$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

How Does Medicare Cover Telemedicine?

Electronic Health Reporter

Roberts, a Medicare insurance expert and co-founder, Boomer Benefits. The article How Does Medicare Cover Telemedicine? Roberts Medicare Part B outpatient coverage Part C Medicare Advantage plan Patient co-pays and co-insurance under Part B telehealth telemedicine

Telemedicine Coverage Through Medicare

VSee

Thankfully, Medicare has made strides to help seniors get the doctor visits they need, even if. Featured Post Tips & Techniques cms telemedicine elderly care insurance Medicare and Medicaid telemedicine senior care telehealth for seniorsBeing able to get to and from doctor visits can become challenging the older we get, especially if it’s a specialist visit out of town. This is unfortunate since as we age, we may require visits more often.

Contract Year 2020 Medicare Advantage and Part D Flexibility Final Rule

Electronic Health Reporter

On April 5, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates the Medicare Advantage (MA or Part C) and Medicare Prescription Drug Benefit (Part D) programs by promoting innovative plan designs, improved quality, and choices for patients.

The Political Plausibility of Medicare for All

Electronic Health Reporter

The article The Political Plausibility of Medicare for All appeared first on electronichealthreporter.com. Editorial Ken Perez Medicare for All OmnicellThis content is copyrighted strictly for Electronic Health Reporter. By Ken Perez, vice president of healthcare policy, Omnicell, Inc.

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).

New CMS ruling expands telehealth access to Medicare Advantage patients

Mobi Health News

The new ruling will expand access geographical and plans will have more flexibility in payment models.

Seniors Satisfied With Medicare Supplemental Plan

BHM Healthcare Solutions

Editor’s Note: Medicare Advantage organizations (MAOs) continue to do a poor job of maintaining accurate provider directories—and it’s landing some in hot water with the federal government. Financial Medicare and Medicaid Medicaid Medicare payment models Value Based Payments

CMS finalizes Medicare Advantage and Part D Payment Policies

BHM Healthcare Solutions

Editor’s Note: Medicare Advantage organizations (MAOs) continue to do a poor job of maintaining accurate provider directories—and it’s landing some in hot water with the federal government. Under the rule, Medicare Advantage health plans will see a 2.53

Medicare for All and more

Morning eHealth

RUSH Act back — Usability migraines continue

Supporting the Medicare Advantage Quality Payment Relief Act

BHM Healthcare Solutions

Editor’s Note: Medicare Advantage organizations (MAOs) continue to do a poor job of maintaining accurate provider directories—and it’s landing some in hot water with the federal government. The “Medicare Advantage Quality Payment Relief Act” was introduced on April 8, 2019 by Reps. This policy is inconsistent with the broader goals of rewarding high quality performance and continued improvement in the delivery of care to people eligible for Medicare.”.

Nearly Half of Adults Unfamiliar with ‘Medicare for All’

BHM Healthcare Solutions

Editor’s Note: Medicare Advantage organizations (MAOs) continue to do a poor job of maintaining accurate provider directories—and it’s landing some in hot water with the federal government. 13-16, 2018, surveyed 1,021 interviewees on their perception of Medicare for All proposals.

What $285,000 Can Buy You in America: Medical Costs for Retirees in 2019

Health Populi

That retirement cost gap is the sticker-shock assumption that Medicare is going to cover all health care expenses in retirement.

Medicare: Cover CGMs Now!

Insulin Nation

Unfortunately, Medicare policy hasn’t kept up with evolving diabetes technology, and policymakers have left out CGMs from the list of reimbursable diabetes devices. There have been several petitions circulating to pressure lawmakers to make Medicare cover CGMs.

Medicare Reimbursement for Remote Monitoring Should Drive Adoption (What a long, strange trip it’s been….)

The cHealth Blog

The Centers for Medicare & Medicaid Services (CMS) released the 2018 Physician Fee Schedule about two weeks ago and there is at least one nugget in there that should speed the adoption of remote patient monitoring.

eHealth's online Medicare enrollment up 69% in Q4 2018

FierceHealthIT

An increasing share of eHealth’s Medicare Advantage and Medicare Supplement customers are now enrolling for coverage online

Medicare Advantage insurtech startup Clover Health raises $500M

Mobi Health News

The Greenoaks Capital-led round is expected to close within the next couple of weeks

CMS launches Medicare info mobile app

Morning eHealth

Optum comes back swinging in employment war — Comments on EHRs and clinician burden

EHR 117

Trump administration finalizes Medicare Advantage telehealth benefit policy

FierceHealthIT

Medicare Advantage (MA) plans will be able to add additional telehealth benefits starting in plan year 2020 under a final rule announced by the Trump Administration on Friday afternoon.

Study: More Medicare Patients Dying At Home

BHM Healthcare Solutions

Editor’s Note: The growth of Medicare Advantage as a program (it accounts for a third of Medicare enrollees and spending), and the 9.3% The growth of Medicare Advantage as a program (it accounts for a third of Medicare enrollees and spending), and the 9.3%

CMS finalizes rule for remote patient monitoring reimbursement under Medicare

Mobi Health News

CMS Administrator Seema Verma said that the remote monitoring change and others would promote care innovation and reduce provider burden

Health/Care Everywhere – Re-Imagining Healthcare at ATA 2019

Health Populi

“ATA” is the new three-letter acronym for the American Telemedicine Association, meeting today through Tuesday at the Convention Center in New Orleans.

