2. Major Federal Issues Coordination Several roles Many agencies Federal reimbursement to support federal investment Reform health care delivery
3. Medicare Barriers Only rural counties (21% of beneficiaries) No store & forward in “lower 48” No remote patient monitoring Limited originating sites Limited providers Only specific procedures
4. Priority 2011 Issues Advancing & using health tech Payment & service innovation CMMI Care coordination – teams, HIE Accountable care orgs Independence at Home Medicare barriers
5. Other Federal Action Spending / budget Medicare privileging FCC telecomm wireless rural health FDA medical devices EHR meaningful use 2013
6. Major State Issues California report Medicaid health home Virginia model on telehealth-provided covered services Licensure
7. ATA Actions 6 ATeams on policy The HUB ATAwiki Congressional proposals Administration proposals Tampa – May 1-3 DC – July 27
FY11 – now until 9/30 3/18Debt ceilingCong budget planFY12 – beginning 10/1 Biggest targets are unobligated moneyPPACA defund ACOs – any day waiver – 1834(m) I@H CMMI
6 policy ATeams + one SIG policy work group Medicaid remote prescribing coding – CPT/HCPCS telehealth data exchange teleICU 3 home telehealth & RPM telemental health SIGHill Medicare expansions Ways to package with payment innovationsCMS – 6 things the Admin can do