Commercial Payers Trail Medicare in Coverage of Digital Medicine

The lack of commercial coverage for digitally enabled care is a roadblock to affordable access to these medical services, according to the American Medical Association.

The model of integrating digitally enabled care with in-person care is not yet realized, according to AMA president Dr. Jesse M. Ehrenfeld.

This is based on new research from the AMA and Manatt Health. The research summarizes publicly available coverage policies created by commercial health insurers for 21 unique digital medicine services, as identified and defined by Current Procedural Terminology (CPT) codes used for reporting healthcare procedures and services.

The 21 digital medical services fall into four categories: remote physiologic monitoring, remote therapeutic monitoring, electronic consultations and electronic visits, Healthcare Finance reports. Read more.

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