Posts Tagged ‘Reimbursement’
Centers for Medicare and Medicaid Services Support for E-Consult Reimbursement
In December, the Association of American Medical Colleges (AAMC) and Virginia Medicaid (Department of Medical Assistance Services) met with the Centers for Medicare and Medicaid Services to discuss Medicaid’s payment policies with a focus on new concerns that have been raised in some states about the ability of Medicaid to provide a federal match for…
Read MoreCHCF Publication on Post-Pandemic Federally Qualified Health Center Telehealth Reimbursement
California Health Care Foundation recently released a piece titled “Reimbursing FQHCs for Telehealth Post-COVID-19 Pandemic: Medi-Cal’s Options”. The publication addresses needs to continue to support the much-needed telehealth services that have been spearheaded by FQHCs in response to COVID-19. Rafael A. Gomez, Pacific Health Consulting Group, mapped out recommendations including: Exploring prospective payment system (PPS)…
Read MoreImproving Access in a Time of Crisis and Beyond – Annual E-Consult Workgroup Meeting
Registration for Annual Meetings of E-Consult Workgroup and California Telehealth Policy Coalition, November 16-17, 2020. https://www.eventbrite.com/e/improving-access-to-care-in-a-time-of-crisis-and-beyond-tickets-121111109589
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 MorePatients Assess E-Consult Acceptability at 5 US Academic Medical Centers (Annals of Family Medicine)
Patients are positive about e-consults as long as they don’t replace needed in-person appointments or require copays. https://www.annfammed.org/content/18/1/35.full
Read MoreMedi-Cal Telehealth Provider Manual
California State Medicaid manual for provider delivery of telehealth including e-consult. https://files.medi-cal.ca.gov/pubsdoco/publications/masters-mtp/Part2/mednetele.pdf
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.
Read MoreE-Consult Adoption in a Fee-for-Service Setting
E-referrals can improve access to care, clarity of questions, and improved PCP satisfaction. https://www.sciencedirect.com/science/article/pii/S2213076415300865?via%3Dihub
Read MoreTransforming the Endocrine Consult: Asynchronous Provider Consultations
Use of virtual consults in a fee-for-service, academic medical center setting significantly improved quality and access to endocrine care. https://pubmed.ncbi.nlm.nih.gov/25667365/
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