New Bill Would Improve Access to PTAs, OTAs
A new bipartisan bill introduced in the senate would standardize general supervision requirements for private outpatient practices under Medicare Part B.
Category: Medicare & Insurance
Medicare & Insurance
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Medicare & Insurance
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Medicare Study Sees a 2.7x ROI with Hinge Health
The third-party Medicare study suggests a 2.7x ROI for Medicare driven by reductions in medical-service use and annual healthcare savings.
Medicare & Insurance
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MindMaze’s MindMotion GO Gamified Therapy Granted CPT Codes
MindMaze Healthcare has been granted CPT Category III codes published by the AMA on November 1, 2021 and effective July 1, 2022.
Back Pain Claims Data Say This Drops the Cost of Care
WEA Trust and Kiio have released the results of an updated and expanded claims data analysis evaluating the impact of Kiio’s digital musculoskeletal (MSK) therapeutic on medical utilization and cost of care for low back pain.
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RecoveryOne and Cigna Team Up to Provide Virtual Physical Therapy
RecoveryOne’s virtual physical therapy solution targeting musculoskeletal (MSK) conditions and injuries is now available for Cigna’s employer clients with fewer than 500 employees, the company announces in a media release.
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PTA, OTA Payment Differential Could Harm Rural Areas, APTA and Others Warn
In a letter to HHS, five House members say a Medicare 15% payment differential for outpatient PTA and OTA services will harm rural areas, APTA reports.
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Telehealth for PT is Permanent Under UnitedHealthcare
In a major win for the profession and patients, UnitedHealthcare has become the first of the country’s largest private health insurers to adopt a permanent telehealth policy that includes PTs, the American Physical Therapy Association reports.
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Medicare Coverage for Parkinson’s Disease
If you or a loved one has Parkinson’s disease, it’s important for you to understand which parts of Medicare cover which treatments to avoid large, unexpected expenses. Read more at healthline.com.
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APTA-Backed Bill Aims to Reform Prior Authorization of Medicare Advantage Plans
HR 3173, an APTA-supported bipartisan legislation targeting misuse of prior authorization in Medicare Advantage plans, has arrived at the US House of Representatives, APTA reports.
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APTQI Urges Congress to Ensure Continued Patient Access to Specialty Care, Investment in MPFS
In a letter to Congressional leadership, APTQI and 62 stakeholder groups call on lawmakers to invest an additional $3 billion in the Medicare Physician Fee Schedule in order to ensure the stability of the healthcare system and prevent disruptions to patient care.
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FOTO Telehealth Study Highlights Value and Need for More Research
Results from a Phase 2 study conducted by Focus on Therapeutic Outcomes (FOTO), a Net Health company, provide key insights for payors and providers about the use of telerehabilitation services during COVID-19.
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But Seriously, Do PT and OT Really Help? 1.4 Million Cases Can’t Be Wrong
Physical therapy and occupational therapy provide functional benefits to most Medicare patients in postacute care settings, according to data from the “Therapy Outcomes in Post-Acute Care Settings” (TOPS) study.
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Senate Votes To Continue Suspension of Medicare Sequester Cut Through 2021
The compromise bill is likely to make it into law, but a lag in enactment could cause some logistical challenges, according to the APTA in a news release.
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The Pandemic May Be Worsening Healthcare Utilization Disparities
Increases in the use of telemedicine during the coronavirus pandemic among people with private insurance raise concerns that the pandemic may be worsening existing disparities in overall healthcare utilization, the RAND Corporation suggests.
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Applause! 2% Medicare Sequester Cut Suspension Draws APTQI Endorsement
The Alliance for Physical Therapy Quality and Innovation (APTQI) applauds the introduction of the Medicare Sequester COVID Moratorium Act (H.R. 315).
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Can You Guess Why Bundled Payments Will Catch On With Patients and Employers?
Providing patients discounts for using medical providers that agree to charge one set price for expensive procedures such as knee replacement surgery can result in savings for both patients and payors, according to a RAND Corporation study published in Health Affairs.
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Worried About Deep Medicare Cuts for Specialty Providers? This Group is Taking a Stand
APTQI and a coalition of organizations representing healthcare providers call on the House and Senate to address deficiencies in the Medicare Physician Fee Schedule and halt deep payment cuts to providers.
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Make PT First Again: TRICARE’s Plan for Pain Management
A demonstration project between Confluent Health and TRICARE aims to make physical therapy the first line of defense against low back pain.
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