Future of Remote Care Technology and Older Adults 2020 -- Themes Emerge

Aging in Place Technology Watch

What is the status and future of remote care technologies? As the research interviews for the 2020 report “Future of Remote Care Technology and Older Adults” wind down, a few themes become apparent. The home – not the hospital -- becomes the care delivery hub.

Remote Care Technologies – What have they been, what will they be?

Aging in Place Technology Watch

Previously limited categories expand to span multiple remote care services. Lots of chatter is underway this week about Telehealth, Remote Patient Monitoring, remote care technologies for senior living (where no visitors are allowed). Consider the HIMSS rebranding of one company, Wellsky, formerly Mediware,rebranded as Wellsky, but also renamed home, companion, private duty care as ‘personal care.’ But what about remote engagement technologies?


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2019 CMS Fee Schedule Expands Reimbursement for Remote Care

care innovations

It’s official: The Centers for Medicare & Medicaid Services (CMS) 2019 fee schedule is in effect as of January 1, 2019, bringing with it three new CPT codes that allow for expanded reimbursement for remote care services. CMS Code 99454 covers reimbursement for initial supply and daily recording or programmed alert transmission for a 30-day period for remote devices measuring the same physiologic factors as code 99453.

2018 Year in Review: The Year’s Biggest Remote Care News & Developments

care innovations

2018 was a historic year for telehealth and remote patient monitoring (RPM), as a series of developments played out that helped extend these important care delivery services to more patients than ever before. As government agencies like the CMS and VA expanded access to telehealth towards the goal of extending care into rural areas, industry leaders like Care Innovations® announced a series of breakthroughs with exciting implications for the years to come.

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


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 ”. One of the main barriers reported by HCPs for not embracing the powerful tool of telehealth has been the lack of reimbursement.

Why It's Time to Embrace Telemedicine


I t’s more than 40 years old and was developed as a way to use improvements in communication technology to bring quality medical diagnoses and care to individuals in remote parts of the world. What’s this new thing called Telemedicine? For starters, it’s not new!

How Telehealth is Expanding OB/GYN Care in Rural Communities


A pregnant woman’s healthcare strongly influences her baby’s health, and excellent prenatal and postnatal care are the building blocks that can shape the template of the life to come. can be a dangerous lack of gynecological care. Remote Patient Monitoring (RPM).

7 Ways Telemedicine Helps Control Diabetes


While many patients have yet to dip their toes in the telehealth water, patients with diabetes are already active participants in their own care plans. Many inject themselves with insulin or monitor their blood sugar levels at home and remotely share the results.

2019 Medicare Physician Fee Schedule Could Expand RPM Reimbursement

care innovations

Just as it did for the 2018 calendar year , the Centers for Medicare & Medicaid Services (CMS) is seeking to further expand reimbursement for remote patient monitoring, virtual visits and other telehealth services as part of its proposed 2019 Medicare physician fee schedule. Including the remote evaluation of patient-submitted photos as a reimbursed service. Expanding the range of Medicare-covered services “ to include prolonged preventive services ”.

Bipartisan bills in House, Senate seek to increase telehealth in nursing homes

Healthcare IT News - Telehealth

Adrian Smith, R-Nebraska, and Ann Kuster, D-New Hampshire – would allow Medicare to enter into voluntary, value-based arrangements with medical groups to provide acute care to patients in skilled nursing facilities using a combination of telehealth and on-site staff. The aim, say the bills' sponsors, is to enable better care coordination and avoid more costly patient transfer to hospital emergency departments.

Covid-19 – Technology changes accelerate – some a work-in-progress

Aging in Place Technology Watch

A number of companies popped into my inbox in the past week with announcements of a period of free access to remote care/engagement technologies – including and in alphabetical order CareCentrix , CareTree , Ergo , Eversound , Outpatient , Ready Responders , VitalTech , and NurseCaller. If your firm is in the remote care/caregiving space (health, telehealth, engagement), please comment or email and I will add to this list.

