I’ve been digging into state-level Remote Therapeutic Monitoring (#RTM) adoption lately, and it’s clear that California, Texas, and Florida are ahead of the curve. Here’s what stood out: 🔹 California Medi-Cal has covered remote monitoring since 2021. The state also has strong insurance policies that help clinics get reimbursed for RTM. Not just RPM or video visits, but real tracking of HEPs and progress between sessions. 🔹 Texas RTM is supported under Texas Medicaid, and clinics across the state are starting to bill for the time they already spend checking in with patients and updating care plans. Some major commercial payers are including RTM codes as well. 🔹 Florida Florida Medicaid includes RTM services, and many clinics already have digital tools in place. That makes it easier to track patient progress and get reimbursed for it. The infrastructure is there and the momentum is growing. 📈 Nationwide trends - 42 states now support RTM or similar monitoring services under Medicaid. - In 2023, 59 percent of all RTM claims were for MSK care like HEP, post-op rehab, and mobility tracking. - The care PTs are already providing can now be reimbursed using RTM CPT codes 98975 to 98981. 💡 What this means for PTs If you're already checking in with patients between visits, tracking their progress, or adjusting HEPs, you're already doing RTM. You just might not be getting paid for it yet. We’ve seen clinics generate $5K–$8K/month per therapist by activating RTM in their existing workflow. If you're curious about how your state or your payers handle RTM, feel free to reach out. I'm happy to share what I’ve found! ----- 👉 Learn more at https://lnkd.in/gTprYuRy 👉Schedule a demo: https://lnkd.in/gWea63TP #RemoteTherapeuticMonitoring #RTM #PhysicalTherapy #DigitalHealth #ValueBasedCare #ClinicGrowth #MedicareReimbursement #MusculoskeletalCare #PracticeManagement #PhyxUpHealth
How California, Texas, and Florida lead in RTM adoption
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Too often, the transition from hospital to home can feel harder than it should. Patients deserve a recovery path that’s seamless and supportive. At Synapse Health, we’re focused on unifying documentation, authorization and operations into one streamlined system, so patients get the right equipment, at the right time, with less friction for everyone involved. In my recent piece for MedCity News, I share some thoughts on how technology can transform the DME experience. https://lnkd.in/g6egKeg2
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Benefits of CCM & RPM Services for Doctors and Patients: In today’s modern healthcare system, technology plays a vital role in improving patient outcomes and enhancing clinic efficiency. Among the most impactful solutions are Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) services. These programs not only improve patients’ quality of life but also help doctors grow their practices with additional revenue streams. Chronic Care Management (CCM) Benefits: For Doctors: 1. Additional Revenue: Medicare reimburses providers for managing chronic patients through monthly follow-ups, creating new income opportunities for clinics. 2. Better Patient Management: Doctors can track chronic patients more effectively, reducing hospital readmissions and emergency visits. 3. Regulatory Compliance: Clinics following CCM guidelines remain aligned with Medicare and insurance policies. For Patients: 1. Continuous Care: Patients receive monthly care coordination beyond office visits. 2. Improved Health Outcomes: Early intervention in chronic diseases like diabetes, hypertension, and heart conditions prevents complications. 3. Trust and Satisfaction: Patients feel secure knowing their doctor is consistently monitoring their condition. Remote Patient Monitoring (RPM) Benefits: For Doctors: 1. Real-Time Data: Physicians receive daily or weekly updates on patients’ vitals such as blood pressure, glucose, oxygen levels, and weight. 2. Prevention of Emergencies: Early alerts allow providers to act before conditions worsen, reducing ER visits. 3. Increased Revenue: Medicare and insurance providers reimburse for RPM services, boosting clinic income. For Patients: 1. Convenience at Home: Patients don’t need frequent hospital visits; monitoring is done remotely. 2. Peace of Mind: Continuous tracking ensures patients feel safe and supported. 3. Better Disease Control: Regular monitoring helps patients manage chronic conditions more effectively. Conclusion CCM and RPM services bridge the gap between patients and doctors. Clinics benefit from better care management and higher revenue, while patients enjoy continuous monitoring, improved health, and peace of mind. These services are transforming healthcare delivery in the USA. 📞 For USA Doctors Only Contact Mr. Shah for CCM & RPM Services. WhatsApp: +92 300 2566819 USA Voicemail / Call: 321-325-6434 #usadr #docs #prg #medcare #usamedcare
