Roughly 14.5 million Americans signed up for health insurance through the Affordable Care Act exchanges for 2022, a 21% increase over last year and the highest volume since the law was signed 12 years ago according to a new HHS report.

Overview; CCM, PCM and RTM Program Updates:

If you are planning to offer, or currently offer chronic care management or remote monitoring services to your patients, CMS is providing more financial incentive with new billing codes and increased reimbursement rates. 

CMS significantly increased the reimbursement rate for Chronic Care Management and created a new add-on code for provider time spent managing CCM patients.  

Principal Care Management also received a significant reimbursement increase...

Diagnostic excellence in the care of older adults requires awareness of the risks of errors of commission (overtesting and overtreatment) as well as the risks of omission (missing a diagnosis because of mistaken assumptions or faulty heuristics). A personalized approach to setting goals of care is desirable for all patients, and it is especially important for older adults.

For 2022, new codes have been added to the care management group, some have been modified for clarity, and others have been tweaked to better match their Medicare G-code counterparts.

Digital health innovations hold great promise for improving healthcare delivery, but their implementation at scale is often undermined by reimbursement challenges.

The AMA has created a framework for development and use of AI, building on AMA policy for augmented intelligence (PDF) and the latest research and viewed through the lenses of ethics, evidence and equity: Trustworthy Augmented Intelligence in Health Care.