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Results for "telehealth"
1.
Regulatory roundup: Most ACA insurers don’t expect COVID-19 to impact 2022 costs; CMS issues OPPS proposed rule; and more
2.
Study: Telehealth utilization during pandemic for opioid use disorder reduced overdose risk
3.
Feds charge dozens with $1.2B in health care fraud, warn providers about telehealth scams
4.
RISE National 2023 keynote update: Dr. Wendy Sue Swanson returns to address the latest technology and health challenges
5.
A simple phone call goes a long way when it comes to loneliness amid coronavirus
6.
RISE National 2021 Preconference Day Recap
7.
RISE-Engagys annual survey: 5 findings on member engagement in 2021
8.
Regulatory roundup: Kaiser agrees to $200M settlement over behavioral health care; WHO outlines potential regulations of AI for health; and more
9.
SDoH in the news: Report reveals the top three barriers to senior health; Medicare enrollees continue to struggle with opioid abuse; and more
10.
4 health care trends to watch in 2021
11.
RISE National 2021 Tuesday Recap: Keynotes wow with presentations on COVID-19, digital innovation, and health care mega-trends
12.
10 ways to make the most of your virtual experience at RISE National 2020
13.
RISE West 2020 to shine a spotlight on member engagement during new preconference workshop
14.
Legal analysis finds CMS has authority to modify risk adjustment calculation for MA plans before June bid submission
15.
Live from RISE West 2020: Day One Recap
16.
Coronavirus copay conundrum: State Medicaid programs can waive copayments but CMS doesn’t make it easy
17.
Post-pandemic, what’s a phone call from your physician worth?
18.
Unlocking the power of health care data through patient-centered collaboration and innovation amid COVID-19
19.
Regulatory roundup: CMS suspends enrollment in UnitedHealth, Anthem MA plans; OIG urges stronger oversight of telehealth for behavioral health in Medicaid; and more
20.
COVID-19 update: Fauci warns 400K Americans may die; Azar reauthorizes public health emergency; NEJM editorial slams Trump’s handling of coronavirus
21.
CMS releases Part 2 of the 2021 Medicare Advantage Advance Notice: 3 things you need to know
22.
COVID-19 update: CMS announces end to some nursing home emergency waivers; Appeals court upholds vaccine mandate for federal employees; Study finds vaccines prevented 2.2M deaths in US; and more
23.
KFF: Up to 14M could lose Medicaid coverage after end of COVID public health emergency, fed continuous enrollment requirement
24.
COVID-19 update: HHS extends public health emergency, takes over hospital data reporting as cases surge
25.
Understanding the 2021 CMS Star ratings for Medicare Advantage plans
26.
Coronavirus fuels explosive growth in telehealth―and concern about fraud
27.
Update: Medicaid providers to finally receive $15B from COVID-19 relief fund
28.
Mitigating the impact of COVID-19 on risk adjustment and quality scores
29.
Regulatory roundup: CMS OKs Nebraska Medicaid expansion program; MA plans offer more supplemental benefits in 2021
30.
RISE’s Payer/Provider Engagement & Contracting Summit: A virtual event to bridge the gap between payers and providers
31.
NIH launches COVID-19 telehealth care pilot program for at-risk populations
32.
Maternity care access continues to decline, study finds
33.
Highlights from 10 RISE National sessions: Regulatory updates, strategies to improve Star ratings, risk adjustment, payer/provider collaboration
34.
Schedule online visits first? It’s the next big thing in health insurance
35.
Struggling to survive, the first rural hospitals line up for new federal lifeline
36.
An innovative home-based outpatient therapy model for geriatrics saves money, boosts patient satisfaction
37.
Poll: Seniors give two thumbs up to telehealth, Medicare Advantage amid COVID-19 pandemic
38.
RISE West 2022 track preview: Compliance/regulatory updates
39.
Regulatory roundup: Prior authorization requirements increase with MA enrollment; Proposed work requirements could end Medicaid coverage for 1.7M people; and more
40.
RISE West 2021 spotlight: Precon workshops to address HCC coding and documentation, risk adjustment, member engagement and provider education
41.
