Blog
Emergency Triage, Treat, and Transport (ET3) Model
Emergency Triage, Treat, and Transport (ET3) is a voluntary, five-year payment model that will provide greater flexibility to ambulance care teams to address emergency health care needs of Medicare beneficiaries following a 911 call. Under the ET3 model, the Centers for Medicare & Medicaid Services (CMS) will pay participating ambulance suppliers and providers to 1) […]
CMS Will Increase Access to Telehealth as Part of Value-Based Insurance Model
A couple of weeks ago, CMS announced four new interventions, including Telehealth Networks, that will be tested as part of a Value-Based Insurance Design (VBID) model for Medicare Advantage (MA) plans starting in CY 2020. The Telehealth Networks intervention allows MA organizations to test using access to telehealth services to meet certain provider network requirements, […]
5 tips to succeed with remote patient monitoring
Adopting the latest technological advances that can take your practice to a new level can also seem like a daunting task. And data show that physicians can be slow to adopt new ways: On average, it has taken nearly 17 years for new health care technologies to saturate the market. Aiming to reduce that time, […]
CMS Again Moves to Expand Telehealth Coverage Under Medicare Advantage
The federal government on Friday unveiled a series of new test benefits that certain Medicare Advantage plans can offer, including expanded telehealth coverage — marking yet another push toward remote health care benefits. The Centers for Medicare & Medicaid Services (CMS) will implement the programs under the Value-Based Insurance Design (VBID) model, which seeks to […]
CMS Pushes Telehealth to Replace Some In-Person Visits in MA Plans
CMS is updating its Value-Based Insurance Design model of care to allow telehealth to replace certain in-person medical visits in Medicare Advantage plans. By Eric Wicklund January 18, 2019 – Healthcare providers treating patients on Medicare Advantage plans may soon be able to use telehealth in place of in-person care when appropriate. The update was one […]
Will Telehealth and mHealth Fulfill Their Potential in 2019?
Telehealth and mHealth will make headlines in 2019 as providers, payers and consumers look to adopt – and adapt to – connected health technology. Here’s what some of the experts in the field think about the coming year. By Eric Wicklund December 31, 2018 – With 2019 on the doorstep, healthcare leaders are looking for clues […]
AAFP Says CMS Changes Could Tilt the Scales to DTC Telehealth
The American Academy of Family Physicians says proposed changes to Medicare Advantage plans will improve members’ access to telehealth, but they may also support direct-to-consumer channels at the expanse of the primary care provider. By Eric Wicklund December 28, 2018 – The national organization representing family physicians is pushing back against proposed changes to Medicare Advantage […]
Telehealth Trends in the New Year
Recognizing the potential for virtual care to expand access to healthcare for Medicare and Medicaid beneficiaries, the Centers for Medicare and Medicaid Services (CMS) is increasingly facilitating reimbursement of virtual services outside of traditional care settings. In recent weeks, CMS has significantly expanded reimbursement of virtual services, particularly for beneficiaries with chronic conditions and substance […]
Leveraging analytics to evaluate trends and outliers in Remote Patient Monitoring (RPM)
The 999-emergency service was first introduced in the 1930s. The last nine decades have seen the service expand from handling more than 1,000 calls in its first week of operation in London, to around 560,000 calls a week. This amounts to around 30mn calls a year, according to BT’s archives. Today, our devices go everywhere with us – […]
CMS broadens reimbursement for remote patient monitoring services
The landscape of US healthcare is changing, both geographically and technologically. Healthcare providers are not only beginning to implement new technologies such as the cloud, artificial intelligence (AI), and the Internet of Things (IoT) into their care modules, but are also shifting care out of the hospital into clinics, and even into patient’s homes. These […]
CMS Announces ACO Overhaul, Enhances Telehealth Options
CMS has released new rules overhauling Medicare’s accountable care organizations (ACO) program. Called “Pathways to Success,” the new policies shorten risk-free periods and offer more regulatory flexibility, including for providing telehealth to people in their homes, among other changes. In recent years, home health companies have become more involved in ACOs, seeing it as an […]
CMS Looks to Expand 3-Day SNF Waivers, Encourage Risk with New ACO Models
The Centers for Medicare & Medicaid Services (CMS) on Friday finalized its new set of rules for accountable care organizations (ACOs), removing the no-risk tracks that represented financial drains on Medicare and expanding three-day stay waivers for nursing homes. Under the new “Pathways to Success” model, most new ACOs will only have two years to […]
The Evolving Landscape of State Telemedicine Laws and Policies
Editor’s Note: As the demand for telemedicine services continues to grow, states are implementing new policies related to the payment for, and provision of, care via telemedicine modalities for all patients. State Medicaid programs, other payers and health systems across the country are increasingly relying on telemedicine technologies to address healthcare challenges, such as provider […]
What to know about the telehealth upsides of Medicare Advantage plans
Forthcoming policies from CMS will open up the home as a covered site of care in which hospitals can earn payment. Susan Morse, Senior Editor This past October, the Centers for Medicare and Medicaid Services came out with an eagerly-anticipated new rule expanding the ways providers can use telehealth and get paid by Medicare Advantage […]