Insulin Nation

AUGUST 4, 2020

This change affects individual and group payer plans as well as Medicaid and Medicare Advantage. The post United Healthcare Reverses Course to Cover Tandem Pumps appeared first on Insulin Nation. On July 1st, United Healthcare announced they will now offer coverage for Tandem’s t:slim X2 insulin pump. A Step In the Right Direction.

Diabetes Tech 80

Diabetes Tech Medicare 80

Health Populi

DECEMBER 30, 2024

In 2025, we will see a proliferation of sleep sub-segments such as #EG-tracking tech for sleep and stimulation; audio-based sleep aids (taking, say, the Calm app’s bedtime stories complemented by novel sonic pulse technology); circadian rhythm regulation; and, of course, devices and applications to address sleep apnea and snoring.

Digital Health 156

Digital Health Health Policy Mental health Medicare 156

South Central Telehealth Resource Center

MAY 12, 2021

Identify RPM medicare CPT codes. Take This Course! The post Free Course Available Now: Remote Patient Monitoring Module! This interactive module helps participants: Define Remote Patient Monitoring (RPM). Identify patient populations and use cases for RPM. Discuss RPM conceptual models. Develop clinical workflows.

Telehealth 62

Telehealth Medicare mHealth Connected Health 62

Health Populi

MARCH 9, 2022

Of course, it’s of major interest to JLL how and whether telehealth and virtual care could replace demand for brick-and-mortar office space. For those of you focused on serving Medicare or older patients, there are some important findings in the JLL study to add into your scenario planning assumptions. ” she added.

Telehealth 240

Telehealth Medicare Life Science Mental health 240

FierceHealthIT

DECEMBER 21, 2023

The biggest stories in 2023, determined by you, the reader, include major hospital mergers, changes to the Medicare Advantage program, Amazon's latest healthcare move, and of course, generative AI. . | Physician pay and workforce issues were top of mind for Fierce Healthcare readers in 2023.

Medicare 122

Medicare 122

Healthcare IT News - Telehealth

MAY 6, 2020

Led by researchers from the NYU Grossman School of Medicine, the study found that 2,656 unique providers conducted 144,940 video visits with 115,789 unique patients over the course of six weeks. "Medicare announced its coverage at noon, and we saw our first [Medicare] patient at 5 that day."

Telehealth 218

Telehealth Telemedicine Medicare Primary Care 218

Health Populi

JULY 20, 2018

Wearable tech is an important category these days in department stores, with discount retailers like Target and Walmart, at electronics outlets like Best Buy and, of course, via Amazon’s wearable tech ma. We have reached a tipping point now that Medicare begins to pay for some virtual care services. ” you ask.

Digital Health 195

Digital Health Medicare Telehealth healthcare technology 195

Healthcare IT News - Telehealth

JULY 28, 2020

More than 100 physician groups, led by the American Medical Association, told the Centers for Medicare and Medicaid Services in no uncertain terms this past week that, while they supported temporary regulatory relaxations in response to COVID-19, they were strongly opposed to certain rules changes being made permanent. WHY IT MATTERS.

Public Health 202

Public Health Nursing Telehealth Medicare 202

Healthcare IT News - Telehealth

JUNE 29, 2020

Until regulatory changes, such as those enacted by the Centers for Medicare and Medicaid Services, had made telehealth provision more financially feasible, a doctor "had every economic incentive to require the patient to come to the office in person," he explained.

Telehealth 218

Telehealth Telemedicine HIPAA Medicare 218

Healthcare IT News - Telehealth

APRIL 29, 2022

Many previous large studies of telehealth use have relied on Medicare data. Although that is helpful for determining utilization among the Medicare population, of course, some behavioral economists have also emphasized the importance of looking to commercially insured groups for a more complete picture. THE LARGER TREND.

Telehealth 158

Telehealth Medicare Healthcare IT Public Health 158

Healthcare IT News - Telehealth

AUGUST 11, 2021

They're not submitting a telehealth claim to Medicare. Instead, sophisticated criminal organizations are partnering with telemarketing companies and sometimes unscrupulous doctors to essentially cold call Medicare beneficiaries, get them online with a doctor.

Telehealth 167

Telehealth Medicare Federal healthcare Health IT 167

Healthcare IT News - Telehealth

MAY 30, 2023

Some of those expansive measures, like expanded Medicare reimbursement for telehealth, will remain, at least temporarily, and others, like continuous Medicaid enrollment, will be phased out entirely in the next few months. What does the end of the PHE mean for the future of telemedicine?

