Listen to discover:
A simple definition of a value-based enterprise
Why are Value-Based Enterprise arrangements very well suited to digital health companies?
How Value-Based Enterprises reward teamwork between organizations
In this episode you’ll discover:
Why Medicare is banking on 100% beneficiary participation in value-based care models by 2030
How the government is turning “payer-agnostic” on value-based care models by partnering with commercial payers and Medicaid
Why you’ll be glad this White House is reinvigorating CMS’s Health Care Payment Learning and Action Network (LAN)
Why providers and tech companies are embracing Full Risk Contracts and Payment Models
Why “Virtual Care is replacing “telemedicine” as the new umbrella term—and how it helps companies meet patients where they are
Why failure to adopt value-based care models could be an existential threat
What everyone is saying about RPM, RTM and care management
In this episode you’ll discover:
Why mental health is a vital aspect of maintaining overall health—and why the system is not set up to support that (right now)
How providers, payors, and tech companies can align incentives to achieve better outcomes and lower health costs
Why our system isn’t built for that kind of alignment yet—but it’s getting there
Listen to discover:
What the MPFS is, and why this annual Proposed Rule is so important for digital health companies (plus a little history on CPT code 99091 and how it launched RPM reimbursement);
Why the agency in charge of these reimbursement rules (CMS) doesn’t always get it right;
How ‘Notice and Comment Rulemaking’ helps stakeholders influence regulations;
What to do when Congress doesn’t get it right;
Why you should pencil this time period into your calendar every year to examine the Proposed Rule to advocate on behalf of your company and industry.
In this episode you’ll discover:
When we aren’t actively facilitating healthcare innovation, we put our national security at risk. Think about how long it took people to get a telehealth visit for chronic or acute conditions during the first months of the pandemic. If we can’t keep our people healthy, how secure are we?
If telehealth reimbursement passed in 1997, why did it take until 2020 for the first nationwide, full-service telehealth provider to expand its medical services to include Medicare Part B coverage?
Regulations that protect patient safety are important, but need to facilitate innovation. We’ll talk about a few resources for this, as well as how far we still have to go.