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...
November 14, 2018
Diabetes management company Virta Health announced today that the company will offer its service to employers and health plans at 100 percent risk — that is, customers will only pay if the company succeeds in its goal of reversing Type 2 diabetes and getting patients off of expensive diabetes medications.
“Whoever pays the healthcare bill today, we say to them, 'Wouldn’t it be awesome if we could...
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...
March 20, 2017
New York City-based betterPT has raised $1.5 million for its mobile platform for connecting patients to physical therapists. Loeb Holding Corp was the sole investor in the seed round.
The genesis of the company grows out of a law recently passed in 29 out of 50 states known as “direct access”, which allows patients to get up to 10 physical therapist visits without a prescription and still be...
August 25, 2015
Thanks to a mix of new payment models and the rise of consumer-driven healthcare, remote patient monitoring and remote care services are increasingly available and increasingly popular.
This year brought with it a number of important developments in digital health reimbursement that will accelerate the trend. In addition to the now, well-known new Medicare billing code for chronic condition...
June 25, 2015
Video doctor visits have the potential to help many different kinds of patients, but elderly patients, who are sometimes homebound or have trouble driving, would seem like a natural fit -- including the more than 50 million Americans on Medicare. However, according to a new report from Kaiser Health News, fewer than 1 percent of Medicare beneficiaries use video visit technology, owing mostly to a...
November 4, 2014
Earlier this week, the Centers for Medicare and Medicaid Services (CMS) released its final rule that will lead to changes in coverage under Medicare Part B. The rule, proposed in July, will expand the range of telehealth services that can be reimbursed under Medicare starting in 2015.
In July, MobiHealthNews noted in the new rule, CMS added seven new telehealth reimbursement codes, all category...
November 4, 2014
HealthLoop, the Mountain View, California-based doctor-patient communication startup, is looking for ways to make patient engagement pay. In addition to its recent team-up with a California malpractice insurer, the company has launched at least one payer pilot to try to demonstrate an ROI, founder Dr. Jordan Shlain reported at the Digital Healthcare Innovation Summit in Boston. They're also...
January 31, 2014
Aetna will now reimburse for iRhythm's ZIO Patch, a continuous long-term heart monitor worn on an adhesive patch. The insurer recently updated its Clinical Policy Bulletin on cardiac event monitors, upgrading the ZIO Patch from "experimental and investigational" to "medically necessary" for certain conditions.
In particular, Aetna will reimburse for the ZIO Patch either "to evaluate syncope or...
January 15, 2014
Mobile health strategies shouldn't be one-size-fits-all, Dr. Harry Greenspun, Deloitte's Senior Advisor on Health Care Transformation and Technology, wrote in a recent blog post. There are four dimensions that need to be considering in developing a mobile health intervention or technology. Greenspun breaks down the focus areas into four P's: People, Payment, Places, and Purpose.