Legislation

Jennifer Mathieu, senior vice president of professional and government affairs at the Academy of Managed Care Pharmacy
By  Jessica Hagen 12:37 pm September 22, 2023
The Access to Prescription Digital Therapeutics Act, initially introduced in the U.S. Senate in 2022 and reintroduced in March of this year, aims to amend the Social Security Act to provide Medicare and Medicaid coverage and reimbursement for prescription digital therapeutics.  Jennifer Mathieu, senior vice president of professional and government affairs at the Academy of Managed Care Pharmacy (...
Former U.S. Representative Patrick J. Kennedy, founder of the Kennedy Forum, and Nawal Roy, founder and CEO of Holmusk
By  Jessica Hagen 12:19 pm September 1, 2023
In part two of our two-part series, Patrick J. Kennedy, former U.S. Representative and founder of The Kennedy Forum, and Nawal Roy, CEO and founder of global behavioral health data platform Holmusk, discuss with MobiHealthNews how coverage for mental health has changed since the signing of the parity act and what steps the partners are taking to help lawmakers draft even more effective bills to...
Former U.S. Representative Patrick J. Kennedy and Nawal Roy
By  Jessica Hagen 12:24 pm August 25, 2023
Patrick J. Kennedy, former U.S. Representative and founder of the Kennedy Forum, is a leading voice on mental health and addiction. During his 16 years in the U.S. House of Representatives serving Rhode Island's First Congressional District he coauthored and sponsored the Mental Health Parity and Addiction Equity Act, which requires insurers to cover mental health and substance use disorders the...
A person talking to a provider via a video call.
By  Emily Olsen 12:11 pm May 8, 2023
During the first year of the COVID-19 public health emergency, Medicare improperly paid for $580 million of psychotherapy care, including $348 million of telehealth services, according to an audit by the Department of Health and Human Services' Office of the Inspector General. The report, which estimated that Medicare paid for $1 billion of psychotherapy that year, included more than 13.5 million...
Moderator David Gray and Jodi Daniel
By  Emily Olsen 02:52 pm April 19, 2023
After years of slow movement advancing telehealth, remote patient monitoring and other digital health technologies, the landscape changed rapidly during the COVID-19 pandemic, said Jodi Daniel, managing director of Crowell Health Solutions.  At HIMSS23, Daniel, who previously served as the founding director of the Office of Policy in the Office of the National Coordinator for Health Information...
An older person talking to a provider through a video chat on a tablet.
By  Amar Kendale 10:16 am April 14, 2023
We’re witnessing massive demographic and market shifts that will accelerate the race to value-based healthcare. Case in point: The Medicare Payment Advisory Commission (MedPAC) predicts that Medicare Advantage enrollment will soon eclipse traditional Medicare for the first time. With more people becoming eligible for Medicare than ever before, our healthcare system is experiencing the broad shift...
A person getting a vaccine at a pharmacy.
By  Emily Olsen 10:27 am March 24, 2023
Last month, two large retail and pharmacy companies made big moves in healthcare delivery: Amazon completed its purchase of One Medical, and CVS Health announced plans to buy Oak Street Health.  The deals aren't unexpected, said Christopher Lis, managing director of global healthcare intelligence at J.D. Power. More than 31 million people are now enrolled in Medicare Advantage plans, key...
A doctor talking to a patient while holding a tablet.
By  Emily Olsen 12:57 pm March 10, 2023
The healthcare status quo for Medicaid and other underserved patients frequently leaves them in the lurch, said Cityblock Health CEO and cofounder Dr. Toyin Ajayi. They may have infrequent access to the medical system, hampered by transportation issues or the need to take time off work. Doctors' offices can be busy, and they may not have enough time to address concerns. Meanwhile, racial and...
A provider listening to a patient's heartbeat in their home.
By  Emily Olsen 02:45 pm February 24, 2023
Blue Cross and Blue Shield of Minnesota announced it had entered into a full-risk value-based care arrangement with hybrid startup Homeward that aims to increase access for rural Minnesotans.  The insurer and the rural healthcare startup said Medicare Advantage members in 24 Minnesota counties outside of the Twin Cities metropolitan area will be able to use Homeward's services. The company offers...