RIN 0938-AS06 Medicare Program: Medicare Shared Savings Program: Accountable Care Organizations Proposed Rule December 8, 2014
|
|
- Ezra Gregory
- 8 years ago
- Views:
Transcription
1 February 6, 2015 Ms. Marilyn Tavenner Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Hubert H. Humphrey Building, Room 445-G 200 Independence Avenue, SW Washington, DC Reference: File code CMS 1461-P RIN 0938-AS06 Medicare Program: Medicare Shared Savings Program: Accountable Care Organizations Proposed Rule December 8, 2014 Dear Ms. Tavenner: American Telemedicine Association (ATA) appreciates this opportunity to provide comments and recommendations regarding the Medicare Shared Savings Program: Accountable Care Organizations Proposed Rule. We applaud CMS s decision to consider waiving the statutory restrictions for telehealth services under Medicare Parts A and B as authorized under Social Security Act section 1834(m) and interest in soliciting public comment on billing and payment of telehealth-provided covered services in ACOs. Expanding the use of telehealth services and modern technologies will be an important step forward in improving Medicare beneficiaries access to quality and cost effective care delivery systems. There is growing recognition among policy makers at the state and federal level that telehealth and related services are particularly relevant in addressing the consequences of health professional shortages, maldistribution, and provider participation in both private insurance, Medicaid and the Medicare program. Despite decades of efforts to entice health professionals to locate in or near underserved areas, the problems have generally gotten worse. The tools of telehealth, notably real-time and interactive video visits, can be of immediate benefit to Medicare beneficiaries, ACOs, health plans and professionals. Currently, Medicare is failing its beneficiaries by its very restrictive rules concerning telehealth, such as the following: Requiring that a beneficiary with severe depression and other mobility-impairing conditions must leave their home and travel to get mental health counseling, Page 1 of 12
2 Not covering a beneficiary in a metropolitan area for getting a time-critical diagnosis of an ischemic stroke so that disability-preventing clot busting medication can be administered merely because the stroke specialist is at a different location, Not covering a beneficiary who meets Medicare s definition of homebound from receiving any health care services from a physician using video, Requiring that a beneficiary needing physical rehabilitation must be at an inpatient facility or travel to an outpatient facility for all therapy services, Not covering a beneficiary receiving hospice services at home from receiving pain management or counseling from a physician using video, Not covering a beneficiary at-risk with multiple chronic conditions to have key health indicators monitored daily from their home, and Requiring that a beneficiary with diabetes travel to a scarce retinal specialist for an annual diabetic retinopathy exam to prevent blindness. We have no doubt that paying for telehealth within an ACO will increase the net savings from ACOs for the Medicare program. Paying for telehealth within an ACO will be the single most important step to date by CMS to advance the knowledge and experience of how best to use these technology tools. Using telehealth is how ACO providers can create value. States have been major innovators in using telehealth to implement health delivery reforms that achieve significant cost savings and improve health outcomes. ATA has been instrumental in the development and passage of these reforms, providing education, outreach and engagement for key stakeholders at the state level. Twenty-two states and the District of Columbia have telehealth parity insurance laws for health benefit plans to treat telehealth covered services comparably with in-person services. Several state Medicaid plans have also moved to full parity. For example, last year Tennessee enacted telehealth parity for private insurance, Medicaid and state employee benefits. In implementing the Affordable Care Act (ACA), CMS has taken position that telehealth is a way to provide a service rather than a unique service per se in implementing the essential health benefits (EHB) provision for health insurance marketplaces. More pertinent and significant is that a Congressional committee has out for discussion a bill that would basically waive the restriction of 1834(m) for ACOs and other Medicare demonstrations and models. General Comments: Support ACO flexibility from Medicare telehealth restrictions: ATA strongly supports allowing ACOs flexibility from the Medicare telehealth restrictions in Social Security Act section 1834(m). ACOs participating in the Medicare Shared Savings programs, with their financial and operational incentives, can be prudent demonstrators of the best uses of telehealth tools. For this reason, we find the current restrictions of 1834(m) particularly inappropriate for such Medicare services. We urge that ACOs be given the same flexibility to cover telehealth as has been the long-standing policy for Medicare Advantage plans. From the perspective of wanting to attract participants in the ACO program, being able to offer less restricted telehealth can be a reward and a competitive advantage. Page 2 of 12
3 In particular, we support a general waiver from the restrictions of 1834(m) for ACOs by the Secretary under section 1899(f). We support an ACO using the application process to describe their telehealth and related services, up to any applicable Medicare coverage limitations. We urge CMS not to create and operate a waiver approval process for the use of telehealth by each individual ACO applicant. Support telehealth parity in-person services where medically appropriate: Although parity should be the baseline, there are opportunities with emerging technology and innovative applications to create new forms of care, such as remote patient monitoring of chronic conditions. Our goal is to remove artificial policy barriers to telehealth provided services that are Medicare covered services, in other words parity with in-person services. Parity for telehealth is increasingly common with almost half of the states enacting such laws but Medicare is becoming a lone standout with several formidable barriers in the way. Support comparable regulatory requirements: ATA supports applying the same regulatory oversight to telehealth and related services that is required of the other similar components of care coordination and ACO operations. The ACO design and financial incentive structure encourages and promotes use of enabling technologies that create value to the care delivery system and contains the governance, infrastructure and necessary provider oversight to protect Medicare and beneficiaries from fraud and abuse. It is unnecessary and counter-productive to have special operational and data requirements that single out telehealth services and create burdensome regulatory requirements that will stifle innovation and discourage participation by ACOs. General guidance on regulatory requirements in the proposed rule: Mindful of CMS longstanding views and concerns, we suggest a phase-in of telehealth flexibility, including remote patient monitoring, for ACOs based on the entities financial risk and beneficiary management: Year 1, for Track 3 plans Medicare should pay for telehealth-provided covered services, in addition to the coverages of 1834(m), accordingly to a plan s standard description in its application Year 2, add Track 2 plans Year 3, add Track 1 plans. Such phasing will also allow newer ACOs to learn from the experience of the more advanced, more at-risk ACOs. This will also allow CMS to develop appropriate telehealth provisions. Page 3 of 12