Medicare Advantage Organizations Overturned 75% of Their Denials

BHM Healthcare Solutions

Editor’s Note: Medicare Advantage organizations (MAOs) continue to do a poor job of maintaining accurate provider directories—and it’s landing some in hot water with the federal government. Financial Medicare and Medicaid Medicaid Medicare payment models Value Based Payments

KFF: Two-thirds of Medicare recipients lack dental coverage

FierceHealthIT

Almost two-thirds of Medicare recipients, 37 million people, don’t have dental coverage, according to a recent report from the Kaiser Family Foundation (KFF

Medicare trustees: Hospital fund set to run out by 2026 

FierceHealthIT

Medicare’s Hospital Insurance Trust Fund is set to run out in the next seven years, according to a new report.

CMS Proposes to Expand Telehealth Benefits Under Medicare Advantage Plans

Healthcare Informatics

CMS is proposing to implement several sections of the Bipartisan Budget Act of 2018, including expanding telehealth benefits under Medicare Advantage plans

‘Medicare-for-all’ compounds Medicare’s current problems, Verma says

FierceHealthIT

Echoing her boss’s op-ed last week, Centers for Medicare & Medicaid Services Administrator Seema Verma devoted an unusually long time in one speech to why a popular progressive proposal would not work

Florida healthcare executive convicted in $1.3B Medicare, Medicaid fraud scheme 

FierceHealthIT

billion scheme to defraud Medicare and Medicaid—one of the largest in U.S. The owner of several South Florida skilled nursing and assisted living facilities has been found guilty for his role in a $1.3 history.

National Health Spending Will Reach Nearly 20% of U.S. GDP By 2027

Health Populi

every year from 2020 to 2027, the actuaries at the Centers for Medicare and Medicaid Services forecast in their report, National Health Expenditure Projections, 2018-2927: Economic And Demographic Trends Drive Spending And Enrollment Growth , published yesterday by Health Affairs.

Big changes are coming to Medicare reimbursement for connected health

Mobi Health News

At HIMSS19, ACT | The App Association's Brian Scarpelli will lay out the details of what he calls a "sea change" in CMS' policy toward remote patient monitoring

Medicare Advantage Plans Grow With Star Ratings

BHM Healthcare Solutions

Editor’s Note: Medicare Advantage organizations (MAOs) continue to do a poor job of maintaining accurate provider directories—and it’s landing some in hot water with the federal government. Financial Medicare and Medicaid Medicaid Medicare payment models Value Based Payments

Medicare Hospice Program Vulnerable According to Inspector General Report

BHM Healthcare Solutions

Editor’s Note: The growth of Medicare Advantage as a program (it accounts for a third of Medicare enrollees and spending), and the 9.3% CMS data showed Medicare spending for hospice care rose 81 percent between 2006 and 2016, from $9.2.

ACOs saved Medicare $2.7B to date, outpacing CMS estimates

FierceHealthIT

Accountable care organizations in the Medicare Shared Savings Programs have saved Medicare $2.7 billion to date, including $859 million in 2016, according to a new analysis commissioned by NAACOS. That's $1.1 billion more than CMS estimates

Medicare Drug Prices Up Despite Decrease in Prescriptions

BHM Healthcare Solutions

Editor’s Note: Increasing costs for prescriptions is creating a long-term financial impact on Medicare Part D and its beneficiaries. Total Medicare reimbursement for all brand-name drugs ballooned 77 percent from 2011 to 2015.

4 in 10 Medicare beneficiaries expected to be on Medicare Advantage plans by 2028

FierceHealthIT

Medicare Advantage enrollment is expected to increase from 34% of the Medicare population in 2018 to 42% in 2028. Yet CBO forecasts that spending on those enrollees will grow from $200 billion to $580 billion over the same time period

The Centers for Medicare and Medicaid Approved Separate Reimbursements for Non-Traditional Patient Visits

eVisit

November 1, 2018 the Centers for Medicare and Medicaid (CMS) made a significant step in overcoming this obstacle. It announced its finalization of “ Revisions to Payment Policies under the Medicare Physician Fee Schedule, Quality Payment Program and Other Revisions to Part B for CY 2019 ”.

Payers, providers push back on Democrats' Medicare buy-in plan

FierceHealthIT

The Medicare at 50 Act, introduced earlier this week, is already getting pushback from healthcare organizations that were hoping to either expand Medicare options to all or, on the flip side, keep the coverage primarily for those 65 and over

UnitedHealth beats Q1 projections, but Medicare for All talk starts stock sell-off

FierceHealthIT

UnitedHealth Group’s revenue jumped by 9% in the first quarter of 2019, buoyed by significant growth in Medicare Advantage.

CMS unveils app for Medicare beneficiaries to view coverage details

FierceHealthIT

CMS' new "What's covered" app, available on iOS and Android devices, allows users to quickly look up whether Medicare covers a certain device or procedure

Medicare Drug Prices Up Despite Decrease in Prescriptions

BHM Healthcare Solutions

Editor’s Note: Increasing costs for prescriptions is creating a long-term financial impact on Medicare Part D and its beneficiaries. ” Increasing costs for prescriptions is creating a long-term financial impact on Medicare Part D and its beneficiaries.