For 2020, Medicare expands and refines Remote Physiologic Monitoring

In 2019, Medicare began to pay for clinics to monitor their patients remotely, under its Chronic Care Remote Physiologic Monitoring (RPM) program.  Recently finalized rules for 2020 expand the opportunity, while refining, if only slightly, what kind of care is expected. 

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Self-monitoring of Blood Glucose (SMBG): Making it simple & actionable for PWD on basal insulin

For people with diabetes (PWD), initiating basal insulin can be a very scary and complicated process. As clinicians, we all try to help PWD prioritize self-management activities that are necessary to make therapy adjustments including basal insulin titration.
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Overcoming therapeutic inertia with the help of technology

Therapeutic inertia is a multifactorial challenge for all of us in diabetes care. It relates to so much more than just failure to initiate or escalate therapy, and it involves many players - people with diabetes (PWD), healthcare providers (HCPs), health systems and payers.    

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How do Digital Therapeutics Apply to AADE7 Self-Care Behaviors®?

Digital therapeutics, such as insulin titration apps, are becoming more common as part of diabetes self-management, and consequently part of AADE7 Self-Care Behaviors®. Healthcare providers (HCPs) prescribe applicable digital tools to people with diabetes (PWD) who need help titrating their insulin. The AADE7® is a curriculum framework, used by diabetes educators, to assess and support the individualized needs of PWD. There are seven self-care behaviors: healthy eating, being active, monitoring, taking medication, problem solving, healthy coping, and reducing risks.

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Small Practices Well Positioned to Start Medicare’s New Remote Patient Monitoring

In the Fall of 2018, Medicare approved the rules for how they would pay for three new remote physiologic monitoring (RPM) codes.  These codes mark significant progress in payment for patient care occurring outside of the office.  There are requirements to learn, but they make sense for physicians and other qualified providers working with their staff in the care of patients with chronic disease.

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