Getting Paid (more) for Telehealth by Leveraging Mental Health Parity

About this Event

This is an advanced session for healthcare lawyers, general counsel, contracting VPs, C-suite, consultants.

Healthcare providers and technology companies looking to launch a new telemedicine or mHealth program may find an unexpected ally in commercial health plans. Healthcare providers looking to launch a new telemedicine or mHealth program may find an unexpected ally in commercial health plans. But they need to understand how and what mechanisms to trigger. For example, in mental health, most fail since they are unaware of mental health parity leverage points.

A Carenodes Network provider noted that one private payer in Mississippi won’t cover telehealth even though it’s mandated by the state, and another one of our providers said health plans in New York have found a way to reimburse for telehealth at only half the rate of in-person coverage.

We will discuss these cases, outcomes, and how we managed to obtain better reimbursement terms and partnerships — substantially improving client position and patient access.

This method has demonstrated an average of 46% increase in topline payer reimbursement for healthcare providers.

RELATED FREE CONTENT (ON DEMAND)

For those seeking to learn more about practical tools from payer executives, see Mental Health Parity: Provider Guidance Session and Q/A with Payer Executive https://www.youtube.com/watch?v=E5pG319Wd7o&t=323s

Chris Esguerra, MD and Alex Yarijanian address mental health parity and what providers can do to hold health plans accountable. These two executives provide tools/tips/resources behavioral healthcare providers and startups can use to hold payers accountable to equitable access to mental healthcare.

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