Telemedicine 216

Telemedicine Medicare Telehealth Public Health 216

Health Populi

OCTOBER 24, 2018

we shouldn’t assume that by allocating more money to address these issues will be the panacea for course-correcting what has been decades of a public health challenge. But this week, the Centers for Medicare and Medicaid Services issued “State Relief and Empowerment Waivers” that allow each of the 50 U.S.

Mental health 196

Mental health Public Health Medicare Health Policy 196

Healthcare IT Today

NOVEMBER 22, 2022

The number of Medicare TPEs and commercial payer take-back audits alone is skyrocketing. They also look to flag “items and services that have high national error rates and are a financial risk to Medicare.” Meanwhile, Medicare also has a Fee for Service Recovery Audit Program. Tricare and Medicare).

Medicare 111

Medicare Private practice RCM Nursing 111

Healthcare IT Today

OCTOBER 16, 2024

Over the course of the study period from 2017-2022, LGH showed lower readmission rates than other healthcare organizations in Pennsylvania and throughout the United States. Additionally, the study estimates that these readmissions cost Medicare $5.2 As the study highlights, there were approximately 1.7 billion dollars.

Nursing 124

Nursing Interoperability Medicare Health Data 124

Healthcare IT Today

NOVEMBER 15, 2023

The technique involves finding data from public sources such as Centers for Medicare & Medicaid Services (CMS). Data shows that in-home care leads to a shorter course of treatment, lower utilization of the health care system, and better medication adherence. offering in-home treatment.

Medicare 124

Medicare Primary Care Digital Health Telemedicine 124

Aging in Place Technology Watch

SEPTEMBER 10, 2020

In their September, 2020 Aging in Place report, the authors note that demographics, regulatory and policy changes (aka reimbursement via Medicare Advantage plans), and Covid-19’s boosted use of digital health combine to make this a pivotal point.

Digital Health 110

Digital Health Medicare Telehealth 110

Healthcare IT Today

NOVEMBER 14, 2023

Medicare Advantage programs are vaunting their support for “wellness,” and you see wellness campaigns at pharmacies, employers, and elsewhere. Outcome measures are meaningful on an actuarial level, of course: not tied to individual patients on a one-to-one basis. Do these programs give us what we seek?

Medicare 122

Medicare Accountable Care Healthcare IT Nursing 122

Healthcare IT Today

JANUARY 5, 2024

Each product includes a 12-week course of therapy, in which patients are incentivized to complete lessons, adhere to treatment, and abstain from drug use. With this financing, we are charting a course to clinical and commercial scale.”

Mental health 124

Mental health Psychiatry Telehealth Medicare 124

Aging in Place Technology Watch

APRIL 10, 2019

Which of course has led to the effort to sell hearing aids directly to consumer (remember that commercial?) What is really worrisome is that hearing aids, which correct a condition that can cause substantial health issues, including fall risks and dementia, which are costs to Medicare, are considered an ‘elective’ device. Seriously?

Medicare 108

Medicare 108

Healthcare IT Today

AUGUST 22, 2024

PHI is any information that can identify a patient and is created, used, or disclosed by a healthcare provider during the course of providing a healthcare service. Or “Do you have Medicare/Medicaid?” This includes information relating to a patient’s condition, treatment, or payment for treatment.

HIPAA 124

HIPAA Medicare Health Information Patient Experience 124

Health Populi

APRIL 16, 2024

A caveat : I do this exercise with clients over the course of an intense immersive weekend or over many weeks (convening weekly or biweekly meetings). Presidential elections to that point, and that the last retiring Baby Boomer enrolls in Medicare that year. In 2030, every Boomer will have been eligible for Medicare.

HC 194

HC Mental health Public Health Primary Care 194

Healthcare IT Today

APRIL 3, 2025

Changes made to Medicare restrictions by Congress when stay-at-home orders came into place in March 2020 enabled telemedicine to be provided more easily. Additionally, in the US, regulatory restrictions often made the provision of telemedicine more complicated or limited how it could be provided.

Telemedicine 59

Telemedicine Patient Experience Medicare Healthcare IT 59

David Chou

JANUARY 10, 2023

Oak Street Health is a network of primary care clinics that serve older adults on Medicare. Oak Street Health's expertise in serving older adults on Medicare would be an asset to CVS Health, which has been working on expanding its offerings for this demographic. Pharmacy business growth and Medicare Advantage.

Primary Care 59

Primary Care Medicare 59

DrKumo Remote Patient Monitoring

JANUARY 18, 2023

Medicare-approved Remote Patient Monitoring (RPM) has become an increasingly important aspect of healthcare delivery. Remote monitoring through telehealth services has enabled healthcare providers to provide more efficient and effective care to patients, especially those enrolled in Medicare and Medicaid Services.

