CMS

By Heather Mack 03:14 pm 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 02:30 pm 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 02:10 pm 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 01:47 pm 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 04:17 pm 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 02:40 pm 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...
By Jonah Comstock 03:33 pm April 12, 2016
CMS has announced a new expanded initiative for bringing value-based repayment to primary care. The Comprehensive Primary Care Plus (CPC+) program, builds on the Comprehensive Primary Care program introduced in 2012, but will expand the program to a larger number of practices and includes some tweaks to the model.  “Strengthening primary care is critical to an effective health care system,” said...
By Jonah Comstock 11:25 am January 28, 2016
The Centers for Medicare and Medicaid Services came out with a final rule yesterday that would require face-to-face visits prior to home health services for Medicaid patients, a rule that already exists for Medicare patients. But, as Politico spotted, the rule also includes a parenthetical allowing those "face-to-face" visits to be conducted via telehealth. Exactly what constitutes telehealth isn...
By Jonah Comstock 02:38 pm December 14, 2015
All but eight states introduced at least one bill related to telemedicine to their state legislature in 2015, according to a new report from the National Conference of State Legislatures. State lawmakers floated a total of 200 bills across the country.   The report is meant to explore the benefits and risks of telehealth for state legislatures, as well as to provide an overview of the status of...
By Brian Dolan 09:08 am July 2, 2015
At the beginning of 2015, CMS began reimbursing physicians for the care they provide to a particular group of their Medicare patients remotely and between visits. This new billing code, called Chronic Care Management (CCM), required that this remote care meet a few criteria, like patients must have two or more chronic conditions; the physician must establish a comprehensive care plan for the...