Medicare

By Dave Muoio 02:18 pm July 10, 2019
Virtual until proven fraudulent. A New York anesthesiologist has been indicted for her role in a scheme to submit fraudulent telemedicine claims to Medicare, Medicare Part D plans as we. According to the indictment, Dr. Anna Steiner and other providers purported to practice telemedicine in exchange for kickbacks starting in 2015. This resulted in more than $7 million in Medicare claims on behalf...
By Jonah Comstock 02:50 pm 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...
By Jonah Comstock 01:51 pm 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...
By Dave Muoio 03:48 pm January 16, 2019
A bot by any other name. It appears that Pillo Health won’t be the only one selling its friendly home health assistant and countertop pill dispenser. Thanks to a strategic investment by Stanley Ventures, Stanley Black & Decker will be offering a slightly modified version of the device under the name of “Pria by Black+Decker Home Care Companion.” According to a representative of Stanley Black...
By Dave Muoio 01:20 pm November 1, 2018
The Centers for Medicare and Medicaid Services has locked in a rule that will allow home health agencies to report the cost of remote patient monitoring for reimbursement under Medicare. According to the announcement, released yesterday, this rule will be implemented in 2020. Alongside this change also came others regarding payment and safety standards for qualified home infusion therapy...
By Dave Muoio 02:16 pm May 22, 2018
Cambridge, Massachusetts-based Iora Health, a digitally-enabled primary care provider that focuses on the senior Medicare population, announced yesterday that it has closed $100 million in Series E financing. This brings the company’s total funding to at least $223.5 million. Investors in the round included .406 Ventures, Devonshire Investors, F-Prime Capital, Flare Capital Partners, GE Ventures...
By Jonah Comstock 01:43 pm April 17, 2018
Medicare reimbursement for telehealth services is notoriously patchy. Much to the chagrin of telehealth vendors and healthcare providers, and despite many attempts to change the status quo through legislation, CMS still has a lot of restrictions on the geography of users and provider (rural versus urban, at home versus at a clinic, etc.) and on the technology used (video is reimburseable, for...
By Jonah Comstock 04:11 pm January 31, 2018
A new large-scale study shows that interactive, tailored text messages can improve medication adherence by 14 percent. "The program results far exceed our expectations with 44 percent refill rate in the text message group as compared to 30 percent in the non-text group," Rena Brar Prayaga, the paper’s corresponding author and a behavioral data scientist at mPulse Mobile, said in a statement. "In...
By Jonah Comstock 02:43 pm October 2, 2017
According to a new survey of 500 Medicare plan members, 77 percent of Medicare beneficiaries have used digital health tools. Yet just nine percent of respondents indicated that their health plan integrated data from those tools. Looking specifically at the 70 percent of beneficiaries with one or more chronic conditions, just eight percent said digital health tool data was used by their health...