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

Health Populi

APRIL 14, 2019

“ATA” is the new three-letter acronym for the American Telemedicine Association, meeting today through Tuesday at the Convention Center in New Orleans. Ann Mond Johnson assumed the helm of CEO of ATA in 2018, and she’s issued a call-to-action across the health/care ecosystem for a delivery system upgrade.

Telehealth 227

Telehealth Telemedicine FHIR Medicare 227

AMD Telemedicine

JANUARY 6, 2022

However, while there is an initial upfront cost to implement telehealth and telemedicine technology, it tells only one chapter of the full financial story. The Centers for Medicare & Medicaid Services have introduced expanded reimbursement guidelines and CPT codes for care delivered through telehealth services. View our Solutions.

Telehealth 78

Telehealth Telemedicine Medicare Health Policy 78

Healthcare IT News - Telehealth

MARCH 2, 2021

Mahoney said the restrictions inadvertently create a "donut hole" for Medicare Fee for Service patients, allowing the health system to offer care to everyone but them. Harvard Medical School Associate Professor of Health Policy and Medicine Dr. Ateev Mehrota proposed a more measured approach.

Telehealth 194

Telehealth Telemedicine Primary Care Health Policy 194

Health Populi

MARCH 12, 2020

The coronavirus spawned another kind of gift to China and the nation’s health citizens: telemedicine, the essay explains. COVID-19 accelerated telemedicine adoption, the story goes, being accessed mainstream through major regions of China. Check out this last public health poster about Medicare and COVID-19.

Telehealth 292

Telehealth Medicare Telemedicine Public Health 292

American Well

MARCH 5, 2018

In the end, I truly believe that on balance we were helping more than hurting, but I always wondered if there were some way that we could have brought them the same level of care and attention, without the negative side effects of having them bend their lives around a health care system centered on the provider. Patients have a workflow too.

Telemedicine 48

Telemedicine Connected Health Health Policy Primary Care 48

American Well

MARCH 5, 2018

In the end, I truly believe that on balance we were helping more than hurting, but I always wondered if there were some way that we could have brought them the same level of care and attention, without the negative side effects of having them bend their lives around a health care system centered on the provider. Patients have a workflow too.

Telemedicine 48

Telemedicine Connected Health Health Policy Primary Care 48

Healthcare IT News - Telehealth

SEPTEMBER 28, 2020

Over the past six months, as hospitals and health systems have pursued telemedicine and remote patient monitoring programs in earnest – whether launching new one or expanding existing ones – they've all had some learning curves and growing pains to manage. How to navigate a new policy landscape.

Telehealth 203

Telehealth eHealth Connected Health Health Policy 203

GlobalMed

MARCH 30, 2021

But today’s telemedicine tools can enable evidence-based care and data sharing. You can also monitor chronically ill patients at home by remotely collecting data like blood pressure, blood sugar, heart rate, weight, or oxygen levels. Evaluate telemedicine solutions. Blazing the Virtual Health Trail.

Telehealth 102

Telehealth Telemedicine Health Policy EHR 102

Health Populi

MARCH 9, 2022

For those of you focused on serving Medicare or older patients, there are some important findings in the JLL study to add into your scenario planning assumptions. “This kind of patient self-reported data makes the leap to over-utilization way too simplistic,” Drobac told Modern Healthcare. ” she added.

Telehealth 227

Telehealth Medicare Life Science Mental health 227

Health Populi

MAY 20, 2020

Payors, both commercial and public sector (Medicare, Medicaid), have relaxed rules and regulations for telehealth across platforms (from purpose-built telemedicine programs to HIPAA-relaxed approvals for using FaceTime, Zoom, and other commercial channels), and have various plans to pay for virtual care visits between clinicians and patients.

Telehealth 182

Telehealth Telemedicine Mental health Medicare 182

South Central Telehealth Resource Center

MARCH 6, 2018

In 2018, updates and changes impacted telehealth policy across the nation. Medicare and Remote Patient Monitoring (RPM) Reimbursement. Effective January 1, 2018, Medicare began reimbursing providers for RPM services billed under CPT code 99091. Click here to read specific information on the Medicare website.

