Medicare

MobiHealthNews takes a look at how payers supported their members during the pandemic and beyond.
By  Mallory Hackett 09:40 am December 30, 2020
Through all of this year’s tumultuous ups and downs, one trend that has remained unstoppable – and has even accelerated – is the healthcare sector’s adoption of technology. For years, MobiHealthNews has covered the payer space as it continually pushes further into the world of digital health, and 2020 proved no different. From traditional insurers embracing technology to massive expansions of...
By  Gwendolyn Lee & Dan Gebremedhin, MD 12:54 pm December 4, 2020
In Part 1 of this article, we introduced Medicare and its covered services, along with rationales for digital health startups to engage with the nation’s largest payer. These motivations include Medicare’s large and growing beneficiary base, access to the nation’s largest and most influential payer, and movement toward value-based care. Despite these opportunities, startups have been relatively...
By  Gwendolyn Lee & Dan Gebremedhin, MD 04:41 pm November 24, 2020
Despite its attractive large market size, Medicare has long frustrated early stage healthcare companies. The complex federal health insurance system, mired in statutory constraints, has arguably discouraged entry from would-be external innovators. Regulations intended to prevent fraud, waste, and abuse, also create barriers to adoption for innovative value-creating products and services. The goal...
By  Dave Muoio 11:36 am September 2, 2020
Abbott announced yesterday that its recently cleared FreeStyle Libre 2 integrated continuous glucose monitoring (CGM) system is now covered by the Centers for Medicare and Medicaid Services (CMS), and available to Medicare beneficiaries with diabetes who meet eligibility criteria. Indicated for diabetes management in patients aged four years or older, the updated version of Abbott's system can...
By  Mallory Hackett 11:37 am August 10, 2020
More than 60% of Medicare-eligible seniors say they’ve embraced technology more during the pandemic, according to a new survey from healthinsurance.com. The website hosted an online survey for Americans 64 years old or above between July 20 and July 21, 2020, to gauge seniors’ use of technology, their lives during the pandemic, their Medicare plans and more. More than 1,000 seniors responded to...
By  Dave Muoio 02:14 pm October 23, 2019
Epstein Becker Green has released the annual update to its Telemental Health Laws Survey, a state-by-state breakdown of behavioral telehealth services coverage compiled (as of last year) into a free app. Broadly, the 2019 update suggests increasing interest and acceptance of telehealth services for addressing behavioral health issues, according to an overview of the updates published by the...
By  Dave Muoio 03:49 pm September 20, 2019
The US is wading into election season, and once again the healthcare system is a prime focal point for each campaign. And although the subject of “Medicare for All” was certainly present back in 2016, movements to overhaul the country’s insurance industry have gained some steam among voters over the last few years and now command considerable airtime during debates between presidential hopefuls....
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...