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10 Jul 2018

Blog, Remote Patient Monitoring, Telehealth 0 comments

Insights on Patient Engagement and Behavior Change. Are hospital readmissions penalties actually improving health outcomes?

Are hospital readmissions penalties actually improving health outcomes? Posted by Brent Walker, SVP Marketing & Analytics on Jan 17, 2018 1:44:27 PM A decade ago, a study of hospitalizations of Medicare beneficiaries uncovered average readmission rates ranging from 18.4 percent to 27.5 percent, depending on condition. Enter the Medicare Hospital Readmission Reduction Program (HRRP), which penalizes hospitals […]

5 Jul 2018

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Reimbursement, Remote Patient Monitoring 0 comments

CMS proposes reimbursing home health agencies for remote patient monitoring

The Centers for Medicare and Medicaid Services on Monday announced a proposed rule to allow home health agencies to be reimbursed—for the first time under Medicare—for remote patient monitoring. CMS made the rule proposal as part of a broader package of changes to the Home Health Prospective Payment System meant to empower patients, increase competition […]

CMS proposal builds remote patient monitoring into home health reimbursement

5 Jul 2018

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Reimbursement, Remote Patient Monitoring 0 comments

CMS proposal builds remote patient monitoring into home health reimbursement

Home health agencies may soon be able to include the costs associated with remote patient monitoring into Medicare reimbursement. Under a proposed payment rule (PDF) released by the Centers for Medicare & Medicaid Services (CMS) on Monday, home health providers would be able to include the costs of remote patient monitoring as an allowable cost in […]

CMS proposes paying home health agencies for remote monitoring

5 Jul 2018

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Reimbursement, Remote Patient Monitoring 0 comments

CMS proposes paying home health agencies for remote monitoring

By Virgil Dickson | July 2, 2018 The CMS is considering paying home health agencies for remote patient monitoring. Remote patient monitoring involves the use of digital tools to collect health data such as vital signs, weight, blood pressure, blood sugar, blood oxygen levels, heart rate, and electrocardiograms. “Today’s proposals would give doctors more time to […]

CMS Proposes Home Health Groupings Model, $400 Million Medicare Payment Boost

5 Jul 2018

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CMS Proposes Home Health Groupings Model, $400 Million Medicare Payment Boost

By Robert Holly | July 2, 2018 The Centers for Medicare & Medicaid Services (CMS) is proposing to overhaul the home health prospective payment system and continue the shift toward value-based care. Specifically, the agency is moving forward with the Patient-Driven Groupings Model (PDGM) and floating several other changes, as well as the annual update […]

Favorable CBO score gives boost to Medicare telehealth bill

3 Jul 2018

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Reimbursement, Remote Patient Monitoring 0 comments

Medicare and Medicaid Programs – CY 2019 Home Health Prospective Payment System Update – Proposed Rule – 2018-07-02

[Billing Code: 4120-01-P] DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Parts 409, 424, 484, 486, and 488 [CMS-1689-P] RIN 0938-AT29 Medicare and Medicaid Programs; CY 2019 Home Health Prospective Payment System Rate Update and CY 2020 Case-Mix Adjustment Methodology Refinements; Home Health Value-Based Purchasing Model; Home Health […]

3 Jul 2018

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CMS proposes calendar year 2019 and 2020 payment and policy changes for Home Health Agencies and Home Infusion Therapy Suppliers

Date 2018-07-02 Title CMS proposes calendar year 2019 and 2020 payment and policy changes for Home Health Agencies and Home Infusion Therapy Suppliers Contact press@cms.hhs.gov CMS proposes calendar year 2019 and 2020 payment and policy changes for Home Health Agencies and Home Infusion Therapy Suppliers On July 2, 2018, the Centers for Medicare & Medicaid […]

CMS Takes Action to Modernize Medicare Home Health

3 Jul 2018

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Reimbursement, Remote Patient Monitoring, Telehealth 0 comments

CMS Takes Action to Modernize Medicare Home Health

On July 2, CMS proposed significant changes to the Home Health Prospective Payment System (PPS) to strengthen and modernize Medicare, drive value, and focus on individual patient needs rather than volume of care. Specifically, CMS is proposing changes to improve access to solutions via remote patient monitoring technology, and to update the payment model for […]

28 Jun 2018

Blog, Telehealth 0 comments

Medicare Advantage Organizations Provided New Opportunities to Offer Telehealth Benefits

Earlier this year, President Trump signed into law the Bipartisan Budget Act of 2018 (BBA), which incorporates provisions from the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 and improves access to telehealth services in Medicare Advantage. Pub. L. No. 115-123. Among other provisions impacting Medicare Advantage Organizations (MAOs), […]

Can one new code spur a telehealth revolution

20 Jun 2018

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Can one new code spur a telehealth revolution?

By Bruce Gosser Overburdened and inefficient. An accurate description of today’s US healthcare system which wasn’t designed to handle the current population’s health needs. According to the Centers for Disease Control and Prevention (CDC), 68 percent of Americans aged 65 and older are living with multiple chronic conditions. With this expanding population of chronic […]

49 groups urge CMS to set codes to cover remote monitoring

14 Jun 2018

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Reimbursement, Remote Patient Monitoring, Telehealth 0 comments

49 groups urge CMS to set codes to cover remote monitoring

By Fred Bazzoli Published June 12 2018, 7:47am EDT Some 49 provider organizations, IT professional groups and vendors are urging the Centers for Medicare and Medicaid Services to designate reimbursement codes that will enable reimbursement for remote monitoring services. Such a step would ensure payment for digital health services provided by hospitals and clinicians to […]

mHealth, Telehealth Groups Lobby CMS for Better RPM Reimbursement

11 Jun 2018

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mHealth, Telehealth Groups Lobby CMS for Better RPM Reimbursement

A group of almost 50 healthcare organizations and vendors has petitioned CMS Administrator Seema Verma to improve Medicare reimbursement for remote patient monitoring by modifying and adding new CPT codes. By Eric Wicklund June 11, 2018 – Close to 50 healthcare organizations and vendors are lobbying the Centers for Medicare & Medicaid Services to improve […]

23 May 2018

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Kentucky’s New Telehealth Law Expands Insurance Coverage and Reimbursement

Effective July 1st, 2019 providers from the State of Kentucky delivering care using telehealth will be able to receive reimbursement for their services. No more parity requirements and healthcare coverage resistance! May 23, 2018 by Foley & Lardner LLP Kentucky health care providers and patients will soon enjoy a revamped, and significantly improved, telehealth commercial insurance […]

16 May 2018

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Adding Telehealth, Remote Care Benefits into Health Plan Options Payers can add value to their health plan options by offering telehealth and remote care benefits to beneficiaries.

Insurance payers that consider adding telehealth services and technology can expect a better health management outcomes for their members and better opportunities for care coordination. May 16, 2018 by Thomas Beaton Payers that include telehealth and remote care benefits in their health plan options could position themselves as leaders in health plan value, convenience, and […]

8 May 2018

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CMS Debuts Strategy to Improve Rural Healthcare

Increasing the use of telehealth for patients in rural communities are among the strategic goals CMS is working towards as part of their new agency policies. May 8, 2018 by Jack O’Brien In conjunction with federal, state, and local agencies, CMS is aiming to implement effective solutions for 60 million Americans. The Centers for Medicare & Medicaid Services […]

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