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Health Insurance Payment for Telehealth Services: Scoping Review and Narrative Synthesis

Health Insurance Payment for Telehealth Services: Scoping Review and Narrative Synthesis

Introducing telehealth into health insurance reimbursement has become a significant trend. This scoping review offers insights into the major trends, challenges, and gaps in global telehealth reimbursement policies. By reviewing the current characteristics of telehealth insurance coverage, payment standards, and other relevant factors, this study provides a theoretical foundation for the development of telehealth reimbursement policies.

Qingqing Li, Feng Cheng, Huatang Zeng, Junfang Xu

J Med Internet Res 2024;26:e56699

Factors Impacting the Adoption and Potential Reimbursement of a Virtual Reality Tool for Pain Management in Switzerland: Qualitative Case Study

Factors Impacting the Adoption and Potential Reimbursement of a Virtual Reality Tool for Pain Management in Switzerland: Qualitative Case Study

Reimbursement may happen via the mandatory insurance or through a supplementary route. One suggestion for reimbursement through the mandatory health insurance was via the so-called Mi Ge L (German: mittel und gegenständeiste which translates to means and object list; Nova Cantica). This exhaustive list for reimbursable tools for the use outside the hospital, was proposed by the federal ministry of health.

Josefine Lurtz, Thomas C Sauter, Christine Jacob

JMIR Hum Factors 2024;11:e59073

Unintended Consequences of Data Sharing Under the Meaningful Use Program

Unintended Consequences of Data Sharing Under the Meaningful Use Program

If covered providers do not submit data, their rate of reimbursement is reduced. Although interoperability has been designed to improve the quality and efficiency of patient care, there are unintended consequences of data sharing. To date, few articles have examined the negative consequences of data sharing by providers to governmental entities [5,6]. Data must be generated before it can be shared, so this article begins with clinical data generation.

Irmgard Ursula Willcockson, Ignacio Herman Valdes

JMIR Med Inform 2024;12:e52675

Evaluation of Telehealth Services that are Clinically Appropriate for Reimbursement in the US Medicaid Population: Mixed Methods Study

Evaluation of Telehealth Services that are Clinically Appropriate for Reimbursement in the US Medicaid Population: Mixed Methods Study

Considering the study’s objective to discern the clinical justifiability for telehealth reimbursement, engaging MMDs as respondents for this survey was ideal. The survey was designed to capture MMD’s viewpoints on Medicaid’s reimbursement and benefit coverage policies for telehealth services extending beyond the PHE phase (Multimedia Appendix 1).

Sanjeev Saravanakumar, Andrey Ostrovsky

J Med Internet Res 2024;26:e46412

Stakeholders’ Perceptions Regarding Digital Therapeutics Reimbursement in South Korea: Qualitative Study

Stakeholders’ Perceptions Regarding Digital Therapeutics Reimbursement in South Korea: Qualitative Study

The participants responded that the reimbursement of DTx is necessary to improve patients’ health and enhance the financial stability of the NHI fund. However, some participants were cautious about reimbursement due to uncertainties about DTx’s effectiveness and acceptability. Nevertheless, the industry participants considered reimbursement important for securing a stable market and recognizing DTx to be distinct from general wellness products.

Boram Sim, Jin Han Ju, Byungsoo Kim, Jin Yong Lee

JMIR Mhealth Uhealth 2023;11:e47407

Digital Health Reimbursement Strategies of 8 European Countries and Israel: Scoping Review and Policy Mapping

Digital Health Reimbursement Strategies of 8 European Countries and Israel: Scoping Review and Policy Mapping

Table 2 shows the details of country-specific digital health reimbursement. PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flowchart of the screening process. Country-specific details on the reimbursement and financing of digital health solutions and apps. Reimbursement of digital health solutions does not focus on reimbursing the solution itself.

Robin van Kessel, Divya Srivastava, Ilias Kyriopoulos, Giovanni Monti, David Novillo-Ortiz, Ran Milman, Wojciech Wilhelm Zhang-Czabanowski, Greta Nasi, Ariel Dora Stern, George Wharton, Elias Mossialos

JMIR Mhealth Uhealth 2023;11:e49003

Barriers to Creating Scalable Business Models for Digital Health Innovation in Public Systems: Qualitative Case Study

Barriers to Creating Scalable Business Models for Digital Health Innovation in Public Systems: Qualitative Case Study

There is a recognized need for health systems to align reimbursement, policies, and infrastructure with the unique care pathways involving digital health solutions to increase their uptake [12,13]. Innovation in digital health is largely driven by SMEs, which include businesses with fewer than 500 employees.

Leah Taylor Kelley, Jamie Fujioka, Kyle Liang, Madeline Cooper, Trevor Jamieson, Laura Desveaux

JMIR Public Health Surveill 2020;6(4):e20579

Prenatal Remote Monitoring of Women With Gestational Hypertensive Diseases: Cost Analysis

Prenatal Remote Monitoring of Women With Gestational Hypertensive Diseases: Cost Analysis

The costs for the RIZIV were calculated using the Belgium national reimbursement tariffs [12]. The costs for the patients were the HCS costs minus the RIZIV costs. The four major domains in which the costs are divided and their subcategories are presented subsequently. A detailed overview of the included costs are presented in Multimedia Appendix 1.

Dorien Lanssens, Thijs Vandenberk, Christophe JP Smeets, Hélène De Cannière, Sharona Vonck, Jade Claessens, Yenthel Heyrman, Dominique Vandijck, Valerie Storms, Inge M Thijs, Lars Grieten, Wilfried Gyselaers

J Med Internet Res 2018;20(3):e102