Category Archive
for: ‘Reimbursement’

Insurers Urge CBO to Consider Their Data in Telemedicine Evaluations

Eleven private insurers are urging the Congressional Budget Office (CBO) to take the experience of commercial health insurers into account when evaluating the potential impact of telemedicine coverage on Medicare. As reported last week in Healthcare Informatics, representatives of some of the nation’s largest private insurers sent a public letter in October to CBO director […]

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CMS Clarifies Telemedicine Reimbursement Under Medicaid

The Centers for Medicare and Medicaid Services (CMS) recently clarified their requirements for state amendments for telemedicine services. According to CMS, states need not submit plan amendments for telemedicine coverage under Medicaid if they intend to pay for services provided via telemedicine in the same way they reimburse in-person visits. CMS approval is only needed […]

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Employers Project No Change in the Growth of Health Benefit Costs

Large U.S. Employers Project No Change in the Growth of Health Benefit Costs in 2017, More to Offer Telehealth Health benefit cost increases at large U.S. employers are expected to remain at 6% in 2017, despite a large increase in pharmacy costs, particularly for specialty drugs. This information comes from a recent annual survey conducted […]

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CMS Releases Proposed CY 2017 Physician Fee Schedule

The Center for Medicare and Medicaid Services (CMS) recently released proposed Medicare Physician Fee Schedule (PFS) for CY 2017. Comments on the proposed schedule are due by 5:00 PM EST on September 6, 2016. Included in the proposal, is the addition of several codes for reimbursement regarding end-state renal disease related services for dialysis; advance […]

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How is Telemedicine Transforming Health Care

The improvement of technology is greatly benefiting the telehealth market. Faster internet speeds, changing insurance standards, smartphone advancements, and increased numbers of health care providers using telehealth services, are all working together to change the future of telehealth. Telemedicine services and technologies open the door for higher quality health care in remote locations. Doctors Without […]

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Texas State Medical Board Focuses on Telemedicine

A recent conflict between the Texas State Medical Board and a direct-to-consumer telehealth company, Teladoc, has opened the door for a conversation focused on ways to “modernize telemedicine statues and reduce the regulatory footprint governing the provision of telemedicine services”. During the discussions, the Texas Academy of Family Physicians, the Texas Medical Association, and the […]

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Telemedicine: A Game Changer for Senior Healthcare

In today’s age, retirees and seniors are now able to receive high-quality medical services without leaving the comfort of their home. All thanks to telemedicine. Telemedicine, a high-tech patient care model, is quickly gaining momentum as a way to lower costs while improving healthcare quality, specifically amongst aging populations. The objective of telemedicine is to […]

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DOCTORS STRUGGLE TO FIND VALUE IN TELEHEALTH

A few months ago, mHealthIntellgience.com ran an article focusing on the struggles doctors are facing in finding value in telehealth, with a strong focus on telehealth reimbursement. “All doctors use telehealth in some form with their patients just by getting on the phone and talking to them,” Dr. Peter Weigel, Westfield, N.J.-based physician, says. “But […]

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TELEMEDICINE ADOPTION GROWS, BUT HURDLES REMAIN

Recently, software specialist Reach Health, completed a survey focusing on the adoption of telemedicine services. The survey revealed roughly two-thirds of respondents rand telemedicine as the top priority or one of the highest priorities for their health care organization, a ten percent increase the 2015 survey results. Issues stemming from reimbursement and limitations of EMR […]

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Small Number of Docs Account for Large Share of Malpractice Claims

A relatively small number of doctors are responsible for a disproportionate percentage of paid malpractice claims, according to the New England Journal of Medicine. Certain specialities report the highest number of paid malpractice claims, including orthopedic, neurosurgery, plastic surgery, obstetrician-gynecologist, and general surgery. Physicians in these specialities had twice the risk of recurrence compared with […]

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