CMS

By Jonah Comstock May 11, 2017
Roy J.E.M. Raymann, who, as we reported yesterday, left Apple's sleep team a month ago, has moved to SleepScore Labs, a joint venture between ResMed, Dr. Oz Media, and Pegasus Capital Advisors. He will serve as Vice President of Sleep Science and Scientific Affairs. First announced this year at CES, SleepScore Labs is "currently in the process of examining how people sleep by compiling and...
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 Jonah Comstock December 1, 2016
Digital health hires news has been on the slow side around the holiday season, but there is at least one big piece of personnel news: Lisa Suennen, a digital health-focused investor, has joined GE Ventures as Managing Director, focused on healthcare.  Suennen invested with Psilos Group from 1998 to 2014 and for the last two years has been doing deals and consulting at her own firm, Venture...
By Jonah Comstock November 22, 2016
The Medicare Access and CHIP Reauthorization Act, or MACRA, is coming soon, and with it CMS's Quality Payment Program, which requires providers who bill Medicare more than $30,000 a year to report certain performance measures in order to adjust their payments based on performance.  For providers who don't have time to slog through the 2,400 page final rule, figuring out what those measures are...
By Heather Mack August 25, 2016
Pear Therapeutics, a Boston and San Francisco-based developer of digital strategies to address a broad range of mental health conditions, has released results of a study showing promising engagement with its program Thrive, which uses a smartphone app along with medication to treat patients with schizophrenia, schizoaffective disorder and bipolar disorder.  Thrive offers 24/7 patient monitoring...
By Heather Mack August 2, 2016
This week the Centers for Medicare & Medicaid Services (CMS) announced the 14 regions and states that will participate in its new primary care model, Comprehensive Primary Care Plus (CPC+). The initiative, which was announced in April, is a multi-payer, five-year medical home model that will begin January 2017, enabling primary care practices to care for patients in the ways they deem best to...
By Jonah Comstock July 11, 2016
CMS has proposed rule changes that would expand the Diabetes Prevention Program effective January 1, 2018. In March, CMS certified that the expansion of the program, including digital versions of the program, would reduce net Medicare spending, these new rules changes, announced last week, are the next concrete steps CMS needs to take to make the DPP reimburseable.  “Today's proposals are...
By Jonah Comstock May 31, 2016
When the Center for Medicare and Medicaid Services announced its new Comprehensive Primary Care Plus (CPC+) payment model, the announcement was mired by protestations from prominent investor and Venrock partner and former White House policy advisor Dr. Bob Kocher and former National Coordinator for Health IT Dr. Farzad Mostashari, who called out CMS for excluding ACOs from the initiative. On...
By Jonah Comstock May 10, 2016
Amino, a San Francisco-based startup that uses claims data to help consumers choose a doctor, announced today that it now has access to Medicare claims data and has been certified by the Centers for Medicare and Medicaid Services to create new healthcare quality measures focused on the healthcare consumer experience. The company uses a database of billions of patient-doctor interactions to match...
By Jonah Comstock April 26, 2016
The Center for Medicare and Medicaid Services released its 1,425-page Managed Care Final Rule, a long-awaited update to CMS bylaws which, according to CMS, “aligns key rules with those of other health insurance coverage programs, modernizes how states purchase managed care for beneficiaries, and strengthens the consumer experience and key consumer protections.” In part, the rule opens the door...