Telehealth Reimbursement Changes Ahead for 2016!

The American Telemedicine Association’s monthly webinar last week announced a sky full of new bills to address telehealth reimbursement issues in the United States.

If passed, the Telehealth Innovation and Improvement Act, sponsored by Senators Gary Peters (D-Michigan) and Cory Gardner (R-Colorado), would:

  • Require the Health and Human Services (HHS) Department to support the testing of new telehealth concepts at eligible hospitals through the Center for Medicare and Medicaid Innovation (CMMI)
  • Require CMMI to evaluate new telehealth models based on cost, effectiveness and care improvements

On another front, Sen. Brian Schatz (D-Hawaii) is in the process of submitting a bill that would enable healthcare providers to

  • Use telemedicine technology in new, alternative payment programs overseen by the Centers for Medicare & Medicaid. An example of such a program would be telestroke interventions.

Schatz’s pending bill is a frontrunner amongst several other telehealth-related in Washington, where CMS is in the midst of finalizing new Medicare codes and accountable care organization as well as bundled payment programs are loosening their restrictions on rural and other sites.

Additionally, and for the first time in 15 years, the Medicare Payment Advisory Committee (MedPAC) is considering reimbursements for telehealth. If MedPAC were to support telehealth legislation, such activity could lead to review of telehealth by the Congressional Budget Office (CBO). In turn, a CBO review would lead to more serious Congressional consideration. 

More information?

CMS is hosting two webinars that may be of related interest:

Webinar: Part D Enhanced Medication Therapy Management (MTM) Model – Innovations in HIT-Enabled MTM-Related Care

Tuesday, December 15, 20153:00 PM – 4:30 PM EST

The Center for Medicare & Medicaid Innovation (CMS Innovation Center) will hold a Part D Enhanced Medication Management (MTM) Model learning event on Tuesday, December 15, 2015 at 3:00 – 4:30pm EST. The webinar will focus on Health Information Technology (HIT)-Enabled MTM-Related Team-Based Care Coordination and is open to all Part D sponsors and other interested stakeholders.

Related Content: Part D Enhanced Medication Therapy Management Model

Open Door Forum: Home Health Value-Based Purchasing Model – Home Health Agencies

Thursday, December 17, 20152:00 PM – 3:00 PM EST

The Centers for Medicare & Medicaid Services (CMS) will host an open door forum on Thursday, December 17, 2015 from 2:00pm – 3:00pm EST. The forum will present information about home health agencies in the nine states included in the Home Health Value-Based Purchasing Model.

Related Content: Home Health Value-Based Purchasing Model


Looking for more? Recorded and available 100% online 24/7 for 6 months webinar: Carpe Diem! Position Yourself for Maximum Revenue in 2016’s Telemental Health

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