How recent healthcare policy changes highlight the value of Medsien’s Remote Care Management services

As the new administration rolls out its healthcare policies, many providers and organizations are keeping a close eye on potential impacts, especially with changes to Medicare and Medicaid funding. However, Medsien’s Remote Care Management services—specifically Chronic Care Management (CCM) and Remote Patient Monitoring (RPM)—remain resilient in this evolving environment, offering cost-effective and preventative care that aligns well with the administration's broader goals.

Key policy changes: what you need to know

The new administration has introduced several critical changes to healthcare policies, focusing on:

• Medicare Advantage (MA) program reimbursements: Adjustments in reimbursements are intended to promote efficiency and reduce costs, but they may impact certain fee-for-service models.
• Medicaid funding structures: Shifts in funding approaches could affect how states manage their Medicaid programs, potentially leading to budget constraints for traditional care models.
• Value-Based Care Models: The administration is pushing for healthcare systems to prioritize outcomes and efficiency over volume, rewarding providers for quality care and cost management.

These changes reflect a clear shift toward preventative care and value-based models—areas where CCM and RPM services naturally excel.

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Preventative care: A key to reducing healthcare costs

Preventative care is a proven strategy for cutting healthcare expenses and improving patient outcomes. According to the Centers for Medicare & Medicaid Services (CMS), preventable hospital admissions cost Medicare over $30 billion annually. The administration aims to reduce these expenses through initiatives that emphasize keeping patients healthy and managing chronic conditions proactively.

Medsien’s CCM and RPM programs play a crucial role in this initiative by:

• Reducing hospital admissions: Through continuous monitoring and timely interventions, our services help prevent the escalation of chronic conditions that often lead to hospitalization.
• Lowering emergency room visits: By providing support and guidance to patients remotely, we help manage urgent health issues without the need for costly ER visits.
• Enhancing patient engagement: Our approach keeps patients actively involved in their healthcare, leading to better compliance and health outcomes.

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No impact from the Telehealth extension ending

With the scheduled end of the telehealth extension on March 31, many healthcare providers are concerned about how this change might affect their ability to deliver remote services. However, it is important to note that Medsien’s Remote Care Management services, including Chronic Care Management (CCM) and Remote Patient Monitoring (RPM), remain unaffected by this change. Unlike traditional telehealth visits, CCM and RPM services do not rely on real-time video or audio visits. Instead, they are built on ongoing, non-face-to-face care coordination and continuous monitoring, which continue to be fully reimbursed by Medicare and Medicaid. This ensures that practices partnering with Medsien can maintain uninterrupted care and revenue streams, even as telehealth flexibilities roll back.

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The financial impact of Remote Care Management

Remote care management services are not just good for patient health—they are also a smart financial choice:

• Hospital readmission reduction: Programs that focus on remote monitoring can reduce hospital readmissions by up to 25%, significantly cutting costs for Medicare and Medicaid.
• Cost davings for providers: By keeping patients healthier and reducing the need for in-person visits, providers can maintain revenue streams even as traditional reimbursement models shift.
• Alignment with Value-Based Care models: Our services directly support the administration’s goals by improving care quality and demonstrating measurable outcomes, which are key metrics in value-based payment systems.

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Why Medsien is positioned for success in the new healthcare landscape

While many healthcare providers may struggle to adapt to these new policies, Medsien's focus on preventative care through CCM and RPM services ensures that our partners remain insulated from potential financial and operational impacts. Our services:

• Mitigate risk from reimbursement changes: Because our model is built around consistent patient engagement and preventative care, reimbursement adjustments have less impact on our operations.
• Support Medicaid shifts: With adaptable programs that fit within new funding structures, we help practices continue providing high-quality care to Medicaid populations.
• Deliver value in Value-Based Care: Medsien offers measurable results, including lower costs and better patient outcomes, which are critical to thriving under value-based care initiatives.

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A clear path forward with Medsien

The evolving healthcare policy landscape presents challenges, but also opportunities for providers to align with new priorities around cost efficiency and patient outcomes. Medsien’s Remote Care Management services not only align perfectly with these goals but also provide a safety net for practices navigating the uncertainties of Medicare and Medicaid changes. By focusing on prevention and proactive patient management, Medsien helps providers maintain stability and success—regardless of policy shifts.

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^Sources:

1. ^{https://www.cms.gov/files/document/impact-readmissions-reduction-initiatives-report.pdf}
2. ^{https://www.beckershospitalreview.com/telehealth/klas-remote-patient-monitoring-reduces-admissions-readmissions-er-visits.html}
3. ^{https://www.theguardian.com/us-news/2025/mar/06/gop-budget-medicare-medicaid-cuts?utm_source=chatgpt.com}
4. ^{https://www.marketwatch.com/story/medicaids-future-is-so-murky-that-its-doomed-even-without-direct-cuts-to-senior-care-5f75168d}

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