Medicaid

By Jonah Comstock April 26, 2016
The Center for Medicare and Medicaid Services released its 1,425-page Managed Care Final Rule, a long-awaited update to CMS bylaws which, according to CMS, “aligns key rules with those of other health insurance coverage programs, modernizes how states purchase managed care for beneficiaries, and strengthens the consumer experience and key consumer protections.” In part, the rule opens the door...
By Jonah Comstock March 23, 2016
HHS Secretary Sylvia Burwell announced today that Medicare will cover the Diabetes Prevention Program, including digital versions like Omada Health’s. This marks the first time a preventative model from a CMS Innovation Center has been expanded into the Medicare program. “This program has been shown to reduce health care costs and help prevent diabetes, and is one that Medicare, employers and...
By Jonah Comstock March 4, 2016
Sense Health, a texting software company focused on Medicaid care managers, has signed a deal with Coordinated Behavioral Care’s (CBC) Health Home, a nonprofit that oversees more than 50 Medicaid care management agencies in New York City. CBC will deploy Sense Health in 12 of its member agencies to start. The program has a potential reach of 1,500 new Medicaid beneficiaries. With Sense Health,...
By Aditi Pai February 18, 2016
San Francisco-based Omada Health has launched a new version of its Prevent program with additional features designed for underserved populations, which include people who are Medicaid enrolled, Medicaid eligible but uninsured, as well as clinical trials for the product. The Prevent program runs 16 weeks and aims to help those that are at-risk for Type 2 diabetes make positive health behavior...
By Jonah Comstock January 28, 2016
The Centers for Medicare and Medicaid Services came out with a final rule yesterday that would require face-to-face visits prior to home health services for Medicaid patients, a rule that already exists for Medicare patients. But, as Politico spotted, the rule also includes a parenthetical allowing those "face-to-face" visits to be conducted via telehealth. Exactly what constitutes telehealth isn...
By Jonah Comstock December 14, 2015
All but eight states introduced at least one bill related to telemedicine to their state legislature in 2015, according to a new report from the National Conference of State Legislatures. State lawmakers floated a total of 200 bills across the country.   The report is meant to explore the benefits and risks of telehealth for state legislatures, as well as to provide an overview of the status of...
By Jonah Comstock August 5, 2015
Arizona Governor Doug Ducey carved out a place for mobile health in his plan for the state's new Medicaid plan this week, but some critics think the initiative could miss the mark for a low-income population less likely to have smartphones. Arizona's Medicaid system, the Arizona Healthcare Cost Containment System (AHCCCS), is a managed care system that operates on a special waiver from the...
By Aditi Pai July 15, 2015
AmeriHealth Caritas, a Medicaid managed care organization, has partnered with Palo Alto-based Theranos, which is working on a smaller, cheaper, alternative to common lab blood tests, to offer Theranos' services to its Medicaid members. AmeriHealth Caritas operates in 16 states and DC. It serves more than 6.6 million members. Theranos uses a lab-on-a-chip technology to run multiple blood tests on...
By Jonah Comstock May 27, 2015
Focus group data from the Center for Health Care Strategies Digital health is one of the biggest areas of opportunity to help low income populations and, in the process, reduce costs for providers that treat Medicaid populations. But challenges hold it back, including available apps that aren’t up to snuff, and a system for validating digital health interventions that’s somewhat lacking. That...
By Aditi Pai April 8, 2015
A few months ago, Accenture reported that 19 of the 25 states developing state health innovation plans (SHIPs) were planning to invest more in telehealth this year. Now, the Office of the National Coordinator for Health Information Technology (ONC) has published online resources to help the states that are participating in the State Innovation Models initiative make better use of digital health...

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