Posts Tagged ‘Payer’
E-Consult: An Opportunity for Financial and Operational Innovation
Catalyst, a New England Journal of Medicine (NEJM) publication, released a case study titled E-Consult Innovation: A Middle-Ground Model To Enhance Adoption and Improve Care. This study tested the efficacy of alternative operational and financial models for e-Consult. HealthPartners designed a vertically integrated system that engaged third-party payers and implemented an in-house method to compensate specialists and primary care…
Read MoreDecember 2020 E-Consult Workgroup Webinar
Our December webinar featured Amber Larson, MHA and James (Jesse) Wheeler, DO, presenting their NEJM publication, E-Consult Innovation: A Middle-Ground Model To Enhance Adoption and Improve Care. Our featured speakers’ case study tested the efficacy of alternative operational and financial models for e-Consult. HealthPartners designed a vertically integrated system that engaged third-party payers and implemented an in-house method to…
Read MoreFAQ’s for Managed Care Organizations E-Consult Programs
FAQs for education of State agencies on e-consult.
Read MoreProposed Changes to CMS Physician Fee Schedule for 2021
Medicare provider fee schedule including e-consult CPT codes (99446-9 and 99451-2). https://www.cms.gov/newsroom/fact-sheets/proposed-policy-payment-and-quality-provisions-changes-medicare-physician-fee-schedule-calendar-year-4
Read MoreeConsults: A Triple Win for Patients, Clinicians and Payers (Milbank Foundation)
Milbank Foundation-supported literature review of successful e-consult programs. https://www.milbank.org/wp-content/uploads/2020/06/eConsults_Milbank_Report_v4.pdf
Read MorePartnership Health Plan Telehealth Policy
Partnership Health Plan Telehealth Policy
Read MoreMedi-Cal All Plan Letter
California State Medicaid letter directing plans to support provider use of telehealth and e-consult.
Read MoreCalifornia Department of Managed Health Care E-Consult Reporting
State agency process for reporting process and networks involved in Medicaid plan-supported e-consult programs. https://www.dmhc.ca.gov/LicensingReporting/SubmitHealthPlanFilings.aspx
Read MoreNorth County Health Services and Blue Shield of California Promise Health Plan Collaborate to Bring Safety Net Patients High-Quality Care
A California Medi-Cal managed care plan demonstrates support for an FQHC e-consult program.
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