Category Archive
for: ‘Reimbursement’

CTeL Conference: Repeal and Replace: Telehealth Impacts and Opportunities

Twenty-two million people in the U.S. may be at risk of losing their health insurance. Telehealth is the organic choice to step up to fill some care needs if ‘repeal and replace’ eliminates or curtails reimbursement for some health services. But will existing telemedicine models be sufficient to care for an aging baby boomer population […]

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Repeal and …Telehealth Reimbursement?

Perhaps no three words have been uttered more since the election of President Donald Trump, at least among those who follow health care, than “repeal and replace.” While no one appears to know yet just what a “replacement” for the Affordable Care Act (ACA) would look like, and while many have expressed concerns about the […]

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Telemedicine and Cardiovascular Care: AHA Guidelines Point to Opportunities

The staggering costs of cardiovascular disease in the United States have been well documented; a 2015 CDC Foundation study, for example, estimated that one out of every six dollars spent on health care goes toward caring for the approximately 85 million patients with these conditions, as well as seven million stroke survivors. However, the use […]

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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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