The RISE Diversity, Equity, & Inclusion Summit: A virtual seminar on critical health care policy and training
42.
Medicare Advantage plans can offer additional telehealth benefits in 2020
43.
Regulatory roundup: MedPac urges faster transition to value-based care; Senators push to expand telehealth permanently;
44.
DOJ sues Cigna for artificially inflating Medicare Advantage payments
45.
Post-COVID-19 health impacts: Executive insights on the increased risk to insurers
46.
MA plan directories haunted by ghost mental health networks, Senate Finance Committee study finds
47.
Report: Nearly $4B could be recouped due to HHS-OIG work in FY 2021
48.
MA&E Marketing User Group brainstorms on COVID-19, age-ins, and marketing strategies for the AEP during a national election
49.
2024 Medicare Advantage Final Rule: 6 things you need to know
50.
RISE National 2021 speaker update: OIG officials to discuss current priorities—including impact of COVID-19 and telehealth—at March virtual conference
51.
Regulatory roundup: Medicare Part D premium will drop slightly in 2023; Feds issue guidance on nondiscrimination in telehealth, birth control coverage, new Medicaid health home benefit; and more
52.
What you need to know about the 21st Century Cures Act & 2020 APCC Model
53.
6 things Medicare Advantage health plans must do in response to the coronavirus
54.
Regulatory update: CMS approves first Medicaid block grant; HHS extends COVID-19 public health emergency
55.
SDoH in the news: HHS awards nearly $1B in American Rescue Plan funding to support vulnerable communities; SAMHSA distributes $825Min grants to CMHCs; and more
56.
DOJ charges 21 with $150M in nationwide COVID-related fraud schemes
57.
COVID-19’s impact on the 2021 and 2022 Star ratings
58.
Medicare Product Design Master Class: Virtual summit will address new CMS guidelines, COVID-19, supplemental benefits, and the inclusion of ESRD members
59.
Regulatory roundup: Cigna accused of MA fraud; Trump emergency order expands access to telehealth;
60.
Countdown to RISE West 2020: What you need to know to make the most out of your virtual experience
61.
RISE’s Star Ratings Master Class to feature presentations on the impact of COVID-19, regulatory updates from CMS and NCQA, and other hot button topics
62.
RISE National 2021 to feature new tracks on digital health care delivery, member experience, and compliance/regulatory updates
63.
Coronavirus update: WHO declares COVID-19 a pandemic; CMS issues guidance for Medicare Advantage plans to waive cost-sharing for tests, treatments
64.
NCQA’s Paul Cotton named keynote speaker of the RISE virtual HEDIS® & Quality Improvement Summit
65.
OIG: Providers received $580M in improper Medicare payments for psychotherapy during first year of pandemic
66.
2025 Medicare Advantage Proposed Rule calls for major changes to agent and broker pay, supplemental benefits, and the RADV appeal process
67.
Regulatory roundup: ACOs generated billions in savings for Medicare; CMS urge MAOs to ease up on prior authorization requirements due to COVID-19; and more
68.
Survey finds patients are satisfied with how providers address SDoH via telehealth
69.
The RISE Summit on Social Determinants of Health preview: 3 sessions sure to inspire
70.
Regulatory update: HHS signals it will renew COVID-19 PHE; MA plans increase spending on two-sided risk models; and more
71.
8 ways to maximize your in-person and virtual RISE West 2021 experience
72.
Optimizing Appeals & Grievances Summit: A virtual event for compliance specialists
73.
CMS issues official guidance on diagnoses from telehealth services for risk adjustment: What you need to know
74.
The impact of comprehensive health assessments during a pandemic
75.
HHS proposes rule to reinstate, strengthen nondiscrimination protections removed by Trump administration
76.
Sneak peek at RISE West 2021: 5 hot topics on the agenda at this year’s hybrid event
77.
GAO: 4 actions needed to strengthen Medicare telehealth oversight, quality of care
78.
Pandemic brings digital inclusion to light as critical SDoH
79.
