Tag Archives: Insurers

Payers Embracing Telemedicine Cost Savings, Ramping Up Reimbursement in 2016

Often considered the primary obstacle to telemedicine implementation, reimbursement changes are now better viewed as one of the most prominent drivers of telemedicine expansion. Payers are finally beginning to realize what many providers have known for some time – telemedicine brings cost savings and improved patient-member satisfaction.… Continue reading this entry

Changes to New York Telehealth Coverage Coming Soon

After New York became the 22nd state to enact a telemedicine commercial coverage statute, Governor Andrew Cuomo signed an amendment changing the statute. The amendment makes sweeping changes to telehealth coverage under New York Medicaid and commercial health insurance. With an effective date of January 1, 2016, providers and insurers need to be ready and … Continue reading this entry

Telehealth and Consumer Subscription Models

Justin Stone, executive vice president and general counsel at MDLIVE, is a guest co-author for this post. He can be reached at jstone@mdlive.com. Telehealth opportunities continue to grow at an exponential rate, aligning with the concurrent growth of retail and consumer-focused medicine. Capturing the retail sentiment, companies are looking to offer subscription-based models for telehealth … Continue reading this entry

Health Care Rep and Warranty Insurance: New Solutions for Private Equity Buyers and Sellers

Whether in an auction or proprietary transaction, risk allocation has typically been a function of indemnities tied to reps and warranties and the type of credit supporting the type of supporting credit. Holdbacks, earnouts, escrows, baskets and caps and their varied combinations are part of deal making “market” studies and the inevitable negotiation of who bears … Continue reading this entry

Telemedicine Practice and Remote Prescribing in Delaware

Note: This is a companion piece to our parallel article discussing the various Delaware commercial insurance coverage requirements in the Act. Delaware Gov. Jack Merkell signed into law, on July 7, 2015, a bill implementing a variety of telemedicine scope of practice rules and commercial insurance coverage requirements. Declaring “liberty and independence” from the constraints … Continue reading this entry

Delaware Enacts Telehealth Commercial Insurance Parity Law

Note: This is a companion piece to our parallel article discussing the various Delaware telemedicine scope of practice requirements in the Act. Declaring “liberty and independence” from the constraints of brick and mortar health care, Delaware became the 29th state to enact a telemedicine commercial reimbursement statute. The legislation (HB-69) was sponsored by Representatives Short, … Continue reading this entry

Providers and Purchasers Should Be Aware of Health Insurers’ Efforts to Pass Through Affordable Care Act Taxes and Fees

Regulatory-Developments
As health insurers are beginning to operationalize the requirements of the Affordable Care Act (the “ACA”), they are increasingly attempting to pass new expenses, taxes and payment cuts through to contracting providers and purchasers. In doing so, it is becoming increasingly clear that, when negotiating contracts, including participation agreements and purchasing arrangements, providers and purchasers … Continue reading this entry