CCHP Fact Sheets

Created by the Center for Connected Health Policy

CCHP produces fact sheets on important proposed legislation and policy changes, key research reports, and other policy points that impact telehealth’s use. Fact sheets on pending bills include an overview of the bill, comparisons of the bill’s key points against existing law if applicable, and an analysis of the bill’s potential impacts on telehealth use. CCHP’s infographics display often complex telehealth policy information in an easy to read graphic format.

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    Electronic Consultation, or as its more commonly known, eConsult provides the primary care physician (PCP) the ability to communicate electronically through secure, web-based email with a specialist and receive advice and counsel to determine whether a referral is truly needed, and if not, help the PCP determine the right course of treatment. CCHP has developed this infograph to help increase the public’s understanding of eConsult and its benefits.

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    On July 13, 2017, the Center for Medicare and Medicaid Services (CMS) published their CY 2018 proposed revisions related to the Physicians Fee Schedule (PFS). Comments on the proposals are due no later than 5 pm on September 11, 2017. The proposal includes the addition of several codes to the list of telehealth eligible services, including counseling and psychotherapy for crisis situations, as well as four new add-on codes that are expected to reduce administrative burden.  

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    CCHP has created an infograph which provides a snapshot of the state telehealth laws and Medicaid program policies across the nation as of March 2017.

     

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    CCHP has created a fact sheet summarizing the findings of the 5th annual edition of the State Telehealth Laws and Reimbursement Policies report into an easy to read single page document.

     

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    In December 2016, CMS finalized their rule on Episode Payment Models (EPMs) which would reward hospitals that work together with physicians and other providers to avoid complications, prevent hospital readmissions and speed recovery. Under the new models, acute care hospitals in certain geographic areas will participate in retrospective episode payment models targeting care for Medicare fee-for-service beneficiaries receiving services during acute myocardial infarction (AMI), coronary artery bypass graft (CABG) and surgical hip/femur fracture treatment (SHFFT).
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    CCHP has compiled a summary of  2016 approved state telehealth legislation.

     

     

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    On November 2, 2016, the Center for Medicare and Medicaid Services (CMS) published their finalized CY 2017 Physicians Fee Schedule (PFS). The final rule includes the addition of several codes for reimbursement regarding end-stage renal disease related services for dialysis; advance care planning; and critical care consultations furnished via telehealth using new Medicare G-codes. CMS has also a new policy related to the use of a place of service (POS) code specically designated to report services furnished via telehealth, and added new chronic care management (CCM) codes.
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    Telehealth has existed for decades in some form or another, but it is only in the last few years it has received increasing attention as a means to achieving the goals of the Triple Aim: eciency, better health outcomes and better care.  However, the ubiquitous adoption of telehealth continues to lag despite improved technology and increasing amounts of evidence. Existing policy barriers on both federal and state levels contribute to the limited use of telehealth.  This fact sheet discusses some of the major barriers that currenly exist. 
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    Telehealth continues to grow as more services and policies are being implemented on the state and federal level. However, reimbursement gaps remain prevalent. These gaps impede expansion of telehealth services within the health care field. Medicare, Medicaid, and private payers offer varying degrees of telehealth reimbursement, with their reimbursement policies differing greatly in terms of services covered, and other requirements and restrictions. Overall there is a lack of cohesiveness of policies both within and between public and private payers. The telehealth reimbursement policies of the aforementioned three major insurance players are examined in this fact sheet.

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    On July 25, CMS proposed three new Episode Payment Models (EPMs) that would reward hospitals that work together with physicians and other providers to avoid complications, prevent hospital readmissions and speed recovery. Under the new model, acute care hospitals in certain geographic areas will participate in retrospective episode payment models targeting care for Medicare fee-for-service beneficiaries receiving services during acute myocardial infarction (AMI), coronary artery bypass graft (CABG) and surgical hip/femur fracture treatment (SHFFT). All care within 90 days of hospital discharge will be included in the episode of care under the waiver. Comment Deadline: October 3, 2016

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