Health care industry groups to CMS: Include audio-only telehealth visits in MA risk adjustment
80.
Regulatory roundup: Spending bill extends telehealth flexibility; 16M could lose Medicaid when PHE ends; and more
81.
RISE West 2023 preview: Wounded warriors to share their health journeys, suggestions to improve care for veterans
82.
Regulatory update: MA penetration rate reaches all-time high; CMS’ Verma weighs in on the future of value-based care
83.
Surfacing complex conditions: How to improve outcomes across the risk adjustment continuum
84.
Regulatory roundup: National health spending rose nearly 10% in 2020 due to COVID; Medicare members aren’t receiving meds to treat opioid use disorder; and more
85.
Live from RISE West 2020: Day Two Recap
86.
RISE West 2022 preview: What’s planned for the risk adjustment strategies track
87.
COVID-19: New-to-Medicare outreach to newly unemployed or uninsured
88.
UnitedHealthcare sues TeamHealth, alleging $100M fraud
89.
Regulatory roundup: Medicare Part B premiums will likely drop—but not until 2023; Senate committee to review draft telehealth policies for mental health; and more
90.
16th Risk Adjustment Forum to tackle the impact of the COVID-19 pandemic on risk adjustment
91.
The latest trends in Medicare Advantage: What enrollment, Star ratings, and plan benefits look like in 2021
92.
The unintended consequence of social distancing on older adults
93.
Regulatory roundup: New bill would allow audio-only telehealth services to count toward MA risk adjustment; MA satisfaction hits new high;
94.
COVID-19: Two new reports show vaccinations prevented thousands of deaths among seniors, lower hospitalizations among MA members compared to FFS Medicare
95.
Industry trends survey: Why health plans report increased member engagement importance, SMS text use, and ROI measurements
96.
Regulatory roundup: COVID-19 leads to expanded telehealth benefits, new CPT code; CMS unveils model to lower insulin out-of-pocket expenses; and more
97.
The 2021 ‘State of Medicare Advantage’: 7 findings from BMA’s annual report
98.
RISE National 2024 countdown: 7 reasons you don’t want to miss this year’s event
99.
How one health plan developed a rapid response for member communications during COVID-19
100.
COVID was a tipping point for telehealth. If some have their way, virtual visits are here to stay.
101.
COVID-19: Cases surge in the U.S.; HHS likely to renew public health emergency; WHO says worst yet to come
102.
Behavioral telehealth loses momentum without a regulatory boost
103.
RISE’s take: The trouble with telehealth for coordinated care plans
104.
RISE virtual seminar series to focus on member experience
105.
5 takeaways from the first day of RISE West 2021
106.
Trickle of COVID relief funds helps fill gaps in rural kids’ mental health services
107.
Telehealth study: Technology disparities correlate with health disparities
108.
COVID-19 updates: CDC launches weekly surveillance report; CMS answers FAQs on expanded telehealth benefit; and more
109.
Medicare Advantage proposed rule: CMS pitches changes to Star ratings, prescription drug pricing, telehealth, and more
110.
CMS Largely Finalizes Part D Provisions, Announces Significant Updates to MA Payment Rates, Risk Adjustment and Quality Provisions
111.
CMS’ Physician Fee Schedule proposed rule aims to expand telehealth reimbursement for mental health, improve health equity, patient access
112.
Virtual or in person: Which kind of doctor’s visit is better, and when it matters
113.
The pandemic made telemedicine an instant hit. Patients and providers feel the growing pains.
114.
DOJ health care fraud crackdown: 138 people charged in $1.4B schemes involving telemedicine, COVID-19, and illegal opioid distribution
115.
Editor picks: Our favorite interviews from 2021
116.
KFF survey: State Medicaid program efforts to reshape policies in response to pandemic help further address SDoH, health equity
117.
Why Medicare doesn’t pay for rapid at-home COVID tests
118.
HHS seeks to expand opioid use disorder treatment accessibilities beyond COVID-19 pandemic
119.
Cigna to pay $172M to settle MA overpayment allegations
120.