4 Specific Comments and Recommendations: ATA appreciates this opportunity to provide comments and recommendations on the areas of concern and questions raised in the proposed rule. For purposes of this section we have used bold text for CMS language and plain text for ATA comments. II. Provisions of This Proposed Rule. b. Proposed Revisions 8. Required Processes To Coordinate Care c. Proposed Revisions (Page 72779) We propose to add a new requirement to the eligibility requirements under (b)(4)(ii)(C) which would require an ACO to describe in its application how it will encourage and promote the use of enabling technologies for improving care coordination for beneficiaries. ATA strongly supports encouraging the use of enabling technologies, including telehealth to improve care coordination for beneficiaries participating in ACOs. However, adding a specific eligibility requirement as part of the application process may reduce interest in exploring innovative enabling technologies and requires these technologies to meet different requirements than those imposed on other elements of care coordination. Enabling technologies should be considered one of the components of care coordination and be treated the same way as a description of nurse advice or population health programs or other components of care coordination are treated in the application. As a result, we do not support a separate new eligibility requirement for enabling technologies. We also note that ACOs have the flexibility to use telehealth services as they deem appropriate for their efforts to improve care and avoid unnecessary costs. Some ACOs have already reported that they are actively using telehealth services to improve care for their beneficiaries. ATA is pleased that CMS recognizes the value of ACOs having flexibility to provide telehealth services as they deem appropriate and is interested in allowing waivers from the Medicare section 1834(m) provisions. Flexibility from section 1834(m) has been a long standing policy for Medicare Advantage plans and giving ACOs this same flexibility is very appropriate. It is critical that any ACO requirements encourage participation, support innovation and do not create undue burdens that stifle flexibility. A waiver from section 1834(m) would be a significant policy change that would go a long way in providing ACOs with needed flexibility to provide telehealth services where medically necessary and appropriate. Page 4 of 12
5 We welcome information from ACOs and other stakeholders about the use of such technologies. We seek comment on the specific services and functions of this technology that might be appropriately adopted by ACOs. For example, do the use of telehealth services and other technologies necessitate any additional protections for beneficiaries? Beneficiaries already have a number of protections in place when telehealth services are provided through an ACO entity. The telehealth services will be rendered by ACO professionals, ACO providers/suppliers or hospitals under contract with the ACO entity and will be required to meet the quality, credentialing and other participation requirements to be in the ACO and provide health care services to beneficiaries. The ACO governing body also has responsibility for assuring only medically necessary care is rendered and the ACO structure provides protection against fraud and abuse opportunities. ACOs provide similar beneficiary protections to those available in Medicare Advantage plans. Beneficiaries can also choose to receive or not receive telehealth services which are an additional protection for beneficiaries. Are these technologies necessary for care coordination or could other methods be used for care coordination? Telehealth services play a key role in facilitating care coordination and providing access to needed services. For example, the expertise of an specialty physician or more timely access to care by allowing a radiologist or other provider to review a patient medical information that has been transmitted from an originating site to the physician at a distant site. Other methods cannot facilitate this timely access to care or centers of excellence, particularly in areas with shortages of health professionals and facilities. If a particular technology is necessary, under what circumstances? Telehealth services are necessary in a number of circumstances: Triaging for faster, appropriate specialist care Increasing provider productivity Relief for provider shortages Reduction in disparities to patient access Decreasing unnecessary variations in care Reducing in-person overuse, such as in emergency rooms and preventable inpatient admissions Page 5 of 12
6 F. Shared Savings and Losses Seeking Comment on Ways to Encourage ACOs Participating in Performance-Based Risk Arrangements (Pages ) (2) Billing and Payment for Telehealth Services Describes current payment for telehealth services rendered by a physician or practitioner under certain conditions. (Page 72820) The discussion of billing and payment for telehealth services notes that technologies like telehealth are being increasingly used to complement face-to-face patient-provider encounters in both urban and rural areas. It also states ACOs and other commenters have suggested that a waiver of certain Medicare telemedicine payment requirement would help encourage a broader range of ACO to more fully utilize telehealth, remote patient monitoring, and other such enabling technologies. ATA strongly supports a waiver for ACOs from the following specific, otherwise artificial Medicare restrictions in section 1834(m), up to any overall Medicare coverage limitations: Section 1834(m)(4)(C)(I)(II) to permit an ACO to provide health services by video conferencing for Medicare beneficiaries who live in metropolitan counties. The last sentence of section 1834(m)(1) to permit an ACO to provide and bill for health services provided by store-and-forward means (such as transmission of medical images) to beneficiaries who live outside of an Alaska or Hawaii demonstration site as of December 31, Section 1834(m)(4)(F)(i) to permit an ACO to provide additional CPT and HCPCS codes for Medicare covered services provided via telehealth. Section 1834(m)(4)(C)(ii) to permit an ACO to provide for telehealth services originating from a beneficiary s home, a hospice and anywhere else from which a beneficiary seeks service (without regard to an originating site fee). Section 1834(m)(4)(E) to permit a beneficiary in an ACO to get the otherwise covered Medicare services of physical therapy, occupational therapy, speech-language pathology, audiology and other health professionals. If ACOs receive waivers from these five specific Medicare restrictions, they can take the lead in demonstrating the value of telehealth remote patient monitoring and other technologies in innovating care delivery and improving access and efficient delivery of care in both rural and urban settings. The ACO quality and performance measures and other participation requirements provide protection against fraud and abuse and Medicare s traditional fee for service utilization controls. Additionally, an ACO should have the flexibility to provide other telehealth services, such as remote patient monitoring for beneficiaries with at-risk chronic conditions. An ACO should be able provide remote patient monitoring and home-based video conferencing services in connection with the provision of home health services (under conditions for which payment for such services would not be made under section 1895 for such services) in a manner that is financially equivalent to the furnishing of a home health visit. Page 6 of 12
7 A waiver of certain Medicare telehealth requirements could be supported by section 1899(b)(2)(G) of the Act in that it gives the use of enabling technologies, such as telehealth, as an example of a process to coordinate care, and the statute does not limit ACOs to being in rural or shortage areas where Medicare payment is available for telehealth services. As indicated regarding section II.B.8.a., we welcome information from ACOs and other stakeholders about the use of such technologies to coordinate care for assigned beneficiaries. (Page 72821) The Medicare restrictions on telehealth are related to the provision of care, not the coordination of care. For coordination of care, a key would be interoperable, universal, robust and longitudinal electronic health records. For purposes of advancing the population health objectives of the ACOs, we recommend that CMS set and pay using relative value units for online evaluation and management services, CPT codes and 99444, for services provided by ACO professionals. For ACOs, CMS should fix a Catch 22 Medicare recertification requirement by allowing home-based video to be used for beneficiaries and physicians to comply with the recertification requirements for home health and durable medical equipment for Medicare and Medicaid imposed by the Affordable Care Act section The Congressional drafters seemingly intended that video visits could be a way to comply because of their reference to 1834(m), but overlooking the nullifying provision that a telehealth originating site cannot be a beneficiary s home. For Medicare home health patients, this is a Catch 22 because they need to homebound. Page 7 of 12
