July 30, 2019
Looking to solve the problem of health record interoperability, this afternoon CMS unveiled a new pilot program dubbed “Data at the Point of Care” (DPC), which will employ an API to help give providers access to their patient’s medical data. The pilot is part of a larger CMS initiative called MyHealthEData, which is focused on giving patients more access to their medical data.
“That burden on...
July 19, 2019
Digital health-focused moves from payers throughout the last quarter ranged from partnership agreements and program launches to acquisitions and CMS coverage rulings. Several such headlines came from major players like Cigna, UnitedHealth Group, pharmacy benefit managers (PBMs) and various Blue Cross plans, and frequently involved digital health mainstays such as Livongo, Fitbit, Doctor on Demand...
May 9, 2019
Physician Compare, a CMS-operated website mandated by the Affordable Care Act, isn't providing a whole lot of information on most doctors, according to a research letter in JAMA Internal Medicine. Researchers from the University of Michigan used statistical software to estimate the quality and quantity of data available on the platform based on a sample of more than a million physician profiles...
April 30, 2019
The Centers for Medicare and Medicare Services has recognized chronic disease management company Livongo as an enrolled provider for Medicare Advantage members, the startup announced this morning in a release.
And, to kick off its new designation, Livongo’s diabetes management offering will be available this June to Medicare Advantage members receiving care through a Cambia Health Solution...
CMS Administrator Seema Verma on stage at HIMSS 2018.
April 9, 2019
Yesterday at the World Medical Innovation Forum in Boston, Centers for Medicare and Medicaid Services Administrator Seema Verma argued that government can often foil innovation.
Verma, a well-documented opponent of single-payer healthcare, has her eyes set on cutting down on paperwork and reevaluating regulations as a means to facilitate technological innovation.
“One of the things that troubles...
April 8, 2019
Come 2020, Medicare Advantage (MA) members will have more access to virtual care visits, according to a new ruling from the Centers for Medicare and Medicaid Services that was finalized on Friday. The new ruling will expand geographical areas covered and the way the services are paid for.
“Under this final rule, MA enrollees may have great opportunities to receive healthcare services from places...
January 28, 2019
The Centers for Medicare and Medicaid Services have launched its first-ever patient-facing app. Called “What’s Covered”, the app will allow people covered by Original Medicare (that is, not Medicare Advantage) to search for particular medical products or procedures and see if they are covered.
The app is easy to use, with no sign-in required. It's part of a broader initiative called eMedicare...
January 2, 2019
As America rises to greet the new year, its leaders remain in a funding dispute over border security that has so far resulted in 13 days of a partial government shutdown. While the deadlock is certainly having a prolonged impact on more than 420,000 government employees who are working without pay, and the 380,000-plus who have been furloughed, each passing day threatens greater challenges for...
December 5, 2018
For Brian Scarpelli, senior policy council at ACT | The App Association, it’s hard to overstate the changes coming to Medicare next month when it comes to telehealth and remote patient monitoring.
“Finally, after all these years, the Medicare system as of January 2019 is actually providing reasonable payment to physicians and other caregivers who are delivering care to Medicare beneficiaries, for...
November 5, 2018
Digital health-focused news involving payers during the third quarter of 2018 comprised a number of different focus areas, ranging from chronic condition management strategies to member engagement to high-profile deals. Read below for MobiHealthNews’ coverage of this sector through July, August and September.
Diabetes management and prevention
A handful of payer news during this period...