Medicare 40

Medicare Telehealth 40

DrKumo Remote Patient Monitoring

NOVEMBER 2, 2023

Medicare program, the federally administered health insurance program catering to individuals 65 and above, not only recognizes this holistic approach but extends its coverage to encompass mental health services alongside the modern innovation of remote patient monitoring (RPM).

Mental health 40

Mental health Medicare Nursing HIPAA 40

Digital Health Today

APRIL 25, 2019

When CMS unveiled the first standalone reimbursement for Remote Patient Monitoring (“RPM”) by “unbundling” CPT Code 99091 in the 2018 Medicare Physician Fee Schedule , it opened the door to the widespread use of RPM services for patients and promised there was more to come. Meet our Premier Partners. Want to Partner with Us? Find Out How!

Medicare 45

Medicare Digital Health Nursing Health Data 45

Healthcare IT Today

AUGUST 17, 2022

Like most investigations, they weren’t able to tell conclusively if personal information was accessed or not and of course they don’t know of any misuse of the data. Please note that not all data elements were involved for all individuals.

Medicare 110

Medicare HIPAA Healthcare IT Leadership 110

Health Populi

SEPTEMBER 14, 2018

Today, the health and wellness consumer can DIY all of these things at home through a huge array of products available in pharmacies, supermarkets, Big Box stores, cosmetic superstores, convenience and dollar stores, and other retail channels – increasingly, online (THINK, of course, of Amazon — more on the A-word in the Hot Points below).

Medicare 204

Medicare Primary Care Pharmaceuticals Mobile Health 204

Health Populi

JULY 29, 2022

” Of course, Costco is a value-focused shopper’s favored destination. ” It turns out that if Medicare Part D paid for the 184 most common generic medications for enrollees based on Costco’s cash-prices for the same products, the U.S. The Wall Street Journal called it “the combo that defies inflation.”

Digital Health 218

Digital Health Telemedicine Primary Care Telehealth 218

South Central Telehealth Resource Center

MARCH 6, 2018

Medicare and Remote Patient Monitoring (RPM) Reimbursement. Effective January 1, 2018, Medicare began reimbursing providers for RPM services billed under CPT code 99091. The Medicare website explains that the change was made to reduce the administrative burden for practitioners. Go to the Medicare Telehealth Services section.

Telehealth 54

Telehealth Medicare Nursing Telemedicine 54

Healthcare IT Today

OCTOBER 20, 2023

Of course, selecting patients along any sort of criteria is controversial.) Another source of fresh foods for low-income people is FarmboxRx , often available through Medicaid and Medicare Advantage programs as part of SNAP or Healthy Food Card benefits.

Medicare 132

Medicare Medical Technology Nursing Healthcare IT 132

Healthcare IT News - Telehealth

MARCH 25, 2019

" None of that is a coincidence, of course. " That's more complicated than just dealing with one such as diabetes, of course, it means "navigating multiple comorbidities and it's delivering a kit or a set of solutions that are easy to use and easy to implement.

Telehealth 164

Telehealth Nursing Telemedicine eCare 164

Digital Health Global

OCTOBER 5, 2023

We have an opportunity to significantly change the course of chronic kidney disease in the United States by working to ensure early detection is available to people through the testing they need to protect their kidney health.” Early detection of kidney disease may reduce Medicare costs associated with CKD by 74% or $63.2

Remote care 88

Remote care Medicare Patient Experience Digital Health 88

South Central Telehealth Resource Center

OCTOBER 24, 2017

House of Representatives, allows for an expansion of telehealth/telemedicine coverage under the Medicare Advantage Plan B. Medicare Advantage Plan B is an optional insurance that covers medically necessary and preventative healthcare services, supplies, and select prescription medications for individuals 65 and older.

Telehealth 57

Telehealth Medicare Accountable Care Telemedicine 57

Healthcare IT News - Telehealth

SEPTEMBER 9, 2024

Meanwhile, the American Telemedicine Association is pleading with the Centers for Medicare and Medicaid Services for expanded flexibilities and further guidance on payment and coverage. Of course, this structure alone does not guarantee success. One recent study reported on telehealth trends in U.S.

Telemedicine 188

Telemedicine Telehealth Medicare Healthcare IT 188

Healthcare IT News - Telehealth

SEPTEMBER 8, 2022

"Of course, the pandemic only placed these populations at higher risk of missing opportunities for care. "The devices have expanded our telemedicine program by creating an RPM program and expanding access to telehealth visits like Medicare Annual Wellness Visits," she concluded. Twitter: @SiwickiHealthIT.

Nursing 207

Nursing Telehealth Telemedicine Primary Care 207