Underused

Healthcare IT Today

However, a new blog item from ONC notes that this is not exactly how things stand. In theory, electronic prescribing of controlled substances should be in wide use these days, as there’s never been more pressure of doctors to be very aware of and document carefully such prescriptions.

CMS Congressional Report: 85.4% of all Telehealth Users Had Mental Health Diagnosis

Telebehavioral Health Institute

Professionals looking for current metrics related to opportunities in telemental health or telebehavioral health will find a treasure-trove in the recent Centers for Medicare and Medicaid (CMS) Congressional report.

Welcome to the CMS eHealth Blog

CMS.gov

Welcome to the CMS eHealth blog. Upcoming blogs will highlight HIMSS sessions about eHealth and its programs, and we look forward to continuing the conversation as our eHealth programs reach key milestones over the coming months. eHealth aligns several CMS programs: Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. By Robert Tagalicod, Director, Office of E-Health Standards and Services.

CMS Congressional Report: 85.4% of all Telehealth Users Had Mental Health Diagnosis

Telebehavioral Health Institute

Professionals looking for current metrics related to opportunities in telemental health or telebehavioral health will find a treasure-trove in the recent Centers for Medicare and Medicaid (CMS) Congressional report.

CMS Makes Essential Changes to Dialysis Reimbursement

Health Recovery Solutions

In March, Health Recovery Solutions published a blog post on the potential of telehealth to disrupt the current system of treatment for those living with end-stage renal disease (ESRD). kidney disease telehealth reimbursement medicare

Remote Patient Monitoring & Telehealth Reimbursement

Telebehavioral Health Institute

As of January 1, 2018, the Centers for Medicare and Medicaid Services (CMS) unbundled the 99091 CPT code making it possible for some eligible practitioners to be reimbursed “for time spent on collection and interpretation of health data that is generated by a patient … Read more. The post Remote Patient Monitoring & Telehealth Reimbursement appeared first on TBH Institute Blog. Blog 99091 cpt code Remote Patient Monitoring Telehealth Reimbursement

RPM CPT Codes for 2019

Telebehavioral Health Institute

Not only did three new CPT codes get added to reimburse for remote patient monitoring (RPM) in January, but now the Centers for Medicare and Medicaid Services (CMS), has issued a technical change to allow auxiliary staff to deliver care … Read more.

Blockchain in Healthcare: A Vehicle Towards Digital Health 2.0?

The Digital Health Corner

I hope and believe that all of the above roles I engage in add to the quality of this blog. digitalhealth clinical trials digital health digital health technology drug addiction FDA healthcare economics Healthcare IT IT security medical apps medical devices patient engagement patient safety pharma technology #hcldr blockchain cybersecurity EHR healthcare IT hospitals Medicare telehealthI would like to apologize to the readers of this site for the long hiatus.

ThoughtLeaders: Prognosis for Medicare and Commercial ACOs

E-CareManagement

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?” While these Medicare ACO programs did not perform as well as hoped, there were many factors affecting savings and quality improvements including geography and diversity of the populations served.

Let’s Connect! What I’m looking forward to most at the Connected Health Conference in Boston

Digital Health Today

Like Eko, S-There Technologies and TripleW have devices that allow remote monitoring of patients, presumably capitalizing on the new reimbursement opportunities for Remote Patient Monitoring in the last two Medicare Physician Fee Schedules. Blog business of health Connected Health software

How Maximizing Telehealth Reimbursement Policies Will Change Healthcare for the Better

InTouch Health

By 2030, the Medicare-eligible population in the United States is expected to reach 69.7 Meanwhile, Medicare’s acute care costs are expected to soar to around $259.8 With Medicaid and Medicare now penalizing hospitals for readmissions and extended patient lengths of stay, providers can use telehealth to improve patient outcomes and the recovery process. Telehealth Innovation Blog

Major Players in Home Health Programs

Perficient

In this blog I analyze the major players in the HHP. The Center for Medicare Services (CMS) oversees the Health Home Program, but each state has a Health Home Authority that creates and manages its HHP. Previously , I discussed what home health programs (HHP) are.

Key Takeaways from the West Health Summit and the Telemed Leadership Forum

Digital Health Today

They laid out their three “Common Sense Solutions” to the problem: End Fee-For-Service reimbursement and move to value-based care; Empower Medicare with the right to directly negotiate drug pricing; and. Blog business of health Medica telemed leadership forum west health summit

Understanding the Value of Remote Patient Monitoring

InTouch Health

Reducing hospital readmission rates and improving patient outcomes can also increase Medicare reimbursement rates and help facilities improve their reputations among consumers and the healthcare industry at large. Telehealth Innovation BlogWhy More Hospitals and Health Systems Are Investing in RPM. Remote patient monitoring (RPM), or monitoring the health of a patient from a remote location, is changing the way providers think about healthcare.

Next Generation ACO Model Bodes Well for Telemedicine Reimbursement

American Well

This week the Centers for Medicare & Medicaid (CMS) unveiled the Next Generation ACO Model , which allows select Medicare ACOs to assume more risk in service of pursuing efficient and effective patient care. By Kofi Jones, VP of Government Affairs, American Well.

CPT Code for Remote Patient Monitoring?

Telebehavioral Health Institute

In January 2018, Centers for Medicaid and Medicare Services (CMS) announced changes to Medicare reimbursement for remote patient monitoring and telemedicine. appeared first on TBH Institute Blog.

A startup with a cause – championing the individual in navigating health care

Digital Health Today

Per the Center for Medicare and Medicaid Services estimates, households will be paying approximately $1T directly out of pocket by 2025. Blog business of health Connected Health softwareInterview with Kash Kapadia, Founder and CEO of Anchor Health. At the Health 2.0

2019 Telehealth Predictions: The Emergence of a Game-Changer for Healthcare

American Well

The transition of telehealth from emergent-care settings into chronic-care settings is supported by the CHRONIC Care Act, which will release Medicare Advantage dollars to providers treating chronically ill patients remotely. Blog physicians telehealth predictions telemedicine predictions virtual first wearable devicesThroughout 2018, we witnessed across-the-board advances in the world of telemedicine.

Telemedicine Reimbursement

American Well

Lack of understanding about how each of the three major payer types—Medicare, Medicaid, and commercial payers—reimburse for telemedicine visits has understandably prevented many providers and delivery systems from making informed decisions about adopting this technology. Medicare .

ATA Releases Updates on Telemedicine Coverage and Reimbursement

InTouch Health

13 states use integrated care for Medicare-Medicaid dual-eligibles and four states use HCBS waivers. Telehealth Innovation BlogSee How Access to Telehealth Services Has Changed Over the Last Two Years. The American Telemedicine Association recently released its 2019 State of the States Report: Coverage and Reimbursement, a state-by-state assessment of how the telehealth industry continues to grow and evolve around the country.