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The Trump administration proposed major changes to Medicare payment policies that will block third-party vendors from remote patient monitoring. The changes, health tech leaders say, will significantly disrupt services that help patients manage conditions like diabetes and hypertension. The policy change, tucked inside a hefty Medicare physician pay draft rule released this week, marks a shift with far-reaching implications for RPM companies, primary care physicians, hospitals and health systems by eliminating third-party vendors.
The nonprofit Coalition for Health AI (CHAI) has launched an initiative designed to help public health agencies responsibly evaluate, implement and scale generative AI. OpenAI and Anthropic have donated 10 enterprise licenses, with up to 2,000 seats available for public health practitioners for PULSE (Public health Use case and Learning Scaling Engine). As part of this initiative, CHAI's leadership council will select participating entities, assign individuals to their preferred use-case communities of practice, and work with Accenture's AI and public health experts to manage onboarding and develop playbooks across five key use cases.
Stakeholders Applaud CMS’ Proposed Changes to MSSP
As part of the 2027 Medicare Physician Fee Schedule, the Centers for Medicare & Medicaid Services proposed several changes to the Medicare Shared Savings Program (MSSP) that seemed to please accountable care organization stakeholders. CMS said the proposals would make Medicare ACOs easier to join and more rewarding to participate in, transition clinicians away from traditional Merit-based Incentive Payment System (MIPS) reporting toward more meaningful value-based care pathways, and update physician payment policies to better reflect modern clinical practice.
What AHA's Affordability Recommendations Mean for Patients
The healthcare system writ large must do more to address patients’ concerns with the cost of care. In the AHA’s “Making Health Care More Affordable: A Blueprint to Lower Costs, Improve Access and Enhance Quality,” America’s hospitals and health systems put forward several concrete ideas to reduce premiums and cost-sharing, as well as help patients avoid more complex and costly care in the future.
How Should Clinical AI Be Paid For? 3 Takeaways
AI is increasingly being used in clinical settings and has the potential to improve patient outcomes, but today’s payment models are limiting its adoption, according to a report released last week from the Peterson Health Technology Institute (PHTI). “The decisions we make today on how to pay for AI-enabled clinical care will shape not only the pace of clinical AI adoption, but the impact on our healthcare system for years to come,” PHTI said.
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