Regulatory update: Final rule resolves ACA ‘family glitch’; HHS extends PHE again; Biden signs executive order for HHS to find additional ways to lower drug costs
121.
6 things Medicare Advantage health plans must do in response to the coronavirus (1)
122.
RISE Radio Episode 12: RISE West 2022 panelists on the most pressing policy issues facing health plans this year
123.
Regulatory roundup: HHS issues guidance on HIPAA and audio-only telehealth; OIG report recommends CMS improve race, ethnicity data to assess disparities; and more
124.
Rapid changes to health system spurred by COVID might be here to stay
125.
RISE West 2021: Highlights from day two of the conference
126.
OIG: Telehealth critical to Medicare enrollees during first year of COVID-19 pandemic
127.
Medicare Advantage plans can offer additional telehealth benefits in 2020 (1)
128.
Regulatory roundup: What to expect in the final Medicare Advantage RADV rule; the latest ACA marketplace enrollment data; and more
129.
As COVID cases rise again, US renews public health emergency
130.
DOJ: False Claims Act settlements, judgments exceed $2B in 2022 and most involved health care fraud
131.
Purposeful member engagement and outreach can be a vehicle for reducing health disparities and advancing health equity
132.
Regulatory roundup: CMS expands lung cancer screening coverage; Telehealth use suggests permanent shift in how outpatients receive care; and more
133.
Strategies for health plans to achieve health equity
134.
Regulatory roundup: Opioid epidemic cost U.S. nearly $1.5T in 2020; Medicare Part B premiums to drop in 2023; and more
135.
Regulatory update: COVID-19 crisis leads to more CMS waiver and policy changes
136.
Mental health services wane as insurers appear to skirt parity rules during pandemic
137.
Regulatory roundup: Medicare, Medicaid policies included in the $1.7T spending package; ACA marketplace enrollment outpaces previous years; and more
138.
Research roundup: 3 ways to improve MA Star measures; insight into telehealth use during COVID-19; and more
139.
Black, rural southern women at gravest risk from pregnancy miss out on maternal health aid
140.
CMS: Medicare Advantage premiums plunge as enrollment soars
141.
Regulatory roundup: CMS expands list of telehealth services for Medicare FFS; Health care policy implications under a newly configured Supreme Court;
142.
Countdown to RISE National 2021: 8 things you need to know to make the most of your virtual experience
143.
Regulatory roundup: Supreme Court sides with insurer on outpatient dialysis coverage; CMS issues proposed rules for ESRD, home health prospective payment systems; and more
144.
SDoH in the news: Maternal deaths on rise amid pandemic; Racial inequities identified in heart failure treatments; and more
145.
Visualize Health CEO Kenneth Persaud: Shift to value-based care may stall unless CMS provides relief to Medicare ACOs
146.
The state of member engagement: What the 2022 RISE/Engagys survey revealed
147.
Pandemic medical innovations leave behind people with disabilities
148.
2025 Medicare Advantage Final Rule is out: 10 things to know about the changes
149.
CMS chief medical officer, customer experience expert to present keynotes at Qualipalooza 2021–a RISE hybrid event
150.
Regulatory roundup: OIG audit targets Aetna MA program; Medicare continues to make overpayments for chronic care management services; and more
151.
Medicare telehealth: CMS further expands services in the wake of COVID-19
152.
Empower your agents and brokers with virtual tools
153.
Compliance 101: Everything you need to know about regulatory audits in 2022
154.
CMS policy updates: The latest on final RADV audit rules, ESRD payment rule, risk adjustment model changes for ACA market, and so much more
155.
Navigating RA workflows for utilization reimbursement and performance outcomes
156.
RISE virtual seminar series explores best practices for navigating telehealth amid COVID-19
157.
14 things to know about Medicare Advantage, Medicare Part D plans in 2022
158.
The RISE Value-Based Contracting Summit: Payer-provider conference offers roadmap to value-based health care delivery
159.
RISE West 2020 goes virtual: Sneak a peek at this year’s agenda and speakers
160.
NCQA Q&A session added to RISE West 2020
161.
HHS Becerra on COVID, upcoding in Medicare Advantage, and telehealth
162.
