What is Holding Back ACO Telehealth Use, Reimbursement?
As a result, the number of Medicare beneficiaries accessing telehealth is miniscule,” writes Krista Drobac, Executive Director of the Alliance for Connected Care and Partner at Sirona Strategies. Read Article
Six Things You May Not Have Known about the Medicare Shared Savings Program
On December 22, the Centers for Medicare & Medicaid Services (CMS) announced that 89 new organizations will join the Medicare Shared Savings Program (MSSP) in January 2015. These accountable care organizations (ACOs) will bring approximately 23,000 additional physicians and other providers into the ACO program, and will likely be the last group of program entrants […]
Commentary: Time for Congress to Make Payments for Telehealth Happen
The reason that telehealth usage among seniors in Medicare is almost non-existent is because the rules were written at a time when telehealth was used primarily to provide access to care for rural patients. To access a physician remotely, Medicare beneficiaries have to be in a rural area and in an “originating site” defined as […]
Telehealth: An Important Tool in Achieving the Goals of the ACO Program and Why Restrictions Should Be Lifted in Final ACO Rule
In the recently released proposed rule related to the accountable care organization (ACO) program1 (or Medicare Shared Savings Program, as it is formally known), the CMS contemplated allowing ACOs to utilize and be reimbursed for an important tool in better coordinating care, engaging patients, delivering services efficiently, and reducing costs: telehealth. Congress adopted the ACO […]
It’s Time to Focus on the Value of Medicare Advantage
As a Democratic staffer in the Senate during the debate and passage of the Medicare Modernization Act in 2003, I was concerned about private plans getting more involved in Medicare. Why were we going to pay commercial plans to do what Medicare does? Would favorable risk be taken out of the Medicare risk pool? Would […]