Telehealth 54

Telehealth Medicare Nursing Telemedicine 54

Henry Kotula

MAY 9, 2020

As people put off medical appointments and everything from hip replacements to routine mammograms, health spending dropped an annualized rate of 18 percent in the first three months of the year, according to recent federal data. The researchers used visit data from clients of a technology firm, Phreesia. In Albany, Ga.,

Primary Care 41

Primary Care Medicare Telemedicine Health Policy 41

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.

Connected Health 52

Connected Health Telehealth Medicare Health Technology 52

Henry Kotula

NOVEMBER 4, 2018

Yesterday the Center for Medicare & Medicaid Services (CMS) finalized the 2019 Physician Fee Schedule (PFS ), announcing they will delay implementation of changes to physician evaluation and management (E&M) codes until 2021. Along with the two-year delay, CMS also raised base rates, and created an additional code for complex visits.

Medicare 32

Medicare Telemedicine Primary Care Health Policy 32

Health Populi

JUNE 24, 2021

In the larger public and population health context, on the patient side, we can expect the burden of disease beyond COVID to increase due to postponed care and treatment backlogs. For Medicare Part B programs alone, the drug could consume one-half of the total $57 billion of medicines spending… as much as the U.S. spends on NASA.

BioTech 270

BioTech Pharmaceuticals Public Health Telehealth 270

Health Populi

FEBRUARY 9, 2021

But letting a virulent public health crisis manage the downturn in American health spending is hardly an optimal hands-on, strategic approach to improving a nation’s health system, let alone a vision to drive health equity, quality improvement and sustainability for patients and care providers.

Primary Care 170

Primary Care Public Health Interoperability Medicare 170

Healthcare IT News - Telehealth

JANUARY 4, 2021

Hospitals will negotiate hard with Centers for Medicare & Medicaid Services and Medicare Advantage plans to be paid on a per month basis to ensure there is a continuous revenue stream, moving away totally from a fee-for-service agreement. They will seek supplier agreements that are more long term with lower upfront investments.

Telehealth 213

Telehealth Interoperability Medicare Pharmaceuticals 213

Health Populi

OCTOBER 8, 2018

With “Economy” embodied in the law’s name, a rationale for including HITECH in ARRA was, in part, to help stimulate the nation’s economy beyond the revenues of health IT companies many of whom, in the short-term, directly benefited from the law. Wegman was CEO and advocated for the statewide health information network.

Digital Health 154

Digital Health EHR Telehealth Health Information 154

Henry Kotula

AUGUST 28, 2023

That law, the Medicare Prescription Drug Price Negotiation Act, made it illegal for Health and Human Services (HHS) to negotiate drug prices with manufacturers —even for the individuals publicly insured through Medicare and Medicaid. The newest data show that suicides across the U.S.

Mental health 41

Mental health Medicare Medical Billing Telemedicine 41

Henry Kotula

JULY 7, 2021

Those in complete isolation actually came to look forward to Zoom meetings and telemedicine appointments. But you cannot make public policy on anecdotes alone , which is why the CRS report offers a roadmap for lawmakers. Not Medicare. Not even fancy private insurance plans.

Mental health 41

Mental health Medicare Public Health Telemedicine 41

Health Populi

JULY 10, 2020

Earlier in the SGP report, physicians listed key problems with telehealth, which included privacy (explaining policies to patients), cybersecurity risks, lack of data for care continuity, patient literacy with digital technology, and to be sure, reimbursement and payment parity, among other challenges.

Telehealth 278

Telehealth Primary Care Mental health Patient Experience 278

Henry Kotula

JUNE 14, 2020

Preparedness Of Community Health Centers For Telehealth. Despite the changes, many health centers may not be ready to implement high-quality telehealth. A study using 2016 data showed that only 38 percent of CHCs used any telehealth. As the COVID-19 pandemic sweeps through the US, health care delivery will never be the same.

Telehealth 41

Telehealth Primary Care Medicare HIPAA 41

Henry Kotula

MAY 19, 2019

Moody’s expects nonprofit health systems to engage in partnerships with other hospitals but also seek to align with companies specializing in data analytics or ridesharing services to continue the transition from inpatient care to outpatient care.