8 If we were to implement a waiver then we believe it would be appropriate to limit the use of such waivers to beneficiaries that are assigned to the ACO during the applicable performance year. We believe this would be best accomplished by permitting ACOs to use these waivers when they have a prospectively assigned population. In other words, the waivers would be limited to ACOs participating in Track 3. Prospectively assigned beneficiaries under Track 3 would be assigned to the ACO for the entire year and it would thus be clear to ACOs and CMS as to the beneficiaries for which a waiver applied. As mentioned previously, we believe a prospective assignment approach creates a potential pathway for improving the appropriate use of waivers by ACOs and a method for CMS to monitor its use. In addition, under Track 3 there would be greater opportunity for risk. Mindful of CMS longstanding views and concerns, we suggest a phase-in of telehealth flexibility, including remote patient monitoring, for ACOs based on the entities financial risk and beneficiary management: Year 1, for Track 3 plans Medicare should pay for telehealth services, in addition to the coverages of 1834(m), accordingly to an ACO plan s standard description in its application Year 2, add Track 2 plans Year 3, add Track 1 plans. For year 1, ATA supports limiting use of the waivers to prospectively assigned ACO beneficiaries for an entire performance year to demonstrate the value and measure the quality and cost impact of telehealth services. Additionally, since Medicare will be paying an ACO professional, ACO providers/suppliers and hospitals providing a telehealth service based on their location and some ACOs serve beneficiaries in more than one state, we request that CMS allow health professionals and facilities participating in an ACO to be licensed at their location. For these reasons, we believe that Track 3 is potentially a better candidate for such a waiver than Track 2. However, we seek comment on whether these waivers should apply to all two-sided performance-based risk tracks. ATA also supports a phased approach to implementing the waivers. We share CMS s view that the Track 3 is a better candidate for the waiver. As noted in our earlier response, we recommend adding Track 2 ACOs in Year 2. In the spirit of innovation and flexibility, if a particular Track 2 ACO is interested in pursuing a waiver, we believe CMS should evaluate the Track 2 ACO and make a determination based on their ability to meet the performance requirements. Page 8 of 12
9 Another option would be for the waivers would apply to any FFS beneficiary cared for by an ACO and then the waiver could be available to ACOs participants. A general waiver should allow an ACO to describe in its application its intended application. Another option would be to apply such waivers to beneficiaries that appear on the quarterly lists of preliminarily prospectively assigned beneficiaries. Under this approach, the population for whom the waiver is available would likely change from quarter to quarter. Quarterly enrollment is too short to demonstrate value, performance and cost savings. ATA supports limiting the waivers to prospectively assigned ACO beneficiaries for a performance year. Under a waiver of the telehealth requirements, we would anticipate establishing additional requirements to ensure program transparency and help reduce the possibility for abuse of the part of its application for the waiver. ATA supports transparency about the waiver for telehealth and other ACO program activities. As noted earlier, beneficiaries already have a number of protections in place when telehealth services are provided through an ACO entity that reduces the possibility of abuse. We believe the requirements in the proposed rule are robust and already significantly reduce the possibility for abuse. The proposed requirements provide transparency on the contributions of telehealth and related services in meeting the ACO s goals and performance on quality measures. The ACOs structure and design provides fraud and abuse protections similar to those available in Medicare Advantage plans and we do not believe there is a need for additional transparency requirements singling out telehealth. We strongly recommend that CMS not impose additional requirements for telehealth only. We note that we would retain the right to monitor and audit the use of such waivers. We would anticipate implementing heightened monitoring of entities that bill under payment waivers to reduce the possibility of abuse of the waiver. We seek comments on what specific activities should be monitored to ensure that items and services are properly delivered to eligible patients. ATA recognizes allowing ACOs to use the Medicare waivers is an important step forward and understands CMS s concerns about making sure the waivers are used properly. We are very supportive of allowing the waivers and having reasonable provisions to assure they are used properly, demonstrate value in meeting the clinical needs of beneficiaries and do not create opportunities for fraud and abuse. As noted above, we are concerned, however, about requirements singling out telehealth and related services and treating them differently than other components of care coordination and ACO plan management and governance. To the extent that telehealth services are part of those programs, they can be monitored and audited accordingly. For example, the ACO quality assurance and improvement program will include a written plan that describes how the how the Page 9 of 12
10 clinical needs of beneficiaries will be met. The shared saving program description and annual assessment of the quality of care can include the scope of telehealth and related technologies in the same way that it includes care coordination, network contracting or other activities. The ACO governing body is accountable for all the provisions of the ACO application and using the waiver properly should have the same standing as complying with the terms of the shared savings program, the quality improvement program or public reporting on the website. These program activities are monitored and audited as part of the standard ACO audit and where applicable telehealth and related activities can be monitored and audited as well. As noted above, we are concerned about singling out telehealth and related services for separate or heightened monitoring and audit requirements. Page We seek comment on the telehealth rules that would require a waiver and the circumstances under which a waiver would be necessary. Specifically, what aspects of current Medicare telehealth payment and other rules would it be necessary to waive in order to effectively incorporate two-sided performance-based risk into the Shared Savings Program? A unique issue for telehealth payment is Medicare does not allow fee-splitting. To compensate a patient site for related costs, Medicare uses a flat nationwide originating site facility fee for the patient site. Some recent Congressional bills expanding Medicare telehealth originating sites (such as a beneficiary at home) would not extend the facility fee to these sites. We recommend that Medicare pay for telehealth services under the existing Medicare payment methods for covered services and that an ACO have the flexibility to describe an alternative payment for services beyond the restrictions of 1834(m). For example, most public and private payors do not restrict telehealth coverage to a subset of designated CPT/HCPCS codes. What factors should CMS consider if it were to provide for such a waiver to allow ACOs additional flexibility to provide a broader range of telehealth services or services in a broader range of geographic areas? Since Medicare will be paying ACO professionals, ACO providers/suppliers and hospitals providing a telehealth service based on their location and some ACOs serve Medicare beneficiaries in more than one state, we request that CMS allow health professionals and facilities participating in an ACO to be licensed only at their location, not necessarily also at a patient s location. Also, how should telehealth be defined? While telehealth is not consistently defined across payers, telehealth typically refers to a broader set of services, including Page 10 of 12
