Lisa Mazur on Centers for Medicare & Medicaid Services (CMS)

CMS Issues New Policy Allowing Medicaid and CHIP Coverage of Interprofessional Consultations

The Centers for Medicare and Medicaid Services (CMS) has revised its policy guidance on the coverage and payment for interprofessional consultations under Medicaid and the Children’s Health Insurance Program (CHIP)....more

2/13/2023 / Billing , Centers for Medicare & Medicaid Services (CMS) , Children's Health Insurance Program (CHIP) , Medicaid , Medicare Payment Reform , New Guidance , Policies and Procedures

White House Office of Science and Technology Policy Seeking Information on Strengthening Community Health Through Technology

In a request for information issued on January 5, 2022, the White House Office of Science and Technology Policy (OSTP) announced that it is seeking input from stakeholders across the healthcare spectrum on how digital health...more

1/26/2022 / Centers for Disease Control and Prevention (CDC) , Centers for Medicare & Medicaid Services (CMS) , Community Health Systems , Coronavirus/COVID-19 , Department of Health and Human Services (HHS) , Digital Health , Executive Orders , Healthcare , National Institute of Health (NIH) , OSTP , Request For Information

CMS Addresses Virtual Care Expansion in CY 2022 Medicare Physician Fee Schedule Proposal

On July 23, 2021, the Centers for Medicare & Medicaid Services (CMS) published its annual proposed changes to the Medicare Physician Fee Schedule (MPFS), which include several key telehealth and other virtual care-related...more

7/27/2021 / Centers for Medicare & Medicaid Services (CMS) , Consolidated Appropriations Act (CAA) , Health Care Providers , Medicare , Physician Fee Schedule , Physicians , Proposed Amendments , Telehealth

CMS Takes a Preliminary Step to Make Certain COVID-19 Waivers Permanent

On August 4, 2020, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule to update its payment policies under the Medicare Physician Fee Schedule (PFS) for calendar year 2021. The proposed rule was...more

8/14/2020 / Centers for Medicare & Medicaid Services (CMS) , Comment Period , Coronavirus/COVID-19 , Department of Health and Human Services (HHS) , Executive Orders , HCPCS , Payment Terms , Physician Fee Schedule , Proposed Rules , Public Health Emergency , Skilled Nursing Facility , Telehealth , Trump Administration , Waivers

Hospital at Home - CMS Expands Payments to Hospitals for Care Provided in Patient Homes

On April 30, 2020, the Centers for Medicare and Medicaid Services (CMS) published an interim final rule (IFR) that made regulatory changes and clarified certain policies in response to the Coronavirus (COVID-19) public health...more

5/13/2020 / Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Hospitals , Interim Final Rules (IFR) , Medicaid , Medicare , Outpatient Prospective Payment System (OPPS) , Public Health Emergency , Telehealth

Avoiding Confusion Over State Licensing Laws as CMS Further Loosens Telemedicine Restrictions

The Centers for Medicare & Medicaid Services (CMS) continues to loosen the conditions for participation in Medicare, as well as specific reimbursement requirements, to ensure facilities and practitioners are able to practice...more

4/14/2020 / Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Department of Health and Human Services (HHS) , Licensing Rules , Medicaid , Medicare , Reimbursements , Telemedicine

The Role of Telehealth in COVID-19 Response Efforts

As the number of confirmed COVID-19 cases in the United States grows, healthcare providers are stepping up their response planning. To combat the spread of COVID-19, the Centers for Disease Control and Prevention (CDC) urged...more

3/4/2020 / Centers for Disease Control and Prevention (CDC) , Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Emergency Response , Health Care Providers , Infectious Diseases , Medicare , Telehealth

Dash to Digital Health? How the Regulatory Sprint to Coordinated Care Could Expand Access to Care

Certain long-standing laws, such as the civil monetary penalty provision prohibiting patient inducements, have hampered providers’ ability to fully leverage remote patient monitoring and other telehealth tools. Many...more

