Reimbursement
Physician-owned practices reported higher levels of compensation than hospital-owned practices.
HIMSS23
Medicare, through CPT code development, sets the lead for how digital health gets paid, says Brian Scarpelli, executive director of the Connected Health Initiative.
Thirty-one percent of inpatient claims submitted to commercial payers weren't paid for more than three months, data shows.
More than half of members in the state now receive care from providers participating in equity-focused payment contracts, Blue Cross says.
HIMSS23
IT, telehealth, clinical decision support, wellness tools and diagnostics all fall into the same category, says Jessica Hauflaire, COO of the Digital Therapeutics Alliance. Digital therapeutics consist of software as a direct intervention to treat, manage or prevent medical conditions.
While AI is spurring success, barriers to treatment remain, says Daniella Gilboa, CEO of AIVF.
Even conditions with a low average cost, such as behavioral health and orthopedic issues, can reach over $1 million, data shows.
Modeling showed per-visit reimbursement that was 6% lower for Black children and 3% lower for Hispanic children.
CMS will conduct preview calls for the 2024 MIPS performance period until June 2, with May 19 being the last day to request a call.
Rising expenses for labor, supplies and drugs, continued workforce shortages, and longer hospital stays have increased financial pressures, AHA says.