11 store and forward services, which are not currently covered by Medicare outside of demonstration projects. An ACO should be able in its application to define telehealth that is broader than the longstanding delineation in section 1834(m) and (a)(1) and (3). If another definition is needed for ACO purposes, we recommend adopting a simpler, technology-neutral definition that is expected to be used by the National Association of Insurance Commissioners: Telemedicine or Telehealth means health care services to a covered person from a health care provider who is at a site other than where the covered person is located using telecommunications technology. Under what circumstances should payment for telehealth and related services be made? Payment for telehealth and related services should be made in accord with an ACO s described services and on the same basis as comparable in-person services. What types of services should be included remote monitoring, remote visits and/or e- consults? An ACO should have the flexibility to include additional services according to their application, beyond that specified in 1834(m). What capabilities or additional criteria should ACOs meet in order to qualify for payments for telehealth services under such a waiver? The ACO should not need to have any additional capabilities or meet any additional criteria to qualify for telehealth services under such a waiver. The agreements with ACO participants and ACO providers/suppliers requires the ACO participant to adhere to the quality assurance and improvement program and evidence based medicine guidelines and it must also permit the ACO to take remedial action against the ACO providers/suppliers including corrective action up to termination if they are determined to be noncompliant with the requirements of the Shared Savings Program. These requirements are sufficient to allow ACO entities and their providers/suppliers to qualify for payment of telehealth services. These requirements also support expanding and updating the telehealth and related services definition and allowing the Medicare waivers in the ACO project. In your comments, please consider quality and outcomes metrics, other requirements to ensure protection of beneficiaries and the Medicare Trust Funds, and any other design factors you think may be important. ACOs are required to complete an annual assessment of the ACO s quality of care and address other relevant matters (see (a)(9)) as well as meet quality reporting requirements set forth in subpart F. of of the Shared Savings Program. At this time, we do not recommend burdening the ACOs with additional metrics. Over time, it may be useful to better measure patient review of quality of care, ease of access, convenience and overall satisfaction. Page 11 of 12
12 Summary The American Telemedicine Association strongly supports expanding the telehealth definitions, allowing the Medicare waivers and applying the same regulatory oversight to telehealth and related services that is required of the other similar components of care coordination and ACO operations in the Final Rule. We appreciate and support the CMS s efforts and commitment to expanding the role of ACOs in the Medicare Shared Savings Program. Thank you for the opportunity to share our comments with you. Please feel free to contact me at (202) or jlinkous@americantelemed.org if you would like to discuss these comments in detail or have any questions. Sincerely, Jonathan D. Linkous Chief Executive Officer Page 12 of 12
CMS-1461-P Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations
February 6, 2015 Ms. Marilyn Tavenner Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services 7500 Security Boulevard Baltimore, Maryland 21244 RE: CMS-1461-P Medicare
More informationNew Hampshire Telemedicine Reimbursement Guide. Franconia Notch, New Hampshire
New Hampshire Telemedicine Reimbursement Guide Franconia Notch, New Hampshire The Northeast Telehealth Resource Center team is pleased to announce our 1 st edition of this Telemedicine Reimbursement Manual.
More informationCMS-14612-P Medicare Program; Medicare Shared Savings Program; Accountable Care Organizations Proposed Rule 79 Fed. Reg. 72760 (December 8, 2014)
American Cancer Society Cancer Action Network 555 11 th Street, NW Suite 300 Washington, DC 20004 202.661.5700 www.acscan.org Marilyn Tavenner Administrator Centers for Medicare & Medicaid Services Department
More informationMay 9, 2014. Hon. Mike Thompson 231 Cannon House Office Building Washington, D.C. 20515. RE: Telehealth Promotion Act of 2014. Dear Rep.
Hon. Mike Thompson 231 Cannon House Office Building Washington, D.C. 20515 RE: Telehealth Promotion Act of 2014 Dear Rep. Thompson: On behalf of the 110,600 physician and student members of the American
More informationRe: Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations
February 6, 2015 Marilyn Tavenner, Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS-1461-P P.O. Box 8013 Baltimore, Md. 21244-8013 Re: Medicare
More informationRE: CMS-1345-P; Comments to Medicare Shared Savings Program: Accountable Care Organizations Proposed Rule
Centers for Medicare & Medicaid Services Department of Health and Human Services Attn: CMS-1345-P P.O. Box 8013 Baltimore, Maryland 21244-8013 RE: CMS-1345-P; Comments to Medicare Shared Savings Program:
More informationState of Payor Network and Reimbursement for Telehealth Services. Tim Maloney, UC Health Vice President of Payor Relations
State of Payor Network and Reimbursement for Telehealth Services Tim Maloney, UC Health Vice President of Payor Relations Introduction Reimbursement for services delivered via telehealth varies greatly
More informationRE: CMS-1416-P, Medicare Program; Medicare Shared Savings Program; Accountable Care Organizations; Proposed Rule
Marilynn B. Tavenner Administrator Center for Medicare & Medicaid Services U.S. Department of Health and Human Services Hubert H. Humphrey Building, Room 445-G 200 Independence Avenue, SW Washington, DC
More informationEntities eligible for ACO participation
On Oct. 20, 2011, the Centers for Medicare & Medicaid Services (CMS) finalized new rules under the Medicare Shared Savings Program (MSSP) to help doctors, hospitals, and other health care providers better
More informationHR 5380 - Medicare Telehealth Parity Act of 2014 Rep. Mike Thompson (D-CA), Rep. Gregg Harper (R-MS), Rep. Peter Welch (D-VT)
FACT SHEET Congressional Bill HR 5380 - Medicare Telehealth Parity Act of 2014 Rep. Mike Thompson (D-CA), Rep. Gregg Harper (R-MS), Rep. Peter Welch (D-VT) Author Intent: To amend Title XVIII of the Social
More informationCommittee on Energy and Commerce Committee on Energy and Commerce
June 16, 2014 The Honorable Joe Pitts, Chairman The Honorable Frank Pallone, Ranking Member Subcommittee on Health Subcommittee on Health Committee on Energy and Commerce Committee on Energy and Commerce
More informationDeveloping a Telemedicine Business Strategy
Developing a Telemedicine Business Strategy Amber Humphrey, MBA Assistant Director, Vanderbilt Telemedicine Healthcare Financial Management Association March 22, 2016 Discussion Roadmap Defining Telehealth
More informationDraft Telemedicine Provider Guidance/Manual
I. Introduction The D.C. Telehealth Reimbursement Act of 2013 directs Medicaid to cover and reimburse for healthcare services appropriately delivered through telehealth if the same services would be covered
More informationTELEMEDICINE, TELEHEALTH, AND HOME TELEMONITORING TEXAS MEDICAID SERVICES. Biennial Report to the Texas Legislature
TELEMEDICINE, TELEHEALTH, AND HOME TELEMONITORING TEXAS MEDICAID SERVICES Biennial Report to the Texas Legislature As Required by Texas Government Code 531.0216 Texas Health and Human Services Commission
More information1900 K St. NW Washington, DC 20006 c/o McKenna Long
1900 K St. NW Washington, DC 20006 c/o McKenna Long Centers for Medicare & Medicaid Services U. S. Department of Health and Human Services Attention CMS 1345 P P.O. Box 8013, Baltimore, MD 21244 8013 Re:
More informationWho, What, When and How of ACOs. Summary of proposed rule provisions for Accountable Care Organizations under the Medicare Shared Savings Program
Who, What, When and How of ACOs Summary of proposed rule provisions for Accountable Care Organizations under the Medicare Shared Savings Program April 5, 2011 On March 31, 2011, the Centers for Medicare
More informationTelemedicine Reimbursement An Overview of Medicare and Medicaid
An Overview of Medicare and Medicaid Why is it important? Encourages use of telemedicine services Provides mechanism to reimburse providers One tool to ensure sustainability of program Medicare First authorized
More informationFinalized Changes to the Medicare Shared Savings Program
Finalized Changes to the Medicare Shared Savings Program Background: On June 4, 2015, the Centers for Medicare and Medicaid (CMS) issued a final rule that updates implementing regulations for the Medicare
More informationAffordable Care Act Opportunities for the Aging Network
Affordable Care Act Opportunities for the Aging Network The Affordable Care Act (ACA) offers many opportunities for the Aging Network to be full partners in health system reform. These include demonstration
More informationADVANCING HIGHER EDUCATION IN NURSING
September 4, 2012 Submitted via www.regulations.gov Marilyn Tavenner Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attn: CMS 1590 P P.O. Box 8010
More informationTELEMEDICINE POLICY. Page
TELEMEDICINE POLICY REIMBURSEMENT POLICY Policy Number: ADMINISTRATIVE 4.8 T0 Effective Date: May, 203 Table of Contents APPLICABLE LINES OF BUSINESS/PRODUCTS.. APPLICATION... OVERVIEW... REIMBURSEMENT
More informationExpanding Frontier of Telemedicine Clear Skies or Stormy Weather?
