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Medicare Advantage’s Favorable Selection Problem

Digital Health Wire

Medicare Advantage plans could be on track to reach over $75B in overpayments this year – nearly 3x prior estimates – causing researchers at the USC Schaeffer Center for Health Policy and Economics to issue a pressing call for policy reform. Favorable selection at its finest.

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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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Most Americans Blame Drug Companies, Insurers, and Hospitals for High Health Care Costs

Health Populi

reduce the high cost of health care? The most-agreed strategy would be to advance prevention of future disease and to ensure that people live healthier lives, cited by 84% of Americans, and fully 8 of 10 people across political party. After this strategy, few solutions have this level of agreement across party divides.

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Lose the COVID-19 public health emergency, but keep the progress

Healthcare IT News - Telehealth

Accountable Care Compliance & Legal Government & Policy Telehealth Workforce Healthcare organizations must urge the Senate to pass critical telehealth legislation, and enact at least a two-year extension of the important PHE-era policies while working toward a permanent solution. We cannot afford to let that happen.

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Lose the COVID-19 public health emergency, but keep the progress, says HIMSS GR director

Healthcare IT News - Telehealth

Accountable Care Compliance & Legal Government & Policy Telehealth Workforce Healthcare organizations must urge the Senate to pass critical telehealth legislation, and enact at least a two-year extension of the important PHE-era policies while working toward a permanent solution. We cannot afford to let that happen.

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Telehealth Reimbursement: End-of-Pandemic Emergency Update

Telebehavioral Health Institute

Private payers, Medicaid, and Medicare initiated widespread telehealth reimbursement approvals. The article below clarifies and summarizes the end-of-pandemic reimbursement decisions made by private payers, Medicare, and Medicaid. They can receive care from their homes rather than traveling to a health care facility.

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HHS focuses on telehealth and tech innovations in Rural Action Plan

Healthcare IT News - Telehealth

Department of Health and Human Services on Thursday released an 82-page Rural Action Plan aimed at evaluating and engaging challenges facing rural healthcare in the country. Providers have raised the question of reimbursement rates as a cause for anxiety about future telehealth availability.