Posts tagged CMS
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

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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.

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