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On February 28th, 2023, a Medicare Multi-Jurisdictional Contractor Advisory Committee (MJCAC) Meeting will be evaluating the Remote Physiologic Monitoring (RPM) and Remote Therapeutic Monitoring (RTM) for Non-Implantable Devices. The Alliance for Connected Care expects that the process of this meeting could lead to dramatic restrictions and/or payment cuts to RPM/RTM in Medicare.
The Alliance for Connected Care joined a letter, led by the Connected Health Initiative (CHI).
The Alliance for Connected Care and the American Telemedicine Association sent a letter on February 21, 2023.
The Alliance thanks those who have shared data around remote patient monitoring/remote therapeutic monitoring outcomes. Below is a list of those data. The data is needed in advance of the February 28 meeting and for additional engagement that may happen afterward.
Data
Longer-Term Effects of Remote Patient Management Following Hospital Discharge After Acute Systolic Heart Failure: The Randomized E-INH Trial
Longer-Term Effects of Remote Patient Management Following Hospital Discharge After Acute Systolic Heart Failure: The Randomized E-INH Trial
Background: The randomized INH (Interdisciplinary Network Heart Failure) trial (N = 715) reported that 6 months’ remote patient management (RPM) (HeartNetCare-HF) did not reduce the primary outcome (time to all-cause death/rehospitalization) vs usual care (UC) in patients discharged after admission for […]
Heart Failure Drug Treatment-Inertia, Titration, and Discontinuation: A Multinational Observational Study (EVOLUTION HF)
Heart Failure Drug Treatment-Inertia, Titration, and Discontinuation: A Multinational Observational Study (EVOLUTION HF)
Background: Guidelines recommend early initiation of multiple guideline-directed medical therapies (GDMTs) to reduce mortality/rehospitalization in patients with heart failure and reduced ejection fraction. Understanding GDMT use is critical to improving clinical practice.
Objectives: This study sought to describe GDMT use in Japan, Sweden, and the United States […]
Diabetes Technology: Standards of Care in Diabetes—2023
Diabetes Technology: Standards of Care in Diabetes—2023
The American Diabetes Association (ADA) “Standards of Care in Diabetes” includes the ADA’s current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Members of the ADA Professional Practice Committee, a multidisciplinary expert committee, are responsible for […]
Safety, tolerability and efficacy of up-titration of guideline-directed medical therapies for acute heart failure (STRONG-HF): a multinational, open-label, randomised, trial
Safety, tolerability and efficacy of up-titration of guideline-directed medical therapies for acute heart failure (STRONG-HF): a multinational, open-label, randomised, trial
Background: There is a paucity of evidence for dose and pace of up-titration of guideline-directed medical therapies after admission to hospital for acute heart failure.
Methods: In this multinational, open-label, randomised, parallel-group trial (STRONG-HF), patients aged 18-85 years admitted to […]
Results of a Remotely Delivered Hypertension and Lipid Program in More Than 10 000 Patients Across a Diverse Health Care Network
Results of a Remotely Delivered Hypertension and Lipid Program in More Than 10 000 Patients Across a Diverse Health Care Network
Importance Blood pressure (BP) and cholesterol control remain challenging. Remote care can deliver more effective care outside of traditional clinician-patient settings but scaling and ensuring access to care among diverse populations remains elusive.
Objective To implement and evaluate a remote hypertension and cholesterol […]
Prescribe FIT: Prescribe FIT Releases Comprehensive Report on the State of Remote Patient Monitoring Technology for Orthopedics Today
Prescribe FIT: Prescribe FIT Releases Comprehensive Report on the State of Remote Patient Monitoring Technology for Orthopedics Today
A white paper from Prescribe FIT outlines the current landscape for remote monitoring, analyzing data on its ubiquity and efficacy. The white paper references a review of several studies that demonstrate remote monitoring to […]
Telemedicine management of type 2 diabetes mellitus in obese and overweight young and middle-aged patients during COVID-19 outbreak: A single-center, prospective, randomized control study
PLoS One: Telemedicine management of type 2 diabetes mellitus in obese and overweight young and middle-aged patients during COVID-19 outbreak: A single-center, prospective, randomized control study
Objective: The coronavirus disease-2019 (COVID-19) pandemic severely affected the disease management of patients with chronic illnesses such as type 2 diabetes mellitus (T2DM). This study aimed to assess the effect of telemedicine management of […]
Efficacy of telemedicine for the management of cardiovascular disease: a systematic review and meta-analysis
Efficacy of telemedicine for the management of cardiovascular disease: a systematic review and meta-analysis
Background: Telemedicine has been increasingly integrated into chronic disease management through remote patient monitoring and consultation, particularly during the COVID-19 pandemic. We did a systematic review and meta-analysis of studies reporting effectiveness of telemedicine interventions for the management of patients with cardiovascular conditions.
Methods: In this […]
Initial Experience with Telemedicine for Interstage Monitoring in Infants with Palliated Congenital Heart Disease
Pediatric Cardiology: Initial Experience with Telemedicine for Interstage Monitoring in Infants with Palliated Congenital Heart Disease
Infants with staged surgical palliation for congenital heart disease are at high-risk for interstage morbidity and mortality. Home monitoring programs have mitigated these risks. This study examines caregivers and clinicians of the Infant Single Ventricle Monitoring Program (ISVMP). All consecutive patients discharged following neonatal operation/intervention […]
A telemedicine-based approach with real-time transmission of blood glucose data improves metabolic control in insulin-treated diabetes: the DIAMONDS randomized clinical trial
J Endocrinol Invest: A telemedicine-based approach with real-time transmission of blood glucose data improves metabolic control in insulin-treated diabetes: the DIAMONDS randomized clinical trial
Purpose: To evaluate if a web-based telemedicine system (the Glucoonline® system) is effective to improve glucose control in insulin-treated patients with type 1 and type 2 diabetes, as compared to standard of care.