Five technologies for older adults November 2020

Aging in Place Technology Watch

November – the month for giving thanks -- remotely. In November, a long report (the third of 2020 ) called The Future of Remote Care Technology and Older Adults was published, the result of 30 interviews with executives from organizations large and very small.

eCare 90

Rethinking approaches to remote health and telehealth in Australia

Healthcare IT News - Telehealth

Speaking during a panel session at the recent AFR Healthcare Summit , Royal Australian College of General Practitioners (RACGP) President Dr Harry Nespolon said the way remote healthcare and telehealth is offered has changed little since the 1960s. “Doctors still need to see patients in front of them to dispense care. It’s not just about providing face-to-face communication in an effectively and timely manner in rural and remote Australia,” she said.

Podcast: Telehealth for Parkinson’s care

Meaningful HIT News

He had a lot of interesting things to say and, unlike so many other physicians, was aware of multiple system atrophy, the disease that killed my dad in 2012, so I decided to have him on for a podcast to describe how he is using off-the-shelf telehealth technology to expand access to care, improve patient satisfaction and reduce costs. We, of course, discussed cross-state licensure holding back wider use of remote care, a subject that is very much in the news right now.

After Covid-19, When the Care Recipient is Elsewhere, What?s Next for Technology?

Aging in Place Technology Watch

The spike has been attributed to a) the declaration of a state of emergency in March; b) introduction of Medicare/Medicaid coverage matching in-person visits; and c) encouragement from hospitals and medical practitioners. . One article author cites the growth of digital health but swaps in terms like “remote services” and “virtual consultations.” Consider the components of next generation remote technology to deliver care.

Consider tech adoption trends to contemplate what might be next

Aging in Place Technology Watch

So we know that ‘remote care’ and ‘caring’ in its various forms, including telehealth , seem to be heating up as a priority , whether for senior living organizations , families, healthcare provider organizations. It's putting more emphasis on the need for home healthcare and home care , especially in times in which the care workers hesitate to enter a home and which families are locked down and not visiting.

How Employer Health Plans Can Utilize Telehealth as a Value-Added Service

care innovations

Much has been written about the benefits of telehealth services like remote care within the healthcare system. Time and again, remote patient management has been shown to improve patient satisfaction and lower operational costs , as perhaps best demonstrated by the success of the Mississippi Diabetes Health Network. It’s of little surprise, then, to learn that the benefits offered by remote care also extend to employee health plans.

ATA weighs in on proposed CMS Physician Fee Schedule rule

Healthcare IT News - Telehealth

The American Telemedicine Association was among several groups this week that submitted comments to the Centers for Medicare and Medicaid Services regarding the 2021 Physician Fee Schedule proposed rule. The comments focused on three areas: expanding access to more telehealth services and providers, changes to remote patient monitoring services, and telehealth in federally qualified health centers and rural health clinics.

Telehealth Research Used to Support New Policy Initiatives for Expansion

care innovations

Changes to policy regarding telehealth and remote patient management (RPM) — and, specifically, changes affecting the reimbursement for these services offered by the Centers for Medicare & Medicaid Services (CMS) — are having an effect on the usage of digital delivery on the larger healthcare industry. The November report marks the most recent sign that the federal government is interested in expanding the availability of telemedicine services under Medicare,” Spanko writes.

8 must-know lessons from telehealth's new normal

Healthcare IT News - Telehealth

He said that in January 2019 – more than a year before the COVID-19 pandemic necessitated, in short order, an even bigger, more sustained and more widespread scaling up of virtual care services than could ever have been imagined two years ago.

The Future of Healthcare: Telehealth. Here’s Why You Need to Consider Telemedicine in 2019

Continue Education Journal

With telemedicine, patients are able to seek services from providers in larger communities without having to coordinate travel plans or using the distance as a valid excuse to not seek treatment or care. The reality of having virtual services available from specialities like psychiatry, dermatology, primary care, plastic surgery would mean more accessible healthcare for all, regardless of income. There is an increased reimbursement for remote care services offered by the U.S.