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🚀 Today, we’re announcing Cedar Cover, the industry’s most innovative patient affordability solution. Cedar Cover gets to the very heart of Cedar’s mission: making healthcare more affordable and accessible for all. The affordability crisis in healthcare is real. Nearly 1 in 3 Americans skip care because of cost. 10M+ patients could lose Medicaid coverage from the OBBBA. Drug prices keep climbing. And providers are facing rising financial pressure and uncompensated care. That’s why we built Cedar Cover — a digital safety net to help patients stay covered and cared for with Medicaid enrollment, proactive Medicaid renewals, denials resolution, and medication assistance. The outcomes speak for themselves. At one client, we’re seeing a 97% Medicaid application approval rate, with applications surging over 3x month-over-month since the enactment of HR1. And we’re not doing this alone. Our product partnerships with TailorMed and Fortuna Health make this solution even stronger. This isn’t just a product launch. It’s a step toward fixing one of the most broken parts of our healthcare system. I couldn’t be prouder of the Cedar team for creating what I believe is the most innovative affordability solution in healthcare today. Learn more about why leading providers like Novant Health, Baystate Health, ApolloMD, and The Iowa Clinic trust Cedar Cover to navigate today's increasingly complex coverage landscape https://lnkd.in/dFtdvSq9
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We’re proud to partner with Cedar on Cedar Cover, a new digital safety net helping patients stay connected to Medicaid coverage and financial aid. Together, we’re building tools that simplify access to care and ensure no one falls through the cracks. For more info: https://lnkd.in/e_36Q4G2
🚀 Today, we’re announcing Cedar Cover, the industry’s most innovative patient affordability solution. Cedar Cover gets to the very heart of Cedar’s mission: making healthcare more affordable and accessible for all. The affordability crisis in healthcare is real. Nearly 1 in 3 Americans skip care because of cost. 10M+ patients could lose Medicaid coverage from the OBBBA. Drug prices keep climbing. And providers are facing rising financial pressure and uncompensated care. That’s why we built Cedar Cover — a digital safety net to help patients stay covered and cared for with Medicaid enrollment, proactive Medicaid renewals, denials resolution, and medication assistance. The outcomes speak for themselves. At one client, we’re seeing a 97% Medicaid application approval rate, with applications surging over 3x month-over-month since the enactment of HR1. And we’re not doing this alone. Our product partnerships with TailorMed and Fortuna Health make this solution even stronger. This isn’t just a product launch. It’s a step toward fixing one of the most broken parts of our healthcare system. I couldn’t be prouder of the Cedar team for creating what I believe is the most innovative affordability solution in healthcare today. Learn more about why leading providers like Novant Health, Baystate Health, ApolloMD, and The Iowa Clinic trust Cedar Cover to navigate today's increasingly complex coverage landscape https://lnkd.in/dFtdvSq9
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💡 Why our healthcare system is failing patients with complex needs I have been a healthcare provider for over 30 years. I am really disappointed. When you live inside the system long enough, you start to see its cracks. I’ve seen firsthand how our documentation, processes, and incentives don’t match the reality patients and families face. • Documentation ≠ reality → Charts say “stable” or “muscle spasm,” while patients live with daily pain, spasticity, infections, and loss of function. • Fragmented care → Neuro, urology, rehab, and primary care work in silos. No one owns the big picture, so families are forced to be their own coordinators and advocates. • Profit over patients → It’s easier (and more reimbursable) to prescribe another medication than to fight for inpatient rehab or comprehensive long-term planning. • Access barriers → World-class rehab centers exist, but most patients can’t get there because of insurance restrictions or lack of advocacy from the system. • Families carry the burden → Instead of investing in real independence training, adaptive equipment, and community support, we discharge patients home and assume loved ones will “make it work.” The result? Patients and their families are left carrying the weight of a system that prioritizes short-term fixes over long-term outcomes. It shouldn’t take relentless advocacy, begging, or luck to get comprehensive, compassionate care. 👉 Until we shift focus from billing codes to patient dignity, function, and long-term independence, stories like this will keep repeating. #HealthcareSystem #HealthcareReform #HealthEquity #PatientAdvocacy #HealthcarePolicy #SpinalCordInjury #spinalcordinjuryrehab #RehabilitationMedicine #DisabilityRights #AssistiveTechnology #LeadershipInHealthcare #FutureOfHealthcare #HealthcareInnovation #CareCoordination #HealthLeadership #PatientExperience #CaregiverSupport #HealthcareAccess #PatientsOverProfits #HumanCenteredCare