Regulatory update: Lowering age of Medicare to 60 could add $155B to U.S. debt; Becerra tests positive for COVID; HHS extends telehealth services in risk adjustment program; and more
163.
Doctor on call? Lawmakers debate how much to pay for phone appointments
164.
Conference preview: Hot topics, planned sessions at the upcoming Risk Adjustment Forum
165.
Regulatory roundup: Part D Senior Savings Model will lower out-of-pocket insulin costs; CMS delays enforcement of API provisions due to COVID-19; and more
166.
A striking gap between deaths of Black and white babies plagues the south
167.
Rural hospitals are caught in an aging-infrastructure conundrum
168.
Provider/payer collaboration imperative for improved patient care
169.
RISE National 2021 preview: Keynote Dr. Wendy Sue Swanson on digital innovation during COVID and the next steps for industry transformation
170.
Avalere report: MA plans may see reduced risk scores, payments in 2021 due to COVID-19
171.
Regulatory update: Biden to nominate Brooks-LaSure to head CMS; Calls for HHS to revamp value-based payment and rein in Medicare spending; and more
172.
In rural America, deadly costs of opioids outweigh the dollars tagged to address them
173.
CompliancePalooza 2020: The impact of COVID-19 on compliance, implications of the 2020 CMS protocols, the future of telehealth, and key strategies to move forward
174.
CCIIO clarifies what telehealth claims are valid for risk adjustment
175.
CMS releases the 2024 Medicare Advantage Proposed Rule: What it means for Star ratings, prior authorization, and marketing requirements
176.
The boom in out-of-state telehealth threatens in-state providers
177.
SDoH in the news: National survey highlights disparities in telehealth use; Older adults in US more likely to report mental health condition than other countries; and more
178.
HHS final rule expands access to life-saving medications for opioid use disorder
179.
The latest buzz in SDoH: Whole person health
180.
Medicare expands the roster of available mental health professionals
181.
Study: Telehealth use most common among women, chronically ill
182.
The complex effects of COVID-19 on risk adjustment strategy
183.
Rolling back the surge: New Cotiviti map helps forecast COVID-19 health risk severity
184.
Highlights from the 2021 Medicare Marketing & Sales Summit: Lessons learned from AEP, strategies to compete with national plans, customer tips from Disney, and so much more
185.
RISE National 2021 Day One Recap: Regulatory updates, policy implications, and strategies for risk adjustment, member engagement, and social determinants of health
186.
5 takeaways about member communications from the second RISE/Engagys COVID-19 response survey
187.
2023 Physician Payment Rule: 5 things to know about the CMS proposal
188.
Why risk adjustment technology is more essential than ever
189.
HHS report: Medicare telehealth use spiked 63-fold during pandemic
190.
New BMA report finds MA helped sustain providers, enabled faster telehealth adoption during the pandemic
191.
Information blocking enforcement: The impact on access to health information
192.
RISE Risk Adjustment Policy Committee: Position Paper on Telehealth
193.
Americans face more barriers to health care than 20 years ago, study finds
194.
RISE virtual seminar series returns: Managing Behavioral & Mental Health During & Post Pandemic
195.
CMS finalizes changes to telehealth, ESRD, supplemental benefits, and Star ratings for Medicare Advantage
196.
Regulatory roundup: More calls for permanent telehealth reform; Oklahoma first state to expand Medicaid during COVID-19
197.
House bill would expand telehealth coverage to include audio-only for MA members
198.
Live from RISE West 2022: Day one
199.
SDoH in the news: Behavioral health most common treatment in telehealth; Pharmacy deserts linked to vulnerable communities; and more
200.
COVID-19 PHE ends May 11 but some flexibilities will continue
201.
Regulatory roundup: OIG audit finds Tufts received $3.7M in overpayments for high-risk diagnosis codes; Justice Department sues to block UnitedHealth’s acquisition of Change Healthcare; and more
202.
Regulatory roundup: HHS proposes staffing minimums for nursing homes; CMS suspects auto renewals to blame for inappropriate Medicaid and CHIP disenrollments; and more
203.
