Today, a tale of two markets are seen in healthcare mergers and acquisition (M&A): the present (as reflected in the data about declining dealmaking) and the future (reflected in the increasingly positive outlook by...more
12/11/2023
/ Acquisitions ,
Artificial Intelligence ,
Digital Health ,
Divestiture ,
Health Care Providers ,
Health Technology ,
Healthcare ,
Medicaid ,
Medical Devices ,
Medicare ,
Medicare Advantage ,
Mental Health ,
Mergers ,
Startups ,
Telehealth ,
Valuation ,
Value-Based Care
New York’s telehealth emergency waivers have expired, according to a June 25, 2021 announcement issued by Governor Andrew Cuomo’s Office declaring the waivers (contained in Executive Orders 202 through 202.11 and 205 through...more
Companies who feel the Public Health Emergency (PHE) waivers and exceptions have rendered telemedicine “immune” from compliance oversight might be surprised to learn what federal regulators have in the works. The Office of...more
3/1/2021
/ Audits ,
Coronavirus/COVID-19 ,
Department of Health and Human Services (HHS) ,
Fraud ,
Home Health Agencies ,
Home Health Care ,
Medicaid ,
Medicare ,
Medicare Part B ,
Mental Health ,
OIG ,
Public Health Emergency ,
Telehealth ,
Telemedicine ,
Waivers
With 2020 officially behind us, what does 2021 have in store for telemedicine and digital health policy? A year ago, our team predicted 2020 would bring “notable expansions in Medicare and Medicaid coverage” and “the...more
1/12/2021
/ American Telemedicine Association ,
California Consumer Privacy Act (CCPA) ,
Coronavirus/COVID-19 ,
Department of Justice (DOJ) ,
Digital Health ,
Enforcement Actions ,
Fraud ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Medicaid ,
Medicare ,
OIG ,
Public Health Emergency ,
Public Readiness and Emergency Preparedness Act (PREP Act) ,
Reimbursements ,
Telehealth ,
Waivers
On October 14, 2020, CMS added eleven new codes to the list of telehealth services covered by Medicare during to the COVID-19 Public Health Emergency (PHE). Coverage for these new services is effective immediately and will...more
The Massachusetts Medicaid Program (known locally as MassHealth) issued a new All Provider Bulletin in January, setting forth new policies for certain behavioral health services delivered to MassHealth covered patients. The...more
Kentucky health care providers and patients will soon enjoy a revamped, and significantly improved, telehealth commercial insurance coverage law. Kentucky Governor Matt Bevin signed SB 112 into law on April 26, 2018, imposing...more
Following on the heels of its plans to review Medicare payments for telehealth services, the federal Office of Inspector General (OIG) at the Department of Health & Human Services (HHS) just announced a new project to review...more
New Jersey has a new telemedicine law, recently signed by Governor Chris Christie. The law cements the validity of telehealth services in the Garden State, establishes telemedicine practice standards, and imposes telehealth...more
8/11/2017
/ Consent ,
Health Care Providers ,
Health Insurance ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Managed Care Contracts ,
Medicaid ,
Medical Records ,
Prescribing Authority ,
Standard of Care ,
Telehealth ,
Telemedicine
Vermont health care providers and patients can now enjoy a revamped, and significantly improved, telehealth commercial insurance coverage law. Vermont Governor Phil Scott signed S. 50 into law on June 7, 2017, expanding...more
A lonely sentence at the end of New Hampshire’s new telemedicine law could mean the Granite State will join 48 other states in offering Medicaid FFS coverage of telehealth services.
Interestingly, the very end of the Act...more
Florida’s Agency for Health Care Administration published proposed regulations regarding telemedicine-based services in the Medicaid program. The Agency is soliciting comments through November 23 and will host a public rule...more
After New York became the 22nd state to enact a telemedicine commercial coverage statute, Governor Andrew Cuomo signed an amendment changing the statute. The amendment makes sweeping changes to telehealth coverage under New...more
10/20/2015
/ Amended Legislation ,
Governor Cuomo ,
Health Care Providers ,
Health Information Technologies ,
Health Insurance ,
Hospitals ,
Medicaid ,
Nurse Practitioners ,
Nurses ,
Physicians ,
Psychological Counseling ,
Reimbursements ,
Telehealth ,
Telemedicine
There will always be differences among state laws on telehealth coverage, but what is remarkable is the rapidly increasing pace at which states have been adopting coverage statutes in the last few years, with currently 29...more
9/1/2015
/ Amended Legislation ,
Centers for Medicare & Medicaid Services (CMS) ,
Commercial Insurance Policies ,
Health Care Providers ,
Health Information Technologies ,
Health Insurance ,
Health Plan Sponsors ,
Healthcare ,
Medicaid ,
Medical Devices ,
Medical Reimbursement ,
Medicare ,
New Legislation ,
Pending Legislation ,
Physicians ,
Reimbursements ,
Software Developers ,
Telehealth ,
Telemedicine
Rep. Mike Thompson (D-CA) and co-sponsors Rep. Gregg Harper (R-MS), Rep. Diane Black (R-TN), and Rep. Peter Welch (D-VT) announced, on July 7, 2015, the introduction of the Medicare Telehealth Parity Act of 2015,...more
7/15/2015
/ American Telemedicine Association ,
Centers for Medicare & Medicaid Services (CMS) ,
ESRD ,
FQHC ,
Health Care Providers ,
Medicaid ,
Medicare ,
Pending Legislation ,
Physician Medicare Reimbursements ,
Physicians ,
Reimbursements ,
Rural Health Care Program ,
Rural Health Care Providers ,
Telehealth ,
Telemedicine
CMS just introduced proposed rules to clarify the requirements and payment opportunities when hospitals want to bill Medicare for Chronic Care Management (“CCM”) services.
CCM is an exciting service covered by Medicare...more
7/15/2015
/ Billing ,
Centers for Medicare & Medicaid Services (CMS) ,
Health Care Providers ,
Health Information Technologies ,
Healthcare ,
Hospitals ,
Medicaid ,
Medicare ,
OPPS ,
Physician Fee Schedule ,
Physicians ,
Proposed Regulation ,
Telehealth