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Pluto Health just expanded to support Medicare, Medicaid, and major insurers like Aetna, UnitedHealthcare, and Blue Cross Blue Shield. On the surface, this looks like progress. But here is the real question. Why does it take a private AI startup to deliver the kind of accessible, preventive care that our public health infrastructure still struggles to provide? Nearly half of adults in the United States report difficulty affording care. More than a third delay basic screenings like those for cancer or diabetes. These are not minor issues. They lead to worsening conditions, unnecessary suffering, and billions of dollars in preventable long-term costs. So when a platform like Pluto uses AI to personalize care, streamline lab testing, and proactively close care gaps, people celebrate. But is this really a success story for innovation, or is it an indictment of the system that made this necessary? If a young company can pull together fragmented data, offer tailored care plans, and do so at little or no cost to the patient, why haven’t larger institutions done the same? What are we missing in the structure, incentives, or leadership of our national healthcare system? This is not just about technology. It is about accountability. It is about who gets care, who falls through the cracks, and why we keep waiting for someone else to fix it. #PlutoHealth #HealthEquity #AIinHealthcare #DigitalHealth #Medicare #Medicaid #AccessToCare #HealthTech #Cigna #Aetna #UnitedHealthcare #HealthJustice #LinkedInVoices #PatientCenteredCare
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Across the U.S., many Medicaid members live in communities where health care access is limited. In these neighborhoods, local pharmacies often serve as one of the most trusted and frequent points of contact for care. Research shows that individuals managing chronic conditions interact with their pharmacist three to four times more often than with their primary care provider—underscoring the critical role pharmacies play in closing care gaps. Through UnitedHealthcare’s Pharmacy Care Hub initiative and collaborations with networks like CPESN USA, we’re expanding the role of local pharmacies to provide more than medications. This initiative helps ensure members have access to acute and urgent care, even without home broadband service. This is how we’re helping bring care closer to home—one pharmacy at a time. #UHC #HealthEquity #PharmacyCare #MedicaidInnovation #Telehealth #CPESNUSA #CommunityHealth https://lnkd.in/e3yYC8eh
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UnitedHealthcare’s Kristi Fowler, Director of Medicaid Pharmacy Growth & Innovation, sits down with Madeline Clark, PharmD Clark, Lead of the CPESN Networks NextGeneration Luminary Initiative, to discuss: - How pharmacy practice expansion is addressing provider shortages and improving patient outcomes - Services pharmacies now offer, including chronic disease management, health coaching, point-of-care testing and virtual doctor visits - Why pharmacies are especially important for rural communities and trusted by patients Clark highlights how the UnitedHealthcare Community & State Pharmacy Care Hub transforms pharmacies into community care hubs, bringing health services closer to home, reducing avoidable utilization and ensuring members feel supported. By investing in pharmacy collaborations. Watch the full video to learn how local pharmacies are reshaping care delivery and helping close significant gaps in health outcomes. https://lnkd.in/g6uQXjHY
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In this infographic, get three takeaways from the HealthLeaders #CMO Exchange. HealthLeaders recently held its annual CMO Exchange in Utah, with roundtable discussions and workshops on issues including adoption of #artificialintelligence tools in clinical care, policy management and Centers for Medicare & Medicaid Services reporting, and #physician wellness. Learn about the HealthLeaders Exchange program on LinkedIn.
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Mobile Integrated Health is proven. EMS professionals are reducing ED visits, preventing readmissions, and improving patient outcomes. Yet reimbursement is stuck in the past. It’s time insurers and CMS stop debating whether MIH works and start funding the programs that already do. Full story from Orlando E Rivera DNP, MBA, RN : https://ow.ly/RMXE50X9hmK
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