Blog

June 18, 2019
By: Michael Gomes, CEO, ClearHealth Quality Institute

Telehealth shows special promise to benefit patients, families and providers for treatment of substance use disorder (SUD), including opioid addiction.

Medicaid
reimbursement
Substance Use Disorder
telemedicine
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May 14, 2019
By: Michael Gomes, CEO, ClearHealth Quality Institute

Last month, The U.S. Centers for Medicare & Medicaid Services (CMS) finalized its plan to expand telehealth access and coverage in Medicare Advantage (MA) plans. There’s good news for MA plans, their members and providers: plans will be able to expand telehealth access and coverage beginning with plan year 2020 under a final rule published on April 5, 2019.

CMS
Medicare
reimbursement
telemedicine
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April 4, 2019
By: Michael Gomes, CEO, ClearHealth Quality Institute

Just as policy is changing at the federal level to allow – and even encourage – greater use of telehealth and telemedicine programs, states, too, have been active. A number of states are in the process of updating telehealth laws and regulations, modernizing definitions to keep pace with available technology and services and setting rules for providers and plans.

policy
reimbursement
telemedicine
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February 26, 2019
By: Michael Gomes, CEO, ClearHealth Quality Institute

Recent policy changes by the U.S. Department of Health and Human Services Center for Medicare and Medicaid Services (CMS) have been designed to make telehealth services more broadly available to Medicare beneficiaries. The changes follow a Congressionally-mandated report highlighting how reimbursement restrictions limit telehealth use, and so requirements have been relaxed for the Medicare Fee-For-Service effective January 1, 2019. Policy changes are pending for Medicare Advantage (MA) plans, effective for the 2020 plan year.

CMS
Medicare
telemedicine
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February 7, 2019
By: Michael Gomes, CEO, ClearHealth Quality Institute

New telehealth benefits will be available for Medicare Advantage (MA) members if a proposed rule published November 1, 2018 by the Department of Health and Human Services Center for Medicare and Medicaid Services (CMS) becomes final, as expected. The rule implements provisions of the Bipartisan Budget Act of 2018, effective for plan year 2020.

CMS
Medicare
reimbursement
remote patient monitoring (RPM)
telemedicine
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