What Are the Factors Driving Telehealth Growth in 2019?

care innovations

There are a number of good reasons why experts are predicting that 2019 will be a “tipping point” for telehealth — in other words, the year to see virtual and remote care services gain even more widespread acceptance in health plan networks, practices and facilities throughout the United States. Take, for example, the escalating patient demand for virtually delivered care. Initial supply and daily recording or programmed alert transmission for remote devices.

Report: Telemedicine Reimbursement Limitations Cost Millions, ‘Impede Expansion’

care innovations

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. Of a representative sample of 100 claims, the OIG found that 31 claims did not meet Medicare requirements. With the finding that an estimated $3.7

Premier lists rule relaxations that should be made permanent, post-pandemic

Healthcare IT News - Telehealth

" Specifically with regard to telehealth policy, Premier argued that many waivers issued during the pandemic should be made permanent – especially those that enable providers outside of rural areas to provide telehealth services, those that expand which types of practitioners can offer virtual care, those that allow audio-only visits in certain situations and those that help occupational therapists and behavioral health providers deliver remote care.

AMA offers new tools to help doctors navigate COVID-19

Healthcare IT News - Telehealth

To help private-practice physicians manage the operational and business challenges posed by the coronavirus emergency, AMA has put together some new toolkits to help practices stay strong and deliver better care during the fast-evolving coronavirus crisis. It offers technology implementation tips, as well as a reference to CPT codes for reporting telemedicine and remote care services. On this National Doctors Day , as the U.S.

Why the RPM Codes for 2019 are Different, and – Most Importantly – SPOT ON!

care innovations

Ultimately, when new procedures or services are made available for reimbursement from the Center for Medicare and Medicaid Services (CMS), those procedures are assigned a Current Procedural Terminology (CPT) code, which is used when submitting the claim for payment. Following the pattern of evolution in many other industries, we see the future of healthcare involving more remote care: When the people receiving care and the people providing the care are not in the same place.

CMS Proposes Major Expansion of Reimbursement for Telehealth Services

care innovations

Reimbursement for telehealth services by the Centers for Medicare and Medicaid Services (CMS) has long been a point of contention. Up until the last couple of years, and particularly since the beginning of 2018, these policies were fairly strict, allowing for very little reimbursement for telehealth services like virtual visits between patients and doctors , or remote patient monitoring for a range of chronic conditions. Senators: Medicare Reimbursement Restrictions Are ‘Outdated’.

Telehealth has staying power, should benefit from lasting regulatory changes

Healthcare IT News - Telehealth

more patients than ever are turning to telehealth for care – eschewing overcrowded emergency rooms and dormant physician practices in favor of virtual consults. According to a study published last week in the Journal of the American Informatics Association, virtual urgent care visits at NYU Langone Health grew by 683%, and non-urgent virtual-care visits grew by a staggering 4,345% percent between March 2 and April 14. As COVID-19 continues to hammer the U.S.,

Ohio Living achieves low readmission rates with telehealth

Healthcare IT News - Telehealth

percent, nearly half of the state’s Medicare average, by introducing telehealth services. The non-profit also recently expanded its telehealth services through a partnership with Northwest Ohio Accountable Care Organization, and Ohio Living claimed 80 percent of patients enrolled would recommend the program to a family member or friend. Ohio Living Home Health and Hospice earned a readmission rate of just 7.5

Smart Meter’s iGlucose® Enables Reimbursable Remote Patient Monitoring

Insulin Nation

April 24, 2018 – Smart Meter , an innovative diabetes management data, technology and solutions company, today announced that its iGlucose® Diabetes Care Solution meets the requirements for the newly created Remote Monitoring CPT Code, as defined by Centers of Medicare and Medicaid Services (CMS). On January 1, 2018, Medicare began reimbursing for technology-assisted remote monitoring of chronic conditions. sponsor.

COVID-19 and Telehealth Regulations in the States

American Well

Even as healthcare providers scramble to implement new federal guidelines including broader access to telehealth for Medicare beneficiaries , they also find themselves navigating a patchwork of new telehealth measures at the state level. Echoing the federal changes to Medicare, all but a handful of states have eased at least some restrictions on telehealth to accommodate the need for social distancing and to relieve overburdened brick-and-mortar healthcare facilities.