Methods: This was a prospective, […]
Interest in RPM, Personal Health Tech Adoption Lagging Among Clinicians
mHealth Intelligence: Interest in RPM, Personal Health Tech Adoption Lagging Among Clinicians
A report by Alliance board member Walmart, in collaboration with Medscape, found that though most rural and non-rural health care professionals believe remote patient monitoring (RPM) might benefit patients, only about half are interested in using it. Medscape surveyed 10,045 US health care professionals between […]
Recent Study Highlights the Outcome and Safety Benefits of Remote Patient Monitoring During the Pandemic and Beyond
Business Wire: Recent Study Highlights the Outcome and Safety Benefits of Remote Patient Monitoring During the Pandemic and Beyond
A study published in the Journal of American Medical Association (JAMA) found that, through recent technological advances in remote monitoring, a patient’s physiological needs can now more often be the primary factor in determining the level of monitoring […]
AMA Survey Shows Widespread Enthusiasm For Telehealth
American Medical Association: AMA Survey Shows Widespread Enthusiasm For Telehealth
A survey by the American Medical Association (AMA) found that 85 percent of physicians now use telehealth and 70 percent plan to continue using virtual services after the pandemic. However, only eight percent of physicians currently use remote patient monitoring. The survey also found that […]
Effectiveness of Remotely Delivered Interventions to Simultaneously Optimize Management of Hypertension, Hyperglycemia and Dyslipidemia in People With Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Frontiers in Endocrinology: Effectiveness of Remotely Delivered Interventions to Simultaneously Optimize Management of Hypertension, Hyperglycemia and Dyslipidemia in People With Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Background: Remotely delivered interventions may be more efficient in controlling multiple risk factors in people with diabetes.
Purpose: To pool evidence from randomized controlled trials testing remote management interventions to simultaneously control blood […]
Optimizing Foundational Therapies in Patients With HFrEF: How Do We Translate These Findings Into Clinical Care?
Optimizing Foundational Therapies in Patients With HFrEF: How Do We Translate These Findings Into Clinical Care?
Given the high risk of adverse outcomes in patients with heart failure and reduced ejection fraction (HFrEF), there is an urgent need for the initiation and titration of guideline-directed medical therapy (GDMT) that can reduce the risk of morbidity and mortality. Clinical practice […]
Remote Patient Monitoring During COVID-19
JAMA Network: Remote Patient Monitoring During COVID-19
COVID-19 has advanced patient safety in an unexpected way. Before the COVID-19 pandemic, patient monitoring for harm and many approaches to prevent harm were linked to where the patient was treated in the hospital.
A report based on data prior to the COVID-19 pandemic suggested that routinely monitoring hospitalized patients with continuous pulse oximetry […]
How remote patient monitoring (RPM) can increase access to care
How remote patient monitoring (RPM) can increase access to care
As the COVID-19 pandemic sweeps through the world, healthcare providers and patients are struggling to reconcile the need for continuity in care with the risks posed by the coronavirus. The crisis has also shed light on existing issues with access to care faced by patients in rural, […]
Remote Monitoring, Telehealth Use Linked to Tighter Blood Pressure Control
mHealth Intelligence: Remote Monitoring, Telehealth Use Linked to Tighter Blood Pressure Control
According to a recent study, telehealth services, combined with remote patient monitoring, helped boost engagement and blood pressure control among stroke survivors living in under-resourced communities. The group that received care through the Telehealth After Stroke Care strategy had higher patient engagement […]
Home Blood Pressure Telemonitoring With Remote Hypertension Management in a Rural and Low-Income Population
Home Blood Pressure Telemonitoring With Remote Hypertension Management in a Rural and Low-Income Population
The 2017 American College of Cardiology/American Heart Association blood pressure (BP) guideline provides a Class IA recommendation for the use of home BP monitoring, team-based care, and telehealth strategies to improve BP control among patients with hypertension.1 However, most studies have been […]
Mayo Clinic RPM Model Improves Outcomes for Acute COVID-19 Treatment
mHealth Intelligence: Mayo Clinic RPM Model Improves Outcomes for Acute COVID-19 Treatment
According to a study by Mayo Clinic, remote patient monitoring programs are safe, feasible, and yield positive health outcomes for acute COVID-19 treatment. The health system expanded its multi-state RPM program during the pandemic to treat patients with the virus at home, adapting an original RPM program that […]
At Mount Sinai, RPM provides more equal access to cancer care
At Mount Sinai, RPM provides more equal access to cancer care
With eight hospital campuses across the New York metropolitan area and a large regional ambulatory footprint, Mount Sinai is committed to improving health equity and access to care. Its expertise in population health, along with its service to socioeconomically, demographically and culturally varied populations, means Mount Sinai is uniquely positioned […]
An overview of the effect of telehealth on mortality: A systematic review of meta-analyses
An overview of the effect of telehealth on mortality: A systematic review of meta-analyses