I. Advances in Telemedicine 2016 CLM Annual Conference April 6-8, 2016 Orlando, FL Expanding Frontier of Telemedicine Clear Skies or Stormy Weather? A historical look, recent developments and future trends.
More informationPLDW. Telemedicine and the Health Care Industry PANNONE LOPES DEVEREAUX & WESTLLC. by GARY R. PANNONE Managing Partner. and
Telemedicine the Health Care Industry by GARY R. Managing Partner jillian n. jagling Associate PLDW LOPES DEVEREAUX & LOPES DEVEREAUX & WEST LLC WESTLLC counselors at law Introduction Opportunities Challenges
More informationProposed Rule: Medicare Program; Medicare Shared Savings Program; Accountable Care Organizations (CMS-1461-P)
Via online submission to http://www.regulations.gov February 6, 2015 Sylvia M. Burwell Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS 1461
More informationSubmitted via: http://www.regulations.gov
February 6, 2015 Submitted via: http://www.regulations.gov Marilyn B. Tavenner, RN, Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1461-P
More informationTELEMEDICINE UPDATE:WHAT S NEW IN 2014? Vanessa A. Reynolds, P.A. vreynolds@broadandcassel.com
TELEMEDICINE UPDATE:WHAT S NEW IN 2014? Vanessa A. Reynolds, P.A. vreynolds@broadandcassel.com What is telemedicine? Telemedicine has been defined as broadly as the use of medical information exchanged
More informationTelehealth In Virginia. The Regulatory Landscape
Telehealth In Virginia The Regulatory Landscape Introduction Name: Joshua Kaywood Company: WeCounsel Solutions Position: Director of Business Development Email: joshk@wecounsel.com Phone: (678) 779-4958
More informationProspective Attribution as a Single-Step Assignment Process
Marilyn Tavenner, Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS 1461 P P.O. Box 8013 Baltimore, MD 21244 8013 Dear Administrator Tavenner:
More informationNATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. Briefing Paper on the Proposed Medicare Shared Savings Program
NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS Briefing Paper on the Proposed Medicare Shared Savings Program The Centers for Medicare and Medicaid Services (CMS) recently issued a proposed rule to implement
More informationMay 7, 2012. Submitted Electronically
May 7, 2012 Submitted Electronically Secretary Kathleen Sebelius Department of Health and Human Services Office of the National Coordinator for Health Information Technology Attention: 2014 edition EHR
More informationSeptember 25, 2014. Dear Ms. Mann:
September 25, 2014 Cindy Mann, Director Center for Medicaid and CHIP Services Department of Health and Human Services 200 Independence Avenue, SW Washington, DC 20001 Dear Ms. Mann: NAMD is pleased to
More informationA First Look at Attitudes Surrounding Telehealth:
A First Look at Attitudes Surrounding Telehealth: Findings from a national survey taking a first look at attitudes, usage, and beliefs of family physicians in the U.S. towards telehealth. OVERVIEW Telehealth
More informationMarilyn Tavenner Administrator Centers for Medicare and Medicaid Services Attention: CMS-1612-FC 7500 Security Blvd Baltimore, MD 21244
February 6, 2015 Marilyn Tavenner Administrator Centers for Medicare and Medicaid Services Attention: CMS-1612-FC 7500 Security Blvd Baltimore, MD 21244 RE: Medicare Program; Medicare Shared Savings Program:
More informationAARC s Legislative Initiative for 2015 -- The Medicare Telehealth Parity Act Frequently Asked Questions Updated February 20, 2015
AARC s Legislative Initiative for 2015 -- The Medicare Telehealth Parity Act Frequently Asked Questions Updated February 20, 2015 NOTE: If the Medicare Telehealth Parity Act is reintroduced prior to our
More informationCOMMENTS OF THE UNIVERSITY OF VIRGINIA HEALTH SYSTEM FACILITATING THE COMPETITIVE PROMISE OF TELEMEDICINE KAREN RHEUBAN, M.D.
