Medicare

By Heather Mack July 6, 2016
Healthcare-focused mobile communications company mPulse Mobile has released the findings of a three-month study evaluating its interactive, two-way text message program with a Medicare and Medicaid plan in Southern California. The Encino, California-based mPulse teamed up with Inland Empire Health Plan (IEHP) and sent text messages tailored to 17,000 newly enrolled IEHP members based on...
By Jonah Comstock May 31, 2016
When the Center for Medicare and Medicaid Services announced its new Comprehensive Primary Care Plus (CPC+) payment model, the announcement was mired by protestations from prominent investor and Venrock partner and former White House policy advisor Dr. Bob Kocher and former National Coordinator for Health IT Dr. Farzad Mostashari, who called out CMS for excluding ACOs from the initiative. On...
By Jonah Comstock May 10, 2016
Amino, a San Francisco-based startup that uses claims data to help consumers choose a doctor, announced today that it now has access to Medicare claims data and has been certified by the Centers for Medicare and Medicaid Services to create new healthcare quality measures focused on the healthcare consumer experience. The company uses a database of billions of patient-doctor interactions to match...
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 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 Aditi Pai September 28, 2015
Some 46 percent of primary care physicians said they were not aware that they could be reimbursed for non-face-to-face time with Medicare patients who have more than one chronic condition, according to a SmartCCM survey of 500 primary care physicians, which was fielded by Medical Marketing. The survey was fielded in July and August 2015 and asked primary care physicians how much they knew about...
By Jonah Comstock June 25, 2015
Video doctor visits have the potential to help many different kinds of patients, but elderly patients, who are sometimes homebound or have trouble driving, would seem like a natural fit -- including the more than 50 million Americans on Medicare. However, according to a new report from Kaiser Health News, fewer than 1 percent of Medicare beneficiaries use video visit technology, owing mostly to a...
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...
By Jonah Comstock July 7, 2014
The Center for Medicaid and Medicare Services (CMS) has released an unpublished proposed rule that will soon lead to changes in coverage under Medicare Part B. Notably, the proposed rule will expand the range of telehealth services that can be reimbursed under Medicare. Since 2002, CMS has acknowledged that the range of use cases for telemedicine is always changing, and has provided a mechanism...