Telemedicine Coverage Through Medicare


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.

Healthcare Is Local: Channeling Tip O’Neill in the 2018 Midterm Election Results

Health Populi

As Tip O’Neill’s mantra goes, “All politics is local.” Doggett has been drafting legislation to allow the government such authority for drugs covered by Medicare Part D. ” In the U.S.

Experts: Telemedicine in Healthcare Nearing ‘Tipping Point’

care innovations

After decades of increasing acceptance from patients, providers and payers, telemedicine in healthcare is reaching a “tipping point,” argue some experts.

Why It's Time to Embrace Telemedicine


What’s this new thing called Telemedicine? For starters, it’s not new! 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.

Five Ways a Good Digital Health Registry Addresses Healthcare System Needs

The Digital Health Corner

The Physician Quality Reporting System (PQRS) has been used since 2015 as a metric to determine negative Medicare payment adjustments to providers who do not meet quality standards. This might tip the benefit-cost ratio for payers to support a drug or other treatment’s cost. Registries have traditionally been viewed as static repositories of data to be reviewed in a summary fashion after a predetermined time period.

Scaling the Social Determinants of Health – McKinsey and Kaiser’s Bold Move

Health Populi

The growing recognition of the influence of social determinants reached a tipping point last week with the news that Kaiser-Permanente would work with Unite US to scale services to people who need them.

Most Americans Want the Federal Government to Ensure Healthcare for All

Health Populi

In 2006, Medicare Part D launched, which may have boosted consumers’ faith in Federal healthcare programs. Gallup points out in its analysis that the government is already a major health care channeler and funder through Medicare and Medicaid. Most people in the U.S.

A Tale of Two America’s for Health

Health Populi

1 million fewer Medicare enrollees would receive a high-risk prescription drug. Disparities in Americans’ health vary among people living in each of the 50 states.

April 2019 Telemedicine News

Enzyme Health

billion telemedicine Medicare fraud scheme between a handful of US telemedicine companies, dozens of durable medical equipment companies, and a few licensed medical professionals could limit patient’s trust in telemedicine and increase insurance concerns over malpractice. This data further substantiates commentary that the telemedicine industry has reached its tipping point, and that the industry is on the cusp of widespread usage and adoption by consumers and providers alike.

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.

New Part D Policies Address Opioid Epidemic

Medicare Part D. Early last year, the Centers for Medicare & Medicaid Services (CMS) published a roadmap outlining our efforts to address the national opioid epidemic. As Medicare pays for a significant amount of prescription opioids, we strive to ensure appropriate stewardship of these medications that can provide a medical benefit but also carry a risk for our beneficiaries. Training materials including slide decks and tip sheets are also available for: Prescribers.

Telemedicine Today: May 2016

American Well

6 Tips on Health System Telemedicine Integration. Read more about these tips on integrating telemedicine. 28% Annual Increase in Telemedicine Visits Provided to Medicare Beneficiaries. Harvard Medical School researchers found that the number of telemedicine visits provided to Medicare beneficiaries increased by 28 percent per year from 2004 to 2013 with 107,000 visits provided in 2013. Despite these restrictions, telemedicine use within the Medicare program is growing.

Top Healthcare & Life Sciences Resources for Technology Workers


TIP: Check out the whole family of publications Fierce offers including FierceHealthPayer , FiercePracticeManagement and FierceHealthFinance. Today’s healthcare organizations face mountains of data, escalating regulations, and heightened patient expectations.

Weekender 4/26/19

HIStalk Weekender

HHS announces CMS Primary Cares, two value-based care payment models launching in 2020 that it says will cover at least 25% of Medicare beneficiaries and providers. I remain empathetic to my colleagues as I know that they are constantly flooded (brain blocking) from all the tech tips etc.

RCM 41

Weekender 10/19/18

HIStalk Weekender

We have a healthcare industry, not a system (unless you’re talking about Medicare or the VA), with competing entities looking for market share. Weekly News Recap. FDA updates draft guidance on managing cybersecurity issues for the premarket submission of medical devices.

Understanding Telemedicine Reimbursement


For now, here are a few tips for maximizing telemedicine reimbursement in your practice or hospital. Telehealth bills are pending in Congress; Centers for Medicare & Medicaid Services (CMS) has announced policy changes and new coverage as well. Why aren’t more providers offering telehealth services? We know that virtual care is more clinically advanced than ever, with the right platforms empowering providers to deliver secure, evidence-based medicine.

5 payer trends to watch in 2018

Henry Kotula

Here’s a look at five payer trends to watch for in 2018, and some tips for preparing to deal with them. This has been especially true in ACA exchange plans and Medicare Advantage (MA). This will lead to more bundled payments that trigger at diagnosis rather than only at inpatient admission, which is already happening in Medicare, he said. [link].

Quality Payment Program Exceeds Year 1 Participation Goal

We used these events to describe requirements, offer tips, listen to you, and act on your feedback. percent of initial referrals for additional support from the Quality Payment Program Service Center and Centers for Medicare & Medicaid Services (CMS) Regional Offices within 1-business day. Quality Payment Program Exceeds Year 1 Participation Goal.…. Thu, 05/31/2018 - 12:00. Seema Verma. Administrator, CMS. Topic. Billing & payments. Initiatives. Leadership. eHealth.