Category: Legislation

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...

CMS Proposes Telehealth Expansion for Medicare Advantage Plans

CMS is proposing to loosen reimbursement and access restrictions on the use of telehealth and telemedicine in Medicare Advantage plans, giving providers more opportunities to use connected care technology. By Eric Wicklund October 29, 2018 – The Centers for Medicare & Medicaid Services is looking to expand telehealth access for...

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...

CMS Proposes to Modernize Medicare Advantage, Expand Telehealth Access for Patients

CMS Proposes to Modernize Medicare Advantage, Expand Telehealth Access for Patients Proposed rule would strengthen the popular system for private health insurance plans to provide Medicare coverage, increase plan flexibility to offer telehealth benefits, and improve coordination for dual-eligible beneficiaries In a proposed rule issued today, the Centers for...

Telehealth and the law: the challenge of reimbursement

Technological advances continue to expand the healthcare delivery marketplace. Through technology, more and more providers are trying to cash in on telehealth. As with any other business, the healthcare industry is driven by profitability. In healthcare, profitability is generally driven by reimbursements from government payers such as Medicare and...

CMS Makes a ‘Landmark Change’ in RPM, Telehealth Reimbursement

Digital health expert Nathaniel Lacktman breaks down CMS’ proposed 2019 Physician Fee Schedule and Quality Payment Program, examining how it should boost support for services like remote patient management and store-and-forward telehealth. By Eric Wicklund July 20, 2018 – Earlier this month, the Centers for Medicare & Medicaid Services unveiled...

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