Medicare 32

Medicare Telemedicine Health Policy 32

Henry Kotula

JANUARY 2, 2019

Venture capital businesses have recently funded hundreds of startups developing technology-enabled digital health products, including wearable devices, mobile health applications, telemedicine, and personalized medicine tools. billion has been invested in digital health this decade (see Exhibit 1).

Digital Health 32

Digital Health Mobile Health Telemedicine Primary Care 32

Henry Kotula

NOVEMBER 28, 2017

Though not as high profile as Anthem’s policies, payers have been narrowing provider networks to bring down costs. This has been especially true in ACA exchange plans and Medicare Advantage (MA). This will additionally mean payers will need to share the right data to providers. ” Aneesh Krishna.

Medicare 32

Medicare Accountable Care Telemedicine Patient Experience 32

Health Populi

DECEMBER 22, 2022

health citizens face physical, financial, and mental health challenges of a syndemic, inflation, and stress – all of which will shape peoples’ demand side for health care and digital technology, and a supply side of providers challenged by tech-enabled organizations with design and data chops. Entering 2023, U.S.

Health Technology 156

Health Technology Mental health Digital Health Primary Care 156

GlobalMed

JULY 21, 2019

So why are some providers reluctant to adopt telemedicine solutions? To help providers separate fact from fiction, we just published a guide called The Truth About Telemedicine Revenue and Reimbursement. For now, here are a few tips for maximizing telemedicine reimbursement in your practice or hospital. Administrative Changes.

Telemedicine 40

Telemedicine Telehealth Health Policy Connected Health 40

Health Populi

JANUARY 18, 2021

As iFit’s Bluetooth connected heart rate monitor connected with NordicTrack the device also connects with wearable tech from Garmin, Polar, Wahoo and WHOOP, an example of the growing data ecosystem emanating from consumer-generated health devices. ” TOTO collects data from fecal matter deposited in the toilet.

Digital Health 182

Digital Health Public Health Life Science Patient Experience 182

Henry Kotula

JULY 28, 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. Mid-year Update: The latest report from Kaufman Hall offers data that shows a reversal in this trend for the first part of 2023.

Public Health 41

Public Health Digital Health Primary Care Telehealth 41

Henry Kotula

JUNE 5, 2020

county using 2017 Medicare Provider Utilization and Payment Data. They also used aggregated data from the CDC and local public health agencies to plot the rate of confirmed COVID-19 cases in each county as of May 12. Researchers determined the density of infectious disease physicians in every U.S.

Public Health 32

Public Health Telemedicine Medicare Health Policy 32

Telebehavioral Health Institute

DECEMBER 22, 2022

Professionals focused on expanding their telehealth services through Medicare will also be delighted to see the Centers for Medicare and Medicaid Services (CMS) final 2023 Medicare Physician Fee Schedule (PFS). Key Medicare Behavioral Telehealth Regulations. The 12/22/22 Senate passage of the 1.7 Legislation Roundup.

Telehealth 75

Telehealth Medicare Mental health Telemedicine 75

Healthcare IT News - Telehealth

JANUARY 12, 2021

"We are at an inflection point, and inflections bring new challenges," said former senate majority leader Dr. William Frist, R-Tennessee, during the first day of the American Telemedicine Association's four-part EDGE policy conference on Tuesday. " Similarly, Meghan O'Toole, health policy advisor for Sen.

Telehealth 192

Telehealth Telemedicine Health Policy Healthcare IT 192

Henry Kotula

FEBRUARY 1, 2023

CEO of Virginia Mason Franciscan Health (Seattle) and Division President, Pacific Northwest of CommonSpirit Health (Chicago): This is a transformative time in the healthcare industry, as hospitals and healthcare systems are evolving and innovating to meet the growing and changing needs of the communities we serve. David Rahija.

Primary Care 41

Primary Care Nursing Patient Experience Medicare 41

Henry Kotula

FEBRUARY 26, 2020

A growing volume of outpatient care will be provided in ambulatory surgery centers, primary care clinics, retail clinics, urgent care centers, nurse managed health centers, imaging facilities, emergency departments, retail clinics, and patients’ homes. Protecting data privacy. Consumerization of healthcare.

Primary Care 41

Primary Care Telehealth Patient Experience HIPAA 41