Dr. Miltie offers this information and guidance towards adopting, implementing, and deploying a successful telehealth program within your organization. CMS Contract Year 2020 Medicare Advantage and Part D Flexibility Final Rule (CMS-4185-F) On April 4, 2019, the Centers for Medicare & Medicaid Services (CMS) issued the final Medicare Advantage Rule for calendar year 2020, announcing […]
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 management and coordination. By Eric Wicklund April 04, 2019 – The Centers for Medicare & Medicaid Services has tweaked its new CPS code for remote patient monitoring, giving healthcare […]
Telehealth’s Role in Digital Transformation Telehealth is part of a larger digital transformation in healthcare. Care that used to take place only in brick-and-mortar settings can now occur digitally. Accordingly, hospitals and health systems are exploring a variety of virtual care models, many of which are underpinned by telehealth technology. Hospitals already are using telehealth […]
Towards the end of 2018, several developments in the area of telehealth signal significant changes are on the horizon in 2019. The following provides a summary of these developments and implications for 2019 and beyond. Medicare Advantage Payment for Telehealth In the November 1, 2018 proposed policy and technical changes to Medicare Advantage for fiscal […]
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) […]
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, […]
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, […]
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 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 […]
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 […]
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 […]
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 […]
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 […]
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 […]