Centers for Medicare and Medicaid Services

By Jonah Comstock September 26, 2017
Last week, Centers for Medicare and Medicaid Services Administrator Seema Verma revealed — in a Wall Street Journal editorial and an informal request for information (RFI) — that CMS would be heading in a “new direction” with the Center for Medicare and Medicaid Innovation (CMMI). Primarily, Verma’s CMS seems interested in dropping the mandatory adoption of new payment methods in favor of a...
By Jeff Lagasse July 31, 2017
While the Senate’s efforts to repeal and replace the Affordable Care Act imploded last week, that hasn’t stopped lawmakers from introducing bills that would make tweaks to the healthcare system in smaller ways. One such bill, sponsored by Reps. Doris Matsui, (D-California), and Bill Johnson, (R-Ohio), would expand the use of telemedicine to reduce costs.   The bill, the Evidence-Based Telehealth...
By Heather Mack May 3, 2017
A group of US Senators introduced a new version of a bipartisan bill today seeking Medicare-covered expansion of telehealth and remote patient monitoring services nationwide. The bill was previously introduced by the six-Senator group, which is headed by Brian Schatz (D-HI), in February. Called the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act,...
By Heather Mack April 7, 2017
Federal standards for telemedicine reimbursement are becoming more of a reality. The newly reintroduced Senate Bill 870, called Creating High Quality Results and Outcomes Necessary to Improve Chronic Care Act of 2017 (also referred to as CHRONIC), aims to hone in on Medicare payment reform in order to expand telemedicine services for chronic disease management and at-home care coordination. Along...
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 January 14, 2017
The Centers for Medicare and Medicaid Services has deemed certain therapeutic continuous blood glucose meters (CGMs) as durable medical equipment and thus are eligible for coverage. It’s not all cut and dry, of course. Eligible devices must fit several definitions: they must be a class III, FDA-approved device, and they must be CGMs that measure blood glucose levels periodically by using sensors...
By Aditi Pai January 22, 2015
Nineteen states intend to invest more in telehealth this year as they roll out innovative health care delivery services for their Medicare, Medicaid and CHIP populations. Twenty-five states have created "innovation plans" backed by grants from the Centers for Medicare and Medicaid Innovation (CCMI). This week Accenture published a report that analyzes the investment priorities of these 25 State...
By Aditi Pai November 10, 2014
This weekend, HealthCare.gov was updated to include a new feature that offers consumers detailed information about health insurance plans offered in their area before they apply for health insurance. The update comes just five days before open enrollment begins on November 15. “Consumers can prepare for open enrollment by visiting HealthCare.gov and using the window shopping feature to see what...
By Aditi Pai November 4, 2014
Earlier this week, the Centers for Medicare and Medicaid Services (CMS) released its final rule that will lead to changes in coverage under Medicare Part B. The rule, proposed in July, will expand the range of telehealth services that can be reimbursed under Medicare starting in 2015. In July, MobiHealthNews noted in the new rule, CMS added seven new telehealth reimbursement codes, all category...
By Jonah Comstock April 15, 2014
Blood pressure centiles, a SMART app. The SMART platform (Substitutable Medical Apps and Reusable Technology), an ONC-funded, Boston Children's Hospital-led effort to encourage the development of modular apps for EHRs, has announced an advisory committee to help support the growth of the platform. The committee includes representatives from The Advisory Board Company, AARP, BMJ, Canadian...