COMMENTS OF THE UNIVERSITY OF VIRGINIA HEALTH SYSTEM FACILITATING THE COMPETITIVE PROMISE OF TELEMEDICINE KAREN RHEUBAN, M.D. Medical Director, Office of Telemedicine Director, Center for Telehealth Senior
More informationTelemedicine Policy. Approved By 1/27/2014
REIMBURSEMENT POLICY Policy Number 2015R0046F Annual Approval Date Telemedicine Policy 1/27/2014 Approved By National Reimbursement Forum United HealthCare Community & State Payment Policy Committee IMPORTANT
More informationMarch 15, 2010. Dear Dr. Blumenthal:
March 15, 2010 David Blumenthal, MD, MPP National Coordinator Office of the National Coordinator for Health Information Technology (ONCHIT) Department of Health and Human Services ATTN: HITECH Initial
More informationTELEMEDICINE POLICY. Page
TELEMEDICINE POLICY REIMBURSEMENT POLICY Policy Number: ADMINISTRATIVE 4.23 T0 Effective Date: July, 205 Table of Contents APPLICABLE LINES OF BUSINESS/PRODUCTS.. APPLICATION... OVERVIEW... REIMBURSEMENT
More informationTelemedicine Policy Annual Approval Date
Policy Number 2016R0046A Telemedicine Policy Annual Approval Date 4/08/2015 Approved By REIMBURSEMENT POLICY CMS-1500 Payment Policy Oversight Committee IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY You
More informationMedicaid Program; Face-to-Face Requirements for Home Health Services; Policy Changes. AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
This document is scheduled to be published in the Federal Register on 02/02/2016 and available online at http://federalregister.gov/a/2016-01585, and on FDsys.gov CMS-2348-F DEPARTMENT
More informationTelemedicine, Telehealth & Mobile Health: The Future Is Today
Telemedicine, Telehealth & Mobile Health: The Future Is Today Kim Harvey Looney, Waller Lansden Dortch & Davis LLP Michael F. Schaff, Wilentz Goldman & Spitzer PA Sidney Welch, Kilpatrick Townsend & Stockton
More informationSustainable Growth Rate (SGR) Repeal and Replace: Comparison of 2014 and 2015 Legislation
Sustainable Growth Rate (SGR) Repeal and Replace: Comparison of 2014 and 2015 Legislation Proposal 113 th Congress - - H.R.4015/S.2000 114 th Congress - - H.R.1470 SGR Repeal and Annual Updates General
More informationTelemedicine Reimbursement. and Credentialing
Kim Hoffman Telehealth Coordinator OHSU Telemedicine and Credentialing Kate Kenemer Client Service Analyst University Professional Services Why is it important? Encourages use of telemedicine services
More informationJanuary 3, 2012. RE: Comments submitted at http://www.regulations.gov.
January 3, 2012 RE: Comments submitted at http://www.regulations.gov. Marilyn Tavenner, Acting Administrator U.S. Department of Health and Human Services Centers for Medicare and Medicaid Services Attention:
More informationRe: CMS 3819-P, Medicare and Medicaid Programs; Conditions of Participation for Home Health Agencies; Proposed Rule, Oct. 9, 2014.
Marilyn B. Tavenner Administrator Centers for Medicare & Medicaid Services Hubert H. Humphrey Building 200 Independence Avenue, S.W., Room 445-G Washington, D.C. 20201 Re: CMS 3819-P, Medicare and Medicaid
More informationSession 14. Act Now-Review of the 2015 Telemedicine Law. 2016 Minnesota e-health Summit June 7, 2016, 2:15 PM
Session 14 Act Now-Review of the 2015 Telemedicine Law 2016 Minnesota e-health Summit June 7, 2016, 2:15 PM 1 Speakers Moderator: Mark Sonneborn Presenter: Maureen Ideker RN, BSN, MBA, Great Plains Telehealth
More informationFile Code CMS 1461 P Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations; Proposed Rule
February 6, 2015 Marilyn B. Tavenner Administrator Centers for Medicare and Medicaid Services U.S. Department of Health and Human Services Hubert H. Humphrey Building, Room 445-G 200 Independence Avenue,
More informationSec. 531.0216. PARTICIPATION AND REIMBURSEMENT OF TELEMEDICINE MEDICAL SERVICE PROVIDERS UNDER MEDICAID. (a) The commission by rule shall develop and
Sec. 531.0216. PARTICIPATION AND REIMBURSEMENT OF TELEMEDICINE MEDICAL SERVICE PROVIDERS UNDER MEDICAID. (a) The commission by rule shall develop and implement a system to reimburse providers of services
More informationMay 26, 2011. Section 3022 of the Affordable Care Act. Dear Administrator Berwick:
Donald M. Berwick, MD, MPP Administrator Attention: CMS-1345-P Mail Stop C4-26-05 7500 Security Boulevard Baltimore, MD 21244-1850 Re: Section 3022 of the Affordable Care Act Dear Administrator Berwick:
More informationRE: File Code CMS-1345-NC2 Medicare Program Waiver Designs in Connection with the Medicare Shared Savings Program and Innovation Center
Donald Berwick, M.D., M.P.P. Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS-1345-NC2 Room 445-G Hubert H. Humphrey Building 200 Independence Ave. S.W.
More informationTAPPING THE POTENTIAL OF TELEHEALTH. Balaji Satyavarapu [Professional IT Consulting
] Balaji Satyavarapu [Professional IT Consulting TELEHEALTH What is it? As recently defined by the Telehealth Advancement Act of 2011 in Section 2290.5 of the California Business and Professions Code,
More informationDepartment of Health and Human Services. No. 21 February 2, 2016. Part II
Vol. 81 Tuesday, No. 21 February 2, 2016 Part II Department of Health and Human Services Centers for Medicare & Medicaid Services 42 CFR Part 440 Medicaid Program; Face-to-Face Requirements for Home Health
More informationTelemedicine in the Patient Protection and Affordable Care Act (2010)
Telemedicine in the Patient Protection and Affordable Care Act (2010) The new national health insurance reform legislation contains several advances for telemedicine that are listed below. There are numerous
More informationDecember 3, 2010. Dear Administrator Berwick:
Donald Berwick, M.D. Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Room 445-G, Hubert H. Humphrey Building 200 Independence Avenue, SW Washington, DC 20201
More informationNewsroom. The quality measures are organized into four domains:
Newsroom People with Medicare will be able to benefit from a new program designed to encourage primary care doctors, specialists, hospitals, and other care providers to coordinate their care under a final
More informationU.S. Telemedicine Public Policy. Gary Capistrant July 22, 2015
U.S. Telemedicine Public Policy Gary Capistrant July 22, 2015 Strong Consumer Wants 24 / 7 / 365 On-demand Convenience Ease Choice Control Direct Drivers Aging population = greater demand & costs = provider
