Reliq Health Technologies Inc V.RHT.H

Patient Copay

[lscfa]

I still don't believe Reliq mgmt when they say copay is not an issue. If patients have to pay 20% they will think twice about enrolling or staying on the plan long term.  

 

To qualify for reimbursement, CMS expects providers to ensure they follow these RPM requirements:

• Charge Medicare Part B patients a 20% percent copayment. This copay is generally not waivable, but it may be covered if a patient has supplemental coverage or Medicaid. Note: Commercial payers establish their own copay policies and may choose not to require a copay.

https://blog.prevounce.com/4-things-to-know-about-remote-patient-monitoring-reimbursement

[Lifeboat1]

IFSCA -  Here is why I don't see it as an issue. Dual eligible Medicare/Medicaid (25%) and Medigap (40%)  Medicare patients pay no deductible.  Many Medicare advantage plans (50%) also pay no deductible.  Greater than 65% of patients will pay no deductible and the number is probably 80% if you include Medicare advantage.

[Qwerty54321]

This sounds bleak. https://www.chartspan.com/blog/why-remote-patient-monitoring-rpm-is-a-wolf-in-sheeps-clothing/  

[EdinColorado]

What is the frequency of copay? Is co-pay just a one-time event when the monitoring goes online? In the U.S., copays are usually the least of the citizens' worry in affordability of our for-profit health system that bankrupts a half million citizens annually.  

[lscfa]

Copays are every month that clinician is billing Medicare.