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A businessperson talks with a doctor in a hospital board room.
Contributed: Top 5 insights on digital health reimbursement
By  Dr. Liz Kwo and Timothy Lee 09:53 am April 7, 2023
The change in reimbursement policies through the pandemic have made it possible to bill for services, such as virtual care, that were previously unavailable or highly restrictive to rural settings. Many digital health startups and companies see these policy shifts as an opportunity to attract new customers and potentially be reimbursed like an in-network provider. While companies are developing...
Healthcare provider using a tablet
Bill could pave the way for prescription digital therapeutics reimbursement
By  Jessica Hagen 11:12 am December 20, 2022
New legislation would allow for reimbursement of prescribed digital therapeutics under Medicare, which proponents argue could increase access to these emerging treatments. Still, others say it's new technology, and the wrong reimbursement model could tamper innovation and increase patient costs.   The Access to Prescription Digital Therapeutics Act of 2022, introduced in the U.S. Senate in March...
A doctor showing patient how to synchronize health app in smartphone and smartwatch
How interoperability, increased reimbursement options will drive digital health in 2022
By  Emily Olsen 01:18 pm January 12, 2022
The digital health industry experienced a big growth year in 2021. According to Rock Health’s third quarter analysis of the space, funding had already reached $21.3 billion across 541 deals. The year surpassed 2020’s full-year funding total after the second quarter. Russ Johannesson, CEO of diabetes and chronic condition management company Glooko, told MobiHealthNews the COVID-19 pandemic...
Abbott's FreeStyle Libre 2 CGM picks up Medicare coverage
By  Dave Muoio 11:36 am September 2, 2020
Abbott announced yesterday that its recently cleared FreeStyle Libre 2 integrated continuous glucose monitoring (CGM) system is now covered by the Centers for Medicare and Medicaid Services (CMS), and available to Medicare beneficiaries with diabetes who meet eligibility criteria. Indicated for diabetes management in patients aged four years or older, the updated version of Abbott's system can...
How Germany vows to become a top country for digital health solution providers
By  Ralf-Gordon Jahns 04:48 am March 17, 2020
Ralf-Gordon Jahns [pictured on the right] is the managing director of market analyst and strategy consultancy company Research2Guidance. Since 2008, he strategically advises healthcare companies and startups to better understand the value of adopting digital innovations. Prior to founding Research2Guidance, Ralf was a member of the leadership team of Capgemini Telecom Media & Networks...
Platform automating reimbursements for smaller practices closes $3.7M seed round
By  Dave Muoio 02:43 pm January 21, 2020
Gentem, a San Francisco tech startup looking to streamline reimbursement for smaller practices, has raised $3.7 million in seed funding. Susa Ventures headed the raise, which also saw support from Village Global, Vulcan Capital, Hustle Fund, 500 Fintech, Social Starts, Great Oaks VC and other unnamed backers. WHAT THEY DO In an effort to reduce the stress of payments for those working in small-...
Flat or declining patient volumes is top revenue concern, new survey shows
By  Jeff Lagasse 02:44 pm October 24, 2019
Deals, program launches headline digital health payer news during Q2 2019
By  MobiHealthNews 03:07 pm July 19, 2019
Digital health-focused moves from payers throughout the last quarter ranged from partnership agreements and program launches to acquisitions and CMS coverage rulings. Several such headlines came from major players like Cigna, UnitedHealth Group, pharmacy benefit managers (PBMs) and various Blue Cross plans, and frequently involved digital health mainstays such as Livongo, Fitbit, Doctor on Demand...
Virta Health announces risk-based pricing for controversial diabetes management platform
By  Jonah Comstock 02:27 pm November 14, 2018
Diabetes management company Virta Health announced today that the company will offer its service to employers and health plans at 100 percent risk — that is, customers will only pay if the company succeeds in its goal of reversing Type 2 diabetes and getting patients off of expensive diabetes medications. “Whoever pays the healthcare bill today, we say to them, 'Wouldn’t it be awesome if we could...
CMS finalizes rule for remote patient monitoring reimbursement under Medicare
By  Dave Muoio 01:20 pm November 1, 2018
The Centers for Medicare and Medicaid Services has locked in a rule that will allow home health agencies to report the cost of remote patient monitoring for reimbursement under Medicare. According to the announcement, released yesterday, this rule will be implemented in 2020. Alongside this change also came others regarding payment and safety standards for qualified home infusion therapy...
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