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Billing Medicare and Private Payers for Telehealth Visits: What to Expect Post-Public Health Emergency

Healthcare IT News - Telehealth

Prepare Now for Anticipated Changes to Medicare and Private Payer Rules. ” While the AMA and many others are advocating for continued support of telehealth post-pandemic, healthcare providers and practice leaders should anticipate and prepare for a return to more standardized regulation after the public health emergency (PHE).

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CHI POV: Medicare Coverage and Digital Health

Connected Health Initiative

This is part of a series outlining key priorities for the 118th Congress in legislating on digital health. Under current law, Medicare is generally not able to pay for live audio and video doctor visits. Examples include the Telehealth Modernization Act of 2021 (H.R. 4040, 117th, as introduced).

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From Evolution to Innovation, from Health Care to Health: How Health Plans With Collaborators Are Re-Defining the Industry

Health Populi

Patients and health plan members continue evolving into medical bill payers, with their homes and budgets baked into the concept. Of particular note is the organization’s “promise of health assurance – care that is more proactive, accessible, and affordable to people everywhere.” Retail health-meets-Medicare.

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Telehealth and COVID-19 in the U.S.: A Conversation with Ann Mond Johnson, ATA CEO

Health Populi

The coronavirus spawned another kind of gift to China and the nation’s health citizens: telemedicine, the essay explains. How would you improve what’s in the bill to optimize the use of telehealth in this challenging public health moment? What can we expect to hear relevant to the public health challenge?

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Telehealth Reimbursement: End-of-Pandemic Emergency Update

Telebehavioral Health Institute

Based on current COVID-19 recovery trends, the Department of Health and Human Services announced that the US federal Public Health Emergency (PHE) waivers will end on May 11, 2023. Private payers, Medicaid, and Medicare initiated widespread telehealth reimbursement approvals.

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22 states changed telemedicine laws during the pandemic

Healthcare IT News - Telehealth

In March 2020, federal regulators temporarily relaxed restrictions for telemedicine visits for Medicare patients, raising payments to the same level as in-person visits and reducing cost-sharing, among other changes. WHY IT MATTERS.

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State Medicaid programs want to keep telehealth expansions, KFF analysis finds

Healthcare IT News - Telehealth

KFF's survey of state Medicaid programs found them not only expanding telehealth benefits – for example, providing audio-only coverage of behavioral health services , group therapy and medication-assisted treatment – but also adding several provider types, researchers said in the issue brief. WHY IT MATTERS.