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Healthcare access, remote physical exams, rural and school health, reimbursement, clinical technology, and the evolving ways care can reach patients.

Apr 5, 2019 •Blog

CMS finalizes policies to bring innovative telehealth benefit to Medicare Advantage

CMS finalizes policies to bring innovative telehealth benefit to Medicare AdvantageFinal Rule will strengthen popular Medicare private health insurance plans, expand telehealth access for patients, and improve…

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Apr 5, 2019 •Blog

CMS finalizes policies to bring innovative telehealth benefit to Medicare Advantage

Final Rule will strengthen popular Medicare private health insurance plans, expand telehealth access for patients, and improve coordination for dual-eligible individuals Today, the Centers for Medicare &…

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Apr 5, 2019 •Blog

Contract Year 2020 Medicare Advantage and Part D Flexibility Final Rule (CMS-4185-F)

Contract Year 2020 Medicare Advantage and Part D Flexibility Final Rule (CMS-4185-F) On April 5, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a final…

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Apr 5, 2019 •Blog

CMS Finalizes Expanded Medicare Advantage Telehealth Coverage

The Centers for Medicare & Medicaid Services (CMS) on Friday finalized new guidance that will allow Medicare Advantage plans to expand coverage of telehealth services. Beginning in…

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Apr 5, 2019 •Blog

CMS expands Medicare Advantage telehealth benefits

The CMS finalized a rule on Friday that would give Medicare Advantage plans more flexibility to offer additional telehealth services to seniors as part of their basic…

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Apr 4, 2019 •Blog

CMS Tweaks CPT Code for Remote Monitoring, Giving mHealth a Boost

The Centers for Medicare & Medicaid Services has adjusted a new CPT code for remote patient monitoring, giving providers more leeway in using mHealth for chronic care…

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Apr 2, 2019 •Blog

Advice to Telehealth Caucus: Eliminate Geography-Based Restrictions

Telehealth stakeholders are urging a group of like-minded lawmakers to target Medicare restrictions on rural telemedicine coverage, broadband expansion and remote patient monitoring during this year’s Congressional…

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Mar 14, 2019 •Blog

Medicare Remote Patient Monitoring: CMS Allows “Incident to” Billing

CMS just announced a clarification that remote patient monitoring under CPT code 99457 may be furnished by auxiliary personnel, “incident to” the billing practitioner’s professional services. An…

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Feb 14, 2019 •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…

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Feb 5, 2019 •Blog

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…

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Jan 18, 2019 •Blog

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…

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Jan 18, 2019 •Blog

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…

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Dec 28, 2018 •Blog

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…

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Dec 26, 2018 •Blog

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…

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Dec 21, 2018 •Accountable Care Organizations (ACOs)

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,…

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