More informationAccountable Care Organizations (ACO) Proposed Rule Summary March 31, 2011
Accountable Care Organizations (ACO) Proposed Rule Summary March 31, 2011 On March 31, 2011, the Centers for Medicare & Medicaid Services (CMS) released the longawaited proposed rule on Accountable Care
More informationMEDICARE PAYMENT OF TELEMEDICINE AND TELEHEALTH SERVICES January 22, 2007
MEDICARE PAYMENT OF TELEMEDICINE AND TELEHEALTH SERVICES January 22, 2007 The Center for Medicare and Medicaid Services (CMS) administers Medicare programs in the United States. Currently, Medicare provides
More informationCenter for Medicare & Medicaid Innovation Request for Information on Health Plan Innovation Initiatives at CMS
Center for Medicare & Medicaid Innovation Request for Information on Health Plan Innovation Initiatives at CMS Agency/Office: Type of Notice: Department of Health and Human Services Centers for Medicare
More informationGEORGIA MEDICAID TELEMEDICINE HANDBOOK
GEORGIA MEDICAID TELEMEDICINE HANDBOOK CONNECTING GEORGIA OVERVIEW The Department of Community Health s (DCH) Telemedicine and Telehealth policies are slated to improve and increase access and efficiency
More informationCenter for Medicaid and CHIP Services SMDL# 12-002 ICM# 2
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12 Baltimore, Maryland 21244-1850 Center for Medicaid and CHIP Services SMDL# 12-002
More informationDETAILED SUMMARY--MEDCIARE SHARED SAVINGS/ACCOUNTABLE CARE ORGANIZATION (ACO) PROGRAM
1 DETAILED SUMMARY--MEDCIARE SHARED SAVINGS/ACCOUNTABLE CARE ORGANIZATION (ACO) PROGRAM Definition of ACO General Concept An ACO refers to a group of physician and other healthcare providers and suppliers
More informationHow To Change The Rules Of The Medicare Shared Savings Program
MSSP ACO Program Proposed Rule Executive Summary, December 2014 Accountable Care Organization Task Force AUTHORS Vinay Bhupathy* Jay E. Gerzog Kenneth Yood Lynsey Mitchel Eugene Y.C. Ngai Matthew J. Goldman
More informationRE: CMS 1461-P; Medicare Shared Savings Program: Accountable Care Organizations Dear Administrator Tavenner:
February 6, 2015 Marilyn Tavenner Administrator Centers for Medicare and Medicaid Services 7500 Security Boulevard Baltimore MD, 21244 RE: CMS 1461-P; Medicare Shared Savings Program: Accountable Care
More informationEstablishment of a Temporary and Permanent Testing Program
April 9, 2010 David Blumenthal, MD, MPP Office of the National Coordinator for Health Information Technology (ONCHIT) Attn: Certification Programs Proposed Rule Hubert H. Humphrey Building, Suite 729D
More informationRE: CMS 1461 P, Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations
February 6, 2015 Marilyn B. Tavenner Administrator Centers for Medicare & Medicaid Services U.S. Department of Health and Human Services Hubert H. Humphrey Building, Room 445 G 200 Independence Avenue
More informationAccountable Care Organizations: The Final Rule
Accountable Care Organizations: The Final Rule October 27, 2011 2011 Akin Gump Strauss Hauer & Feld LLP 10.27.11 101799002 v4 Overview Background Final Rule Highlights Structure and Formation of ACOs Quality
More informationTelemedicine and Telehealth in Context. Jonathan Neufeld, PhD Clinical Director Upper Midwest Telehealth Resource Center
Telemedicine and Telehealth in Context Jonathan Neufeld, PhD Clinical Director Upper Midwest Telehealth Resource Center 1 Definitions and Concepts Telehealth and Telemedicine Sometimes used interchangeably
More informationJune 2, 2014. RE: File Code CMS-1608-P. Dear Ms. Tavenner:
. June 2, 2014 Marilyn Tavenner Centers for Medicare & Medicaid Services Room 445-G, Hubert H. Humphrey Building 200 Independence Avenue SW Washington, DC RE: File Code CMS-1608-P Dear Ms. Tavenner: The
More informationTelehealth: A tool for the 21 st century. Definitions
Telehealth: A tool for the 21 st century Karen S. Rheuban MD Professor of Pediatrics Medical Director, Office of Telemedicine University of Virginia President, American Telemedicine Association Definitions
More informationTelemedicine Offers Growth for Hospitals, Rural Care Opportunities
Telemedicine Offers Growth for Hospitals, Rural Care Opportunities The internet and digital technology have transformed our lives, changing the way we keep in touch with our family and friends, shop, pay
More informationTelemedicine and Telehealth Services
INDIANA HEALTH COVERAGE PROGRAMS PROVIDER REFERENCE M ODULE Telemedicine and Telehealth Services L I B R A R Y R E F E R E N C E N U M B E R : P R O M O D 0 0 0 4 8 P U B L I S H E D : F E B R U A R Y
More informationRE: CMS 1461-P; Medicare Shared Savings Program: Accountable Care Organizations
221 MAIN STREET, SUITE 1500 SAN FRANCISCO, CA 94105 PBGH.ORG OFFICE 415.281.8660 FACSIMILE 415.520.0927 February 6, 2015 Marilyn Tavenner Administrator Centers for Medicare and Medicaid Services 7500 Security
More informationREPORT 7 OF THE COUNCIL ON MEDICAL SERVICE (A-14) Coverage of and Payment for Telemedicine (Reference Committee A) EXECUTIVE SUMMARY
REPORT OF THE COUNCIL ON MEDICAL SERVICE (A-) Coverage of and Payment for Telemedicine (Reference Committee A) EXECUTIVE SUMMARY Telemedicine, a key innovation in support of health care delivery reform,
More informationTELEMEDICINE REIMBURSEMENT MANDATES BY STATE: Medicaid & Private Payer
TELEMEDICINE REIMBURSEMENT MANDATES BY STATE: Medicaid & Private Payer Unless otherwise noted, this information came from The Center for Telehealth and E-Health Law, and The American Telemedicine Association
More informationCenter for Medicare and Medicaid Innovation
Center for Medicare and Medicaid Innovation Summary: Establishes within the Centers for Medicare and Medicaid Services (CMS) a Center for Medicare & Medicaid Innovation (CMI). The purpose of the Center
More informationACCOUNTABLE CARE ORGANIZATION (ACO): SUPPLYING DATA AND ANALYTICS TO DRIVE CARE COORDINATION, ACCOUNTABILITY AND CONSUMER ENGAGEMENT
ACCOUNTABLE CARE ORGANIZATION (ACO): SUPPLYING DATA AND ANALYTICS TO DRIVE CARE COORDINATION, ACCOUNTABILITY AND CONSUMER ENGAGEMENT MESC 2013 STEPHEN B. WALKER, M.D. CHIEF MEDICAL OFFICER METRICS-DRIVEN
More informationManaged Care and Telehealth
Thi sdocumentwasmadepos s i bl ebygr ant#g22rh251 6701 01f r om t heof ficef ort headvancementoft el eheal t h,heal t hres our cesandser vi cesadmi ni s t r at i on,dhhs. State Medicaid Best Practice Managed
