Payer

By Bill Siwicki April 26, 2017
The Center for Connected Health Policy has released the fifth edition of its State Telehealth Laws and Reimbursement Policies Report. CCHP uncovered many notable findings in the new report. Perhaps chief among those: 48 states and Washington, D.C., provide reimbursement for some form of live video in Medicaid fee-for-service.  Specifically, 13 states reimburse for store-and-forward delivered...
By Jonah Comstock April 25, 2017
Seattle-based healthcare quality transparency company Mpirica has raised $4.6 million in a round led by equity crowdfunding platform OurCrowd. An undisclosed Seattle-based private equity fund also contributed to the round. The company plans to use the funsing to support a national rollout to Medicare Advantage customers. With its team of data scientists and physicians, Mpirica uses claims data to...
By Jonah Comstock April 19, 2017
Payer moves in digital health in the first quarter mainly fell into one of two categories: employee wellness initiatives and reimbursement moves. The only major piece of payer news that didn’t fit into one or the other category was Humana’s partnering with digital health startup Quartet to bring mental health services to underserved communities in New Orleans. Employee Wellness Early in the...
By Heather Mack April 12, 2017
Bloomington, Minnesota-based HealthPartners, an integrated nonprofit healthcare organization serving some 1.5 million medical and dental health plan members, has teamed up with consumer health SaaS company Welltok to offer members a personalized health platform. HealthPartners is one of the nation’s consumer-governed largest nonprofit health care organizations, and serves patients across several...
By Heather Mack April 3, 2017
Reimbursement for telemedicine is still far from equal across health plans and state lines, especially for those under government programs. But there’s a new piece of telemedicine legislation on the table that could establish a federal model for Medicare populations.   The bipartisan Senate bill functions as an experiment: Senators Cory Gardner (R-CO) and Gary Peters (D-MI) introduced the...
By Heather Mack March 30, 2017
UK provider network IPRS Health has launched the virtual physical therapy platform from Physitrack to their customers under global insurer QBE, allowing patients to use app-based physiotherapy in lieu of some in-person sessions. The QBE deal is a big one for Physitrack, which was founded in 2012 and has enjoyed considerable success across Europe, Australia, New Zealand and the United States. QBE...
By Heather Mack March 27, 2017
Delivering on a promise spoken just last week, DarioHealth announced partnerships today that will allow customers in the United States who use the company’s digital diabetes monitoring system to have their products reimbursed by insurance. All third party insurers were not named, but the company said it had signed alliance agreements with partners across the country who will be able verify...
By Jonah Comstock March 24, 2017
In January, the Centers for Medicare and Medicaid Services announced that it would cover continuous glucose monitoring for the first time; specifically it would cover therapeutic CGMs, of which the only one currently recognized is the Dexcom G5. That coverage officially kicks in today, now that CMS has issued the billing codes providers can use to get reimbursed. “This is a new era and a huge win...
By Heather Mack March 24, 2017
The University of Pittsburgh Medical Center (UPMC) Health Plan has launched an app-based, 24/7 telemedicine service to offer patients across Pennsylvania video visits from UPMC emergency room nurses and clinicians. Initially launched on desktop in November 2016 to UPMC Health Plan employees, the app version of AnywhereCare is now available to all patients within the state. Even though emergency...
By Jonah Comstock March 9, 2017
A study published in Health Affairs and conducted by the RAND Corporation made a big splash this week with a bold claim: That telemedicine doesn’t actually reduce healthcare costs because the increased convenience leads to increased utilization, which ultimately costs more than in-person care would have. The study looked at claims data from a cohort of 300,000 employees with access to Teladoc...