Archive for: October 2018

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 a new value-based payment system for home health agencies that would move Medicare reimbursement away from the volume of therapy delivered. Medicare...

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 the Centers for Medicare & Medicaid Services on Wednesday. The rule (PDF), which includes a $420 million pay increase for home health agencies...

The RUSH Act – Another Advancement in Telehealth Acceptance?

As previously noted in our Digital Health Mid-Year Review, 2018 has seen greater acceptance of telemedicine within the Medicare program. Both regulatory and statutory changes have expanded reimbursement opportunities and, consequentially, opportunities for the deployment of telemedicine technologies. As we noted then, however, improvement in the Medicare reimbursement environment for telemedicine...

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 proposed rule that updates Medicare Advantage (MA or Part C) and the Medicare prescription drug benefit program (Part D) by promoting flexibility...
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