Category: Reimbursement

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...

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...

Central Maine Healthcare CMIO: ‘Telehealth Reimbursement Can’t Go Back to Pre-COVID Status’

Steven Martel, M.D., CMIO at Central Maine Healthcare, describes his organization’s journey into telehealth during the pandemic, and what needs to happen for usage rates to remain high going forward. It’s been very well-documented that COVID-19 has forced patient care organizations to turn to alternative ways to provide care while limiting...

Telehealth Needs Payer Support for Continued Growth

The use of telehealth has exploded as a result of the coronavirus pandemic. For it to continue gaining momentum, private and public payers must appropriately reimburse for telehealth, according to the latest report from Insights by Xtelligent Healthcare Media. Healthcare leaders will continue to invest in telehealth tools and...

Five Ways—Beyond Current Policy—To Truly Integrate Telehealth Into Primary Care Practices

SEPTEMBER 9, 2020 The COVID-19 pandemic, and the corresponding need for social distancing, has catapulted telehealth into the mainstream. According to some estimates, the proportion of ambulatory patient visits using telehealth (video, phone, or e-visit) increased from 10 percent before the pandemic to more than 90 percent during the pandemic....

CMS Acts to Spur Innovation for Americas Seniors

Proposed rule would bring new treatments, tests and medical technologies to Medicare beneficiaries faster Today, under President Trump’s leadership, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that unleashes innovative technology so Medicare beneficiaries have access to the latest, most cutting-edge devices. Today’s action represents...

Nurse Practitioners Say Expanded Scope of Practice Key for COVID-19

More than half of nurse practitioners said expanding scope of practice has been instrumental in fulfilling patient access to care demands. Relaxed scope of practice restrictions and models enabling expanded telehealth use have been instrumental in helping nurse practitioners meet patient access to care needs during the COVID-19 pandemic,...

NYC Surveys Identify Five Strategies to Boost Telehealth Adoption

The five strategies, laid out in a recent Health Affairs blog, target barriers to telehealth adoption that go beyond reimbursement issues.  By Eric Wicklund September 11, 2020 – While federal and state regulators are developing strategies to give telehealth room to grow after the coronavirus pandemic, a recent series of surveys among...

Telehealth Reimbursement Just for Value-Based Providers Post-COVID?

Telehealth reimbursement expansions granted during the PHE may be limited to providers in Advanced APMs moving forward to prevent program integrity issues, MedPAC said at a recent meeting.  By Jacqueline LaPointe September 11, 2020 – The Medicare Payment Advisory Commission (MedPAC) is the latest group to weigh telehealth reimbursement expansions after the...

MedPAC commissioners hint at telehealth policies that may stick post-COVID-19

Dive Brief: Members of the congressional advisory group Medicare Payment Advisory Commission agree telehealth is here to stay, but are concerned about how to improve access without also running up substantial costs in the Medicare program. The group weighed various Medicare telehealth payment policies that could become permanent after...

FCC nears launch of $100M connected care telehealth pilot program: 5 things to know

Jackie Drees – Tuesday, September 8th, 2020 The Federal Communications Commission recently published application details on its $100 million Connected Care Pilot Program, which aims to enhance telehealth access for low-income Americans and veterans. FCC released the additional details for the program as well as application instructions on Sept. 3. The agency first introduced the...
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