Category: Medicare

Updated COVID-19 Frequently Asked Questions Released by the CMS

Tuesday, September 15, 2020 On August 26, 2020, the Centers for Medicare and Medicaid (CMS) released an updated Frequently Asked Questions (FAQ) guide for questions related to COVID-19 and the public health emergency (PHE). The guide supplements the previously released FAQ guidance pertaining to 1135 Waivers under COVID-19.  The new guide includes additional...

Medicare Shared Savings Program Saved a Record $1.19B in 2019

CMS also reported that ACOs in the Medicare Shared Savings Program saved more under new Pathway to Success tracks and if they assumed downside risk. By Jacqueline LaPointe September 15, 2020 – Medicare Shared Savings Program (MSSP) generated $1.19 billion in total net savings to Medicare in 2019, representing the third consecutive...

Telehealth trends and how to build a long-term strategy in response to the industry shift

By Heather Spillman  Sep 15, 2020 Telehealth is not a new concept for the health care industry. Prior to Covid-19, the provision of health care services via telehealth varied dramatically across providers, with significant differences based on the organization’s size, type, specialty, and even the market. Virtually overnight, Covid-19 changed telehealth...

Why Telehealth Coverage Mandates Can’t Reverse Course

The implications of pulling back access to virtual care now would be nothing less than significant. The broad mandates that expanded telehealth coverage for Medicare and Medicaid recipients due to the COVID-19 pandemic are proving their worth. Many patients who typically didn’t have ready (or sometimes any) access to this type...

CMS Proposes Significant Changes to Remote Patient Monitoring Coverage

The Centers for Medicare & Medicaid Services has clarified how providers can use telehealth and mHealth to establish and run remote patient monitoring programs, with changes that some feel could hinder care at home. The federal government is clarifying how it regulates remote patient monitoring, with changes that could...

Medicare Telehealth Coverage and Reimbursement After the Public Health Emergency

Over the past five months, Congress and the Centers for Medicare & Medicaid Services (CMS) have dramatically, but temporarily, expanded coverage and reimbursement for telehealth services in response to the COVID-19 pandemic. The changes are in effect for the duration of the Health and Human Services (HHS) Public Health...

CMS Proposes Telehealth Updates to the 2021 Medicare Physician Fee Schedule

On August 3, the Centers for Medicare & Medicaid Services (CMS) released its proposed Medicare Physician Fee Schedule (MPFS) updates for the 2021 calendar year, addressing among other policy changes how CMS will treat telehealth codes for the duration of and following the COVID-19 public health emergency (PHE). Background: CMS’ Process...

FAQs on Telehealth and HIPAA during the COVID-19 nationwide public health emergency

What is telehealth?The Health Resources and Services Administration (HRSA) of the U.S.Department of Health and Human Services (HHS) defines telehealth as the use of electronic information and telecommunications technologies to support and promote long-distance clinical health care, patient andprofessional health-related education, and public health and healthadministration. Technologies include videoconferencing,...

CMS Advancing Seniors Access to Cutting-edge Therapies and Technology in Medicare Hospital Rule

Finalized policy changes expand new technology add-on payment pathway for certain antimicrobials On September 2, CMS issued the FY 2021 Medicare Hospital Inpatient Prospective Payment System and Long Term Acute Care Hospital (LTCH) final rule, which includes important provisions designed to ensure access to potentially life-saving diagnostics and therapies...

CMS Proposes Telehealth Updates to the 2021 Medicare Physician Fee Schedule

On August 3, the Centers for Medicare & Medicaid Services (CMS) released its proposed Medicare Physician Fee Schedule (MPFS) updates for the 2021 calendar year, addressing among other policy changes how CMS will treat telehealth codes for the duration of and following the COVID-19 public health emergency (PHE). Background: CMS’ Process...

Telecare for All

Physician shortages, socioeconomic barriers, and high uninsured rates—these challenges perpetuate the lack of access to health care for the 60 million residents of rural communities across the United States. To combat the scarcity of medical services in rural areas, federal and state governments are implementing regulations that promote the use of...
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