Coming in 2020: An Expansion of Telehealth in Medicare Advantage

Medicare has been slow to adopt telehealth services such as videoconferencing with a physician, remote patient monitoring, or the sharing of digital medical images with a specialist located miles away. But that’s about to change for some 20 million Medicare beneficiaries who are enrolled in the program’s private plans, known as Medicare Advantage (MA) plans. The reason? The Bipartisan Budget Act of 2018, which overhauled the way Medicare pays private plans for telehealth services, takes effect in 2020. With this …

The Cures Law Brings Winds of Change to Electronic Health Records

The recently enacted 21st Century Cures Act will mean welcome changes to electronic health records (EHRs) as we know them. In short, the EHR piece of the Cures Act is good news for consumers. Here’s why. Enabling information flow Tucked into the sweeping medical innovations legislation — which bolsters medical research and revamps new drugs’ approval process  — are provisions to break down barriers preventing EHRs from freely following people as they move between health care providers. Specifically, the law takes …

Notice to Medicare observation patients misses the mark

If you’re one of the roughly 2 million Medicare beneficiaries placed under observation each year, there’s (potentially) good news for you: You may be less vulnerable to sticker shock when you get your medical bill. But Medicare hasn’t gotten the details right just yet. In less than two months, the Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act will require hospitals nationwide to notify Medicare observation patients that they are not formally admitted as inpatients and why. …

How HIPAA Can Maintain Privacy, Enable Exchange of Electronic Health Records and Improve Patient Care at the Same Time

Nearly all hospitals and three-fourths of all doctors have gone digital, replacing paper medical records with electronic ones. For consumers, this should have meant that complete and up-to-date medical files seamlessly flow between physicians and follow patients from one doctor to the next. In reality, many health care providers don’t exchange electronic health data, in part because they misinterpret the 1996 Health Insurance Portability and Accountability Act (HIPAA) privacy rules as saying that it’s illegal. Some may also be playing …

Removing Barriers to Exchanging Electronic Health Records Would Help Consumers

  Over the past five years, taxpayers have doled out over $30 billion in bonus payments to push hospitals and doctors’ offices to switch from paper to electronic medical records. Now nearly all hospitals and over half of all office-based doctors have gone digital; but much of that electronic information doesn’t flow freely between health care providers because their separate software systems do not communicate — and consumers are losing out. Consumers win when electronic health records (EHR) systems talk …

New Guidelines Give Consumers Easier Access to Their Medical Records

The Health Insurance Portability and Accountability Act (HIPAA) gives consumers the right to access their medical information. But many people still have to jump through hoops to get their medical records from reluctant health care providers.   New Guidance Prods Clinicians to Provide Patient Records Recently, the Department of Health and Human Services issued updated guidelines that will make it much easier for people to see their paper or electronic health information, including what their doctor has written about them. …