The proposed 2022 Medicare Physician Fee Schedule, released on July 13 by the Centers for Medicare & Medicaid Services (CMS), includes expanded reimbursement for behavioral health services delivered by telehealth, including reimbursing providers for audio-only telephone calls. The proposed expansion would allow Medicare beneficiaries with mental health or substance abuse disorders to receive diagnosis, evaluation and […]
Provider groups are not happy with the payment adjustment included — a 3.75% reduction to the conversion factor due to budget neutrality requirements — and will likely seek congressional intervention. CMS is proposing to extend Medicare coverage of certain telehealth services granted for the COVID-19 public health emergency to the end of 2023 to help gather data […]
The proposal includes expanding Medicare coverage for telehealth services that address mental health and substance abuse issues and extending most COVID-19 freedoms until the end of 2023, as well as some coverage for FQHCs and RHCs. By Eric Wicklund July 14, 2021 – The Centers for Medicare & Medicaid Services’ proposed 2022 Physician Fee Schedule offers some good news for […]
The Centers for Medicare & Medicaid Services (CMS) has proposed a new category of digital health services—Remote Therapeutic Monitoring (RTM)—to complement the existing suite of Remote Physiological Monitoring (RPM) codes covered under Medicare. The new codes, part of the proposed 2022 Physician Fee Schedule, are intended to expand the scope and reach of digital health technologies […]
On July 13, 2021, the Centers for Medicare & Medicaid Services (CMS) published its annual proposed changes to the Medicare Physician Fee Schedule. Among the 1,747 pages of proposals, one notable standout is the announcement that CMS is considering permanently keeping the temporary additions to the list of approved telehealth services that was expanded during the COVID-19 public health […]
In the 1,747-page rule, which will be finalized later this year, CMS proposes expanding access to telehealth for behavioral healthcare, including for the first time allowing Medicare to pay for mental health virtual visits when they are provided by rural health clinics and federally qualified health centers and letting providers offer audio-only telehealth visits for […]
The Medicare Payment Advisory Commission is taking a cautious approach to long-term telehealth policy, telling lawmakers to extend COVID-19 telehealth freedoms for a few years before making any final decisions. By Eric Wicklund March 16, 2021 – The Medicare Payment Advisory Commission is taking a cautious approach to permanent telehealth policy, advising lawmakers to extend some emergency rules […]
A bipartisan group of 50 Senators, led by Senator Brian Schatz (D-HI), introduced the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021, which builds on prior iterations of the bill with learnings from the COVID-19 pandemic. The bill attempts to address the post-pandemic Medicare telehealth landscape. While the federal […]
Introduction to the Quality Outlook: Cancer and COVID-19 – Looking Ahead to Telehealth Post-Pandemic Mini-Series Tom Valuck, MD, JD—Blog Editor The pandemic has dramatically impacted cancer care, leading to a reduction in preventive care, alterations and delays in treatment, and suspension of some clinical trials. Certain cancers, including lung cancer and leukemia and lymphomas, have ranked among the top […]
Remote healthcare has taken big leaps forward over the past year, spurred on equally by new technologies and the onset of the COVID-19 pandemic. The biggest winners: senior patients, who are now able to benefit from more proactive care and avoid trips to the doctor’s office, clinic or emergency room. They can now use solutions […]
Few people question whether care delivery will continue to migrate out of the hospital into new settings such as the home. The better question is, what services – specifically – will migrate to the home, and what innovations are necessary to support these migrations? By ELLEN HERLACHER Post a comment / Jan 31, 2021 at 10:00 AM By […]
The U.S. Department of Health and Human Services (HHS), Office of Inspector General (OIG) recently updated its 2021 Work Plan in January to include audits of Medicare Part B and home health telehealth services by OIG’s Office of Audit Services (OAS). OAS conducts independent audits of HHS programs, HHS grantees, and contractors to examine their performance in carrying out their responsibilities […]
A $3.2 billion program spun out of the Consolidated Appropriations Act of 2021 aims to help low-income and underserved communities gain access to broadband services – and make it easier to access telehealth. By Eric Wicklund January 29, 2021 – The Federal Communications Commission will hold a round-table discussion next month on a new program designed to help […]
In advance of the next session of Congress, lawmakers are scrambling to file new bills or resubmit old bills that aim to expand telehealth access and coverage through and beyond the coronavirus pandemic. By Eric Wicklund January 29, 2021 – The telehealth bills are starting to pile up on Capitol Hill. At least three more bills have been […]
Digital technologies have transformed almost every aspect of the health care and life sciences industry—from electronic health records and telemedicine, to diagnostics and therapeutics augmented by artificial intelligence, and to remote clinical trials. The year 2020 witnessed the COVID-19 pandemic catalyzing unprecedented levels of digital health innovation and adoption. The digital health industry is entering […]