More informationUsing Partial Capitation as an Alternative to Shared Savings to Support Accountable Care Organizations in Medicare
December 2010 Using Partial Capitation as an Alternative to Shared Savings to Support Accountable Care Organizations in Medicare CONTENTS Background... 2 Problems with the Shared Savings Model... 2 How
More informationRE: CMS-3819-P; Medicare and Medicaid Programs; Conditions of Participation for Home Health Agencies
January 6, 2015 Marilyn Tavenner Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Room 445 G Attention: CMS-3819-P Hubert H. Humphrey Building, 200 Independence
More information(http://www.regulations.gov/#!documentdetail;d=cms-2013-0155-10181) File # CMS-2013-0155-10181
January 27, 2014 Marilyn Tavenner, Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-4159-P P.O. Box 8013 Baltimore, MD 21244-8013 Re: Final
More informationDELAWARE DISTRICT OF COLUMBIA MARYLAND. State- Specific Information Recent news, pending action:
State DELAWARE DISTRICT OF COLUMBIA MARYLAND State- Specific Information Recent news, June 27, 2012 - Delaware Medicaid program to reimburse for telemedicine- delivered services beginning July 1. Delaware
More informationWorkforce Series: Physician Assistants
National Rural Health Association Policy Position Workforce Series: Physician Assistants Recruitment and Retention of Quality Health Workforce in Rural Areas: A Series of Policy Papers on the Rural Health
More informationRe: Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations (CMS-1345-P)
Donald M. Berwick, MD Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS-1503-FC Mail Stop C4-26-05 7500 Security Boulevard Baltimore, MD 21244-1850
More informationMedicare Shared Savings Program Final Rule
Healthcare Committee Medicare Shared Savings Program Final Rule On June 9, 2015, the Centers for Medicare & Medicaid Services ( CMS ) published a final rule that, according to the agency, will update and
More informationConnected Care Delivers: Telemedicine s Value Proposition. June 8, 2015 National Council of Behavioral Health
Connected Care Delivers: Telemedicine s Value Proposition June 8, 2015 National Council of Behavioral Health Agenda Introduction U.S. Market Landscape and Outlook Evidence of Cost Savings & Quality Care
More informationMEDICARE PHYSICAL THERAPY. Self-Referring Providers Generally Referred More Beneficiaries but Fewer Services per Beneficiary
United States Government Accountability Office Report to Congressional Requesters April 2014 MEDICARE PHYSICAL THERAPY Self-Referring Providers Generally Referred More Beneficiaries but Fewer Services
More informationACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT
ACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT Accountable Care Analytics: Developing a Trusted 360 Degree View of the Patient Introduction Recent federal regulations have
More informationCMS-1600-P 201. As we discussed in the CY 2013 PFS final rule with comment period, we are
CMS-1600-P 201 I. Complex Chronic Care Management Services As we discussed in the CY 2013 PFS final rule with comment period, we are committed to primary care and we have increasingly recognized care management
More informationPSYCHIATRY IN HEALTHCARE REFORM SUMMARY REPORT A REPORT BY AMERICAN PSYCHIATRIC ASSOCIATION BOARD OF TRUSTEES WORK GROUP ON THE ROLE OF
ROLE OF PSYCHIATRY IN HEALTHCARE REFORM SUMMARY REPORT A REPORT BY AMERICAN PSYCHIATRIC ASSOCIATION BOARD OF TRUSTEES WORK GROUP ON THE ROLE OF PSYCHIATRY IN HEALTHCARE REFORM 2014 Role of Psychiatry in
More informationPALLIATIVE CARE: CHARTING A COURSE MEETING OF THE PATIENT QUALITY OF LIFE COALITION JANUARY 21, 2015
PALLIATIVE CARE: CHARTING A COURSE MEETING OF THE PATIENT QUALITY OF LIFE COALITION JANUARY 21, 2015 HENRY R. DESMARAIS, MD, MPA HEALTH POLICY ALTERNATIVES, INC. PRESENTATION ROADMAP Review the current
More informationSeptember 4, 2012. Submitted Electronically
September 4, 2012 Ms. Marilyn Tavenner Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1589-P P.O. Box 8016 Baltimore, MD 21244-8016
More informationAdvance Care Planning Services
September 8, 2015 Andrew Slavitt Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Room 445-G Hubert H. Humphrey Building 200 Independence, Ave., S.W.
More informationApril 30, 2014. Federal Trade Commission Office of the Secretary Room H-113 (Annex X) 600 Pennsylvania Avenue, NW Washington, DC 20580
April 30, 2014 Federal Trade Commission Office of the Secretary Room H-113 (Annex X) 600 Pennsylvania Avenue, NW Washington, DC 20580 VIA ELECTRONIC SUBMISSION RE: Health Care Workshop, Project No. P131207
More informationKEY CONSIDERATIONS OF CMS 2014 PROPOSED MEDICARE SHARED SAVINGS RULE
KEY CONSIDERATIONS OF CMS 2014 PROPOSED MEDICARE SHARED SAVINGS RULE Bernie Duco, Of Counsel, Norton Rose Fulbright Christopher Kanagawa, Senior Counsel, Norton Rose Fulbright January 13, 2015 47728506v5
More informationD E F I N E V E L O D O. Telemedicine Reimbursement Handbook. 2012 Edition. CTEConline.org
L O D E F I N E D E V E P D O Telemedicine Reimbursement Handbook 2012 Edition CTEConline.org Telemedicine Reimbursement Handbook 2012 California Edition California Telemedicine & ehealth Center Christine
More informationSeptember 8, 2015. Dear Acting Administrator Slavitt:
September 8, 2015 Mr. Andrew Slavitt Acting Administrator Centers for Medicare & Medicaid Services U.S. Department of Health and Human Services 7500 Security Boulevard Baltimore, MD 21244 Re: CMS-5516-P;
More informationSenate Bill No. 1665 CHAPTER 864
Senate Bill No. 1665 CHAPTER 864 An act to amend Section 2060 of, and to add Section 2290.5 to, the Business and Professions Code, to amend Sections 1367 and 1375.1 of, and to add Sections 1374.13 and
More informationSubmitted via the Federal erulemaking Portal: http://www.regulations.gov
Page 1 June 10, 2013 Submitted via the Federal erulemaking Portal: http://www.regulations.gov The Honorable Marilyn Tavenner Administrator Centers for Medicare & Medicaid Services U.S. Department of Health
More informationHow Health Reform Will Affect Health Care Quality and the Delivery of Services
Fact Sheet AARP Public Policy Institute How Health Reform Will Affect Health Care Quality and the Delivery of Services The recently enacted Affordable Care Act contains provisions to improve health care
More information