3. Federal Policy
Top 3 Easy Fixes for CMS
1. Clarify that Accountable Care
Organizations can use telehealth
2. Close the coverage gaps in telehealth services for
patients eligible for both Medicare and Medicaid
3. Update existing Medicare Policy Manual language
defining “physician services”
4. Federal Policy
Other CMS Activities
• Center for Medicare and Medicaid Innovation
Grants – operations vs. research
• Meaningful Use - Part 2
• C.O.P.s Regulations
5. Federal Policy
Other Agency Activities and Rulemakings
FCC
• Broadband rules
FDA
• Device regulation
FTC
• State Medical Boards and restraint of
trade
6. Potential Federal Legislation
1. New payment and service models
2. Remove restrictions on telehealth
3. Change licensure and regulation of
health professionals
4. Mandate payment for telehealth services for
federal benefit plans
5. Fund Medical Home pilots incorporating remote
monitoring
7. State Policy
Medicaid Managed Care
Medicaid Initiatives
Health Homes/Remote Monitoring
State Licensure and Standards of Practice
Mandated Coverage: Walking-the-Walk
9. Other ATA Activities
Practice Guidelines
Identifying and
Translating Market
Changes
Notes de l'éditeur
FY11 – now until 9/30 3/18Debt ceilingCong budget planFY12 – beginning 10/1 Biggest targets are unobligated moneyPPACA defund ACOs – any day waiver – 1834(m) I@H CMMI
FY11 – now until 9/30 3/18Debt ceilingCong budget planFY12 – beginning 10/1 Biggest targets are unobligated moneyPPACA defund ACOs – any day waiver – 1834(m) I@H CMMI
FY11 – now until 9/30 3/18Debt ceilingCong budget planFY12 – beginning 10/1 Biggest targets are unobligated moneyPPACA defund ACOs – any day waiver – 1834(m) I@H CMMI
FY11 – now until 9/30 3/18Debt ceilingCong budget planFY12 – beginning 10/1 Biggest targets are unobligated moneyPPACA defund ACOs – any day waiver – 1834(m) I@H CMMI
FY11 – now until 9/30 3/18Debt ceilingCong budget planFY12 – beginning 10/1 Biggest targets are unobligated moneyPPACA defund ACOs – any day waiver – 1834(m) I@H CMMI
Center for Connected Health Policy -- connectedhealthca.org6 states – Florida, Maryland, New Mexico, Ohio, Pennsylvania, VermontNOBELNo uptake on Medicaid health home