Regulatory roundup: CMS permanently expands Medicare telehealth services; announces new payment model to advance regional value-based care
204.
Regulatory roundup: Calls to make Medicare reimbursement for telehealth services permanent; COVID relief package could bring major changes to the ACA; and more
205.
Research roundup: MA design impact on health care utilization, health equity; Health plans don’t provide an adequate digital experience for consumers
206.
Regulatory Roundup: CDC no longer to collect COVID-19 data; CMS releases stats on telehealth use during outbreak
207.
Telehealth during the first year of COVID: OIG releases dual reports that examine dramatic increase in use, program integrity risks
208.
Regulatory roundup: Diagnostic lab CEO charged in $148M Medicare and Medicaid fraud case; Congressional report finds HHS-OIG work in FY23 led to $3.44B in expected recoveries; and more
209.
Medicare Advantage in 2020: KFF looks at the latest trends in enrollment, premiums, and out-of-pocket limits
210.
Study reveals racial health disparities in teen mental health care
211.
COVID-19 response: 5 recommendations for payers
212.
Study: Email, SMS text soar as effective health care consumer engagement channels in 2020, reflecting urgency of COVID-19 communications
213.
Insurance brokerage study: 3 out of 4 seniors say Medicare is ‘confusing and difficult to understand’
214.
Congress likely to kick the can on COVID-era telehealth policies
215.
Study: MA plans miss the mark when it comes to member communication
216.
6 reasons to register for RISE’s virtual Medicaid Managed Care Leadership Summit
217.
Medicare Trustees Report: Medicare Part A now has enough funds to pay benefits until 2028
218.
Regulatory roundup: Inspector General testifies on improper payments to Medicare and Medicaid programs; House Health subcommittee takes on cybersecurity in the wake of Change Healthcare crisis; and more
219.
Regulatory roundup: CMS looks to make some telehealth provisions permanent; Medicaid providers still waiting for their share of COVID-19 relief funds
220.
RISE Radio Episode 5: Dr. Heather O’Toole on population health, quality measures, COVID, telehealth, and opioid safety in the ambulatory setting
221.
Study: More Medicare Advantage plans will offer adult day care services, in-home support as supplemental benefits for 2020
222.
CMS panel, international strategic forecaster to headline the 17th annual Risk Adjustment Forum
223.
Regulatory roundup: COVID-19 PHE extended through October; Marketplace insurers propose 10% premium hikes for 2023 in 13 states and DC; and more
224.
2021 bid process: MA advocacy group urges CMS to issue guidance to help stabilize market in the wake of COVID-19
225.
Regulatory roundup: MedPAC issues telehealth recommendation in Congressional report; Senate set to confirm Becerra as HHS secretary; and more
226.
Expansion of telehealth services in response to coronavirus
227.
The COVID “pivot”: How programs to address social drivers of health are responding to and learning from the COVID crisis
228.
Mental health crisis teams aren’t just for cities anymore
229.
Regulatory roundup: White House prepares for battle over court ruling on abortion drug; COVID PHE to end on May 11; and more
230.
Top 5 features of RISE’s Population Health Summit
231.
Gun safety ‘wrapped in a mental health bill’: A look at health provisions in the new law
232.
RISE’s Special Needs Plan Leadership Summit to explore integration requirements for D-SNPs
233.
Regulatory wrap-up: Recap of the latest on Medicare, Medicaid, and the Affordable Care Act
234.
Will clinical validation become a touchstone for risk adjustment coding?
235.
Social determinants of health intensify alongside coronavirus
236.
How member education can improve health equity among rural populations
237.
Medicare Advantage takeover: Nearly 4K plans available across the country for 2023
238.
RISE West 2021 Session Spotlight: Current and future telehealth efforts
239.
Medicaid news roundup: 11 more states receive Section 1134 waivers for COVID-19; CMS releases checklists to help states respond to outbreak
240.
2022 Star ratings: 3 trends to follow
241.
Medicare Advantage in 2023: 15 trends in enrollment, premiums, and supplemental benefits