Chronic Care Management Medicare Reimbursement Could Boost Patient Portal Use

Rick HindmandProvisions for separate payments for chronic care management (CCM) services included in the 2015 Medicare Physician Fee schedule support more flexibility in communications between healthcare provider and patient, notes Rick Hindmand, attorney with McDonald Hopkins, including the use of patient portals.

Hindmand, whose law firm advises a nationwide client base extensively on healthcare reimbursement, outlines communication scenarios expected to qualify for CCM service payments as well as suggestions for segmenting care transition management services provided under CCM and a second CMS initiative.

Rick Hindmand advised physician practices on how to best structure their organizations to optimize CCM reimbursement during a November 19, 2014 webinar, Chronic Care Management Medicare Reimbursement: New Revenue Opportunities for Care Coordination, a 45-minute program sponsored by The Healthcare Intelligence Network.


Length: 5:16 minutes

Adventist Health, Blue Shield of California Telehealth Collaboration Targets Underserved, Remote Patients

Robert MarchukA collaboration between Adventist Health and Blue Shield of California is improving access to specialist care and reducing inefficiencies through virtual telehealth visits.

In this collaboration, Blue Shield of California has contracted with Adventist Health specialists in a number of areas to make these specialties available to specific members in remote areas of northern California. We asked Robert Marchuk, vice president of ancillary services at Adventist Health, to share some of the aspects of this program with us in this audio interview. He addresses whether all Adventist providers within identified specialties are required to participate, and while the benefits to the patient are obvious, what do specialists gain from the experience? He also discusses how virtual encounters contribute to care coordination, and how patients’ primary care providers are kept in the loop.

During an October 15, 2014 webinar, Robert Marchuk will be joined by Christine Martin, director of operations for Adventist Health, and Lisa Williams, senior director of strategic integration and execution, healthcare quality and affordability for Blue Shield of California. They’ll discuss the inside details on the telehealth collaboration and their shared mission and values leading to the program’s success. The webinar, “Creating a Virtual Multi-Specialty Physician Network: A Payor-Provider Collaborative,” is sponsored by The Healthcare Intelligence Network.


Length: 5:56 minutes

Adventist Health-Blue Shield of California Multispecialty Telehealth Visits Save Members Time, Travel, Cost

Blue Shield of CaliforniaSelect Blue Shield of California health plan members in remote areas of the state no longer have to travel long distances or endure long waits for a wide range of specialty care, thanks to a “very deep” telehealth collaboration with Adventist Health, explains Lisa Williams, senior director of strategic integration and execution for Blue Shield of California. The visits are conducted at one of nine Adventist clinics in northern California with the help of specially trained telehealth coordinators who “present” the patient to the specialist via interactive video.

In this interview, Ms. Williams describes the patient selection process, the sophisticated clinical technology employed during specialty telehealth visits, the role of the telehealth care coordination center, and early feedback from patients on the experience. Ms. Williams also contrasts this telehealth collaboration with virtual visits available to consumers via cellphone or Internet for treatment of minor health complaints.

Lisa Williams will be joined by Robert Marchuk, vice president of ancillary services, Adventist Health, and Christine Martin, director of operations, Adventist Health during an October 15, 2014 webinar Creating a Virtual Multi-Specialty Physician Network: A Payor-Provider Telehealth Collaborative, a 45-minute program sponsored by The Healthcare Intelligence Network. The trio will share inside details on the collaboration and the shared mission and values of the organizations that is leading to the program’s success.


Length: 9:04 minutes