{"id":38258,"date":"2021-10-18T11:40:30","date_gmt":"2021-10-18T15:40:30","guid":{"rendered":"https:\/\/mtelehealth.com\/?p=38258"},"modified":"2021-10-18T11:40:30","modified_gmt":"2021-10-18T15:40:30","slug":"new-toolkit-aims-to-help-telehealth-programs-negotiate-payer-reimbursement","status":"publish","type":"post","link":"https:\/\/drmiltie.com\/at-home-testing\/new-toolkit-aims-to-help-telehealth-programs-negotiate-payer-reimbursement\/","title":{"rendered":"New Toolkit Aims to Help Telehealth Programs Negotiate Payer Reimbursement"},"content":{"rendered":"\n\n\n<h2 class=\"wp-block-heading\" id=\"h-an-organization-focused-on-supporting-virtual-first-programs-has-created-a-toolkit-designed-to-help-healthcare-providers-negotiate-reimbursement-with-third-party-payers-for-their-telehealth-services\">An organization focused on supporting virtual-first programs has created a toolkit designed to help healthcare providers negotiate reimbursement with third party payers for their telehealth services.<\/h2>\n\n\n\n<p>By\u00a0<a href=\"mailto:ewicklund@xtelligentmedia.com\">Eric Wicklund<\/a><\/p>\n\n\n\n<p>October 11, 2021&nbsp;&#8211;&nbsp;An organization focused on assisting healthcare providers with virtual care platforms has released a resource for negotiating third party payer reimbursement.<\/p>\n\n\n\n<p><a href=\"https:\/\/impact.dimesociety.org\/toolkit\/\">The Payer-V1C Contracting Toolkit<\/a>&nbsp;is designed to support virtual-first care solutions, which have been springing up across the country in the wake of the pandemic. Many healthcare organizations shifted to telehealth to reduce in-person care during the pandemic, and some have decided to prioritize virtual care going forward.<\/p>\n\n\n\n<p>\u201cWe have an unprecedented opportunity to scale V1C as an option for all patients,\u201d Claire Meunier, chief operating office for the Digital Medicine Society (DiME), said in a press release issued last month. \u201cYet there is currently a critical friction point: payers need to be able to contract with V1Cs as easily as they can contract with providers and vendors. Aligning payer systems and contracting processes will drive more deals and continue the expansion of V1C. Without this, V1C\u2019s promise risks being limited to direct-to-patient or only the most progressive self-insured employer models, falling woefully short of its potential.\u201d&nbsp;&nbsp;<\/p>\n\n\n\n<p>DiME, a Boston-based digital medicine organization launched in 2019, partnered with the American Telemedicine Association&nbsp;<a href=\"https:\/\/mhealthintelligence.com\/news\/ata-dime-launch-initiative-to-support-virtual-first-telehealth-programs\">to create the IMPACT (vIrtual-first Medical PrActice CollaboraTion) initiative this past January<\/a>, offering support for providers who\u2019d launched or were looking to create virtual-first platforms. IMPACT unveiled the Payer-V1C Contracting Toolkit last month.<\/p>\n\n\n\n<p>Connected health advocates have pointed out that while virtual-first is becoming a popular strategy, particularly with providers who want to reduce costs associated with maintaining a physical site like an office or clinic, it needs support from insurers to ensure sustainability.<\/p>\n\n\n\n<p>The toolkit includes a guide to payer-V1C contracting, a guide to payment models that support virtual-first care, and a library of billing codes that address virtual-first care.<\/p>\n\n\n\n<p>\u201cOur usual contracting approaches require us to classify a solution for contracting as a provider or a vendor, and we work through many revisions to make the contract fit what the V1C solution is offering and to pay for V1C services,\u201d Marcus Thygeson, Chief Health Officer at Bind Benefits, a member of IMPACT, said in the press release. \u201cIMPACT\u2019s work on the Payer-V1C Contracting Toolkit provides a third path payers can take, and presents an opportunity for more effective contracting as we lean into the V1C category.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>An organization focused on supporting virtual-first programs has created a toolkit designed to help healthcare [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":38261,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","_uf_show_specific_survey":0,"_uf_disable_surveys":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[14,141,159,165],"tags":[],"class_list":["post-38258","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-reimbursement","category-telehealth","category-telemedicine"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.3 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>New Toolkit Aims to Help Telehealth Programs Negotiate Payer Reimbursement &#183; Dr. Miltie, LLC - At-Home Testing<\/title>\n<meta name=\"description\" content=\"An organization focused on supporting virtual-first programs has created a toolkit designed to help healthcare providers negotiate reimbursement with\" \/>\n<meta name=\"robots\" content=\"index, follow, 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