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Federal Agencies

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

Oct 31, 2018 •Blog

CMS Shifting Home Health to Value-Based Payments Under New Model

The finalized Patient-Driven Groupings Model will transition home health agencies to more of a value-based payment system by 2020, CMS announced. November 01, 2018 – CMS recently finalized…

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Oct 31, 2018 •Blog

CMS will pay for remote patient monitoring by home health agencies

By Maria Castellucci | October 31, 2018 The CMS issued a final rule Wednesday that allows home health agencies to bill Medicare for remote patient monitoring. Home health…

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Oct 31, 2018 •Blog

CMS finalizes changes to remote monitoring reimbursement for home health providers

Beginning Jan. 1, 2020, home health providers will be allowed to build the costs of remote monitoring technology into Medicare reimbursement, according to a new rule finalized by…

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Oct 30, 2018 •Blog

CMS Proposes Telehealth Expansion for Medicare Advantage Plans

CMS is proposing to loosen reimbursement and access restrictions on the use of telehealth and telemedicine in Medicare Advantage plans, giving providers more opportunities to use connected…

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Oct 30, 2018 •Blog

CMS Releases Proposed CY20 Medicare Advantage/Part D Rule

Recently, the Centers for Medicare & Medicaid Services (CMS) released their Contract Year (CY) 2020 Medicare Advantage and Part D proposed rule, a wide-ranging proposal that expands…

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Oct 26, 2018 •Blog

Contract Year (CY) 2020 Medicare Advantage and Part D Flexibility Proposed Rule (CMS-4185-P)

Contract Year (CY) 2020 Medicare Advantage and Part D Flexibility Proposed Rule (CMS-4185-P) On October 26, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a…

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Oct 26, 2018 •Blog

CMS Proposes to Modernize Medicare Advantage, Expand Telehealth Access for Patients

CMS Proposes to Modernize Medicare Advantage, Expand Telehealth Access for Patients Proposed rule would strengthen the popular system for private health insurance plans to provide Medicare coverage,…

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Oct 26, 2018 •Blog

CMS Proposes New Telehealth Guidelines and RADV Extrapolation for MAOs

In Depth The Centers for Medicare & Medicaid Services (CMS) released a Notice of Proposed Rulemaking on Friday, October 26, 2018 (the Proposed Rule) addressing expanded telehealth…

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Oct 26, 2018 •Blog

CMS Moves to Expand Telehealth Coverage Under Medicare Advantage

The Centers for Medicare & Medicaid Services on Friday unveiled a proposal that the agency says will expand telehealth coverage to enrollees in Medicare Advantage plans. Under…

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Oct 8, 2018 •Blog

Next Generation ACO Model Select

Building upon experience from the Pioneer ACO Model and the Medicare Shared Savings Program (Shared Savings Program), the Next Generation ACO Model offers a new opportunity in…

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Oct 8, 2018 •Blog

Accountable care organizations: Time to make risk-adjustment more stable

ACO stakeholders ask CMS to keep upside-only risk model, while 29 others from Next Gen ACO Coalition want to make risk more predictable. Susan Morse, Senior Editor…

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Oct 8, 2018 •Blog

New Senate Bill Seeks to Loosen Homebound Requirements for Home Health Services

By Kaitlyn Mattson | October 7, 2018 The home health industry has won another victory in Washington, D.C., in its battle against certain parts of the Patient-Driven…

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Sep 21, 2018 •Blog

Telehealth and the law: the challenge of reimbursement

Technological advances continue to expand the healthcare delivery marketplace. Through technology, more and more providers are trying to cash in on telehealth. As with any other business,…

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Sep 18, 2018 •Blog

New CMS Proposal Would Save Home Health, Hospice $137M Annually

By Robert Holly | September 17, 2018 Federal policymakers are again taking aim at costly administrative and paperwork burdens for the home health and hospice industries in…

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Sep 10, 2018 •Blog

ACO Announcements Add to Existing Skilled Nursing Pressures

By Maggie Flynn | September 10, 2018 Value-based arrangements generate much of their savings by shifting spending away from the post-acute setting, according to recent government announcements.…

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