Addressing the Most Common Concerns about Remote Health Management

care innovations

As the Centers for Medicare & Medicaid Services (CMS) proposes to ramp up reimbursement for remotely delivered services, and the many success stories of its successful implementation continue to dominate industry headlines , remote health management has become one of healthcare’s most widely discussed buzzwords. Expanding the capacity to provide “ complex and appropriate specialty care ” to higher-acuity patients, again per Dr. Licurse.

The COVID-19 crisis has 'forced people into virtual mediums,' says Summus CEO

Healthcare IT News - Telehealth

A frequently discussed consequence of the COVID-19 crisis is the uptick in reliance on telehealth, with both patients and clinicians pivoting quickly to virtual care in order to minimize in-person contact.


Patient monitoring is evolving with artificial intelligence, sensors, smart technology, more

Healthcare IT News - Telehealth

"Longer term, the biggest thing of all is remote monitoring and getting rid of hospital rooms ," said Topol. So setting up surveillance centers with remote monitoring – which can be exquisite and very inexpensive with the right algorithms, when it's validated – would be the biggest single way to improve things for patients, because they're in the comfort of their own home" The value of patient monitoring is recognized at the federal level too.

Five technology and health blogs from March 2020

Aging in Place Technology Watch

Smart home and ability to enable participation in remote interactions) matters more than it ever has. When a conference of the scale of the largest annual health IT event HIMSS (possible attendance of 45,000 compared to 2019 ) is canceled, it sends shudders through the world of the entrepreneurs and providers they wanted to meet, solving thorny care delivery problems, finding customers and partners, gaining visibility to unusual and compelling solutions.

Report: RPM ‘Growing in Popularity’ for Chronic Disease Management

care innovations

After years of study and documentation, it’s becoming increasingly apparent that remote patient monitoring (RPM) is among the most efficient and effective tools available for chronic disease management for older adults — particularly those with diabetes, heart failure, and chronic obstructive pulmonary disease (COPD). By promoting patient-centered care, real-time monitoring of patients in their homes has reduced hospitalizations and readmission rates ,” they add.

The Two Canoes: Fee-for-Service Reimbursement for Remote Patient Monitoring

care innovations

As with any team, you're constantly working to balance — in this case: care delivery, quality, financial sustainability, staffing and stature in your market, among other items. Add to this the idea that it’s not right to give different people different care based on their insurer. And — even if it isn’t about making money — they have to choose where to invest to ensure they keep the doors open, or they don’t care for ANYONE. Why does this matter for Remote Patient Monitoring?

How To Become A Telemedicine Provider


In our mobile world, students earn degrees online and professionals work from home; now receiving data-driven medical care from a remote provider is becoming a valued standard in healthcare. Before providing remote medical services, you’ll need to identify the right resources and take the right training to ensure your telemedicine practice will be successful. Talk to them and ask if they’d be comfortable receiving virtual care. Telemedicine is exploding in popularity.

USDA Telehealth Report Sees ‘Lag’ in Rural Access

care innovations

Pointing out the potential of telehealth to allow “virtually visiting” with and remote monitoring of patients, while better engaging them to take an active role in the betterment of their own health , the authors note that these benefits are particularly useful in light of the healthcare challenges facing the nation’s more remote regions, including: Lack of geographic access to physicians and specialists. USDA Telehealth Report: ‘Little Is Known’ about Use in Remote Communities.

Global RPM Report: Remote Patient Monitoring Expands in U.S. & Internationally

care innovations

There are still a few months to go in 2018, yet this year is already shaping up to be arguably the most eventful and important for the proliferation of remote patient management (RPM). the year kicked off with a modification of CPT code 99091 by the Centers for Medicare and Medicaid Services (CMS), which “ immediately increased the amount of billable Medicare hours available for doctors and clinicians who utilize remote care services ,” as we reported in January.