Posts in Reimbursement
Episode 35: Digital Health Solutions and Value-Based Care with CareSignal CEO Blake Marggraff

In this episode you’ll discover:

  • Why focusing on the lowest common denominator in technology serves the largest populations

  • Why qualitative symptomatology fits alongside quantitative data

  • Why getting a jump on value-based care now will reap bigger rewards as others lag behind

Read More
Episode 34: 5 Essential Steps in Building a Revenue Model for Your Healthcare Business

Discover how the leading healthcare innovation law firm in the US walks founders, investors, and executives through the revenue model process.

In this episode, Carrie and Rebecca discuss:

  • What a minimum viable revenue model is

  • What 5 questions they ask every new revenue model client

  • Why healthcare business rules are different from every other industry

  • Why determining a revenue model must include designing a compliant business arrangement

  • What happens when your revenue model is noncompliant

Read More
Episode 15: The Impact of Peripheral Healthcare Innovation with Meghan Gaffney, CEO of Veda Data Solutions

In this episode you’ll discover:

  • How a political entrepreneur and an astrophysicist saw an opportunity for healthcare innovation

  • Why in-network and out-of-network physician coverage info is so cumbersome to find, use, and update for all parties involved

  • What spurred the “no Surprises” Act in Congress and how it changed VEDA Data Solutions’ business

  • How COVID impacted data companies like VEDA Data

  • How Meghan embraced her Silicon Valley outsider status to attract the right opportunities and employees

Read More
Episode 12: Hot Takes from #HLTH2021: Innovations, Industry Trends, and Major Announcements

In this episode you’ll discover:

  • Why Medicare is banking on 100% beneficiary participation in value-based care models by 2030

  • How the government is turning “payer-agnostic” on value-based care models by partnering with commercial payers and Medicaid

  • Why you’ll be glad this White House is reinvigorating CMS’s Health Care Payment Learning and Action Network (LAN)

  • Why providers and tech companies are embracing Full Risk Contracts and Payment Models

  • Why “Virtual Care is replacing “telemedicine” as the new umbrella term—and how it helps companies meet patients where they are

  • Why failure to adopt value-based care models could be an existential threat

  • What everyone is saying about RPM, RTM and care management

Read More
Episode #10: Obvious Truths Our Healthcare Policy Still Doesn't Support...

In this episode you’ll discover:

  • Why mental health is a vital aspect of maintaining overall health—and why the system is not set up to support that (right now)

  • How providers, payors, and tech companies can align incentives to achieve better outcomes and lower health costs

  • Why our system isn’t built for that kind of alignment yet—but it’s getting there

Read More
Episode #6: One Way Digital Health Companies Can Influence National Healthcare

Listen to discover:

  • What the MPFS is, and why this annual Proposed Rule is so important for digital health companies (plus a little history on CPT code 99091 and how it launched RPM reimbursement);

  • Why the agency in charge of these reimbursement rules (CMS) doesn’t always get it right;

  • How ‘Notice and Comment Rulemaking’ helps stakeholders influence regulations;

  • What to do when Congress doesn’t get it right;

  • Why you should pencil this time period into your calendar every year to examine the Proposed Rule to advocate on behalf of your company and industry.

Read More