7/22/2019 / Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Digital Health , Health Care Providers , Medicare , Physician Medicare Reimbursements , Reimbursements , Telehealth , Telemedicine

CMS Innovation Center Proposes Telehealth Solutions in ET3 Model

As part of its efforts to provide patient-centered care and reduce costs for Medicare beneficiaries, the Centers for Medicare and Medicaid (CMS) have developed an Innovation Center model for ambulance care teams: Emergency...more

6/28/2019 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Health Information Technologies , Healthcare , Hospitals , Medicare , Telehealth , Telemedicine

2018 Digital Health Year in Review: Focus on Care Coordination and Reimbursement

In 2018, even more than in recent years, federal lawmakers and regulators continued the push toward modernizing the existing legal framework to support and encourage digital health adoption in the context of care coordination...more

Expanded Telemedicine Services Presented as Means to Address Opioid Crisis in New Legislation

Last week, President Trump signed the SUPPORT for Patients and Communities Act (SUPPORT Act), a bipartisan piece of legislation designed to tackle the opioid crisis by, among other approaches, increasing the use of...more

11/7/2018 / Centers for Medicare & Medicaid Services (CMS) , Funding Opportunities , GAO , Medicaid , Medicare , Opioid , Telemedicine

Telehealth-Related Updates Included in 2019 Medicare Physician Fee Schedule

On November 1, 2018, the Centers for Medicare and Medicaid (CMS) issued final rules for updating the 2019 Medicare Physician Fee Schedule to implement recent telehealth-related legislative reforms. As reported in our Digital...more

11/7/2018 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Physician Fee Schedule , Physicians , Telehealth

Mid-Year Digital Health Report: Focus on Medicare - July 2018

Where Things Stood - Understanding the impact of what we have seen so far this year first requires an understanding of where we were at the end of 2017, with respect to both Medicare reimbursement and provider adoption of...more

7/31/2018 / Bipartisan Budget Act , Centers for Medicare & Medicaid Services (CMS) , Digital Health , Hospitals , Medicare , Physician Fee Schedule

Slow and Steady – CMS Expands Telehealth Reimbursement Opportunities in 2018

The Centers for Medicare & Medicaid Services (CMS) reiterated its commitments to expanding access to telehealth services and paying “appropriately” for services that maximize technology in the Medicare Program; Revisions to...more

12/8/2017 / Big Data , Centers for Medicare & Medicaid Services (CMS) , Final Rules , Medicare , Medicare Shared Savings Program , Mobile Apps , Physician Fee Schedule , Reimbursements , Telehealth

OIG Reports More Than $731 Million in Inappropriate Medicare Meaningful Use Payments

The Electronic Health Records (EHR) Incentive Program run by Centers for Medicare and Medicaid Services (CMS) garnered attention again last week following the release of a report by the Office of Inspector General of the US...more

6/21/2017 / CEHRT , Centers for Medicare & Medicaid Services (CMS) , Department of Justice (DOJ) , EHR , False Claims Act (FCA) , Meaningful Use , Medicaid , Medicare , OIG , Physicians

21st Century Cures: Required Exploration of Telehealth Solutions

President Obama signed the 21st Century Cures Act on December 13, 2016. The act encourages biomedical research investment and facilitates innovation review and approval processes, but also serves as a vehicle for a wide...more

12/14/2016 / 21st Century Cures Initiative , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Healthcare , Medicare , MedPAC , Telehealth

Integration of Technology Into Health Care Delivery

The integration of technology into health care delivery is exploding throughout the health industry landscape. Commentators speculating on the implications of the information revolution’s penetration of the health care...more

7/20/2016 / Centers for Medicare & Medicaid Services (CMS) , Electronic Communications , Health Care Providers , Information Technology , Investment Opportunities , Medicaid , Medicare , Telehealth , Telemedicine

Digital Health: An Improving Environment for Investors