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

Healthcare IT News - Telehealth

By Tyler Williams, Directory of Strategy, AR Optimization, ZOLL Data Systems. Prepare Now for Anticipated Changes to Medicare and Private Payer Rules. The Centers for Medicare and Medicaid Services (CMS) is expected to issue new rules for telehealth in the release 2021 Physician Fee Schedule later this year.

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Healthcare 2030: Are We Consumers, CEOs, Health Citizens, or Castaways? 4 Scenarios On the Future of Health Care and Who We Are – Part 2

Health Populi

Presidential elections to that point, and that the last retiring Baby Boomer enrolls in Medicare that year. Let’s take a walk with “Quincy” through each of the four worlds to see how their health care experience might play out across the key driving forces. In 2030, every Boomer will have been eligible for Medicare.

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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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What We Know We Know About ZIP Codes, Food, and Deaths of Despair – HealthConsuming Explains, Part 3

Health Populi

public health — uniquely American versus the rest of the developed world. The growth of public sector incentives in Medicare for social supports, and growth of value-based payment in commercial plans, are forces nudging health care providers toward bundling SDoH services into targeted programs.

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Add Behavioral Data to Social Determinants For Better Patient Understanding

Health Populi

The Sage team explains that, by layering knowledge about peoples’ behaviors, beliefs, and attitudes on top of the traditional SDOH factors, health care providers can mash-up SBDoH – “socio-behavioral determinants of health” — your new acronym to add to your growing list of healthcare ABCs.

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Social Determinants of Health Generate Drastic Cost Reductions

BHM Healthcare Solutions

New research released by WellCare Health Plans, Inc. New research released by WellCare Health Plans, Inc. The study examined medical expenditures associated with 2,718 WellCare Medicaid and Medicare Advantage plan members who accessed WellCare’s Community Assistance Line—a toll-free, nationwide line open to the general public.

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Survey Findings: Medicaid Telehealth For Behavioral Health Care

Telebehavioral Health Institute

The survey results showed that behavioral health, particularly mental health, remained a top service category in the state fiscal year (FY) 2022. This is supported by data from the Centers for Medicare and Medicaid Services (CMS), which confirms the increased access and utilization of behavioral health services during the pandemic.