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Digital Mental Health Technology - The Quick Breakdown
In this rapid-fire breakdown, Nixon Law Group Senior Counsel Reema Taneja and Digital Health Expert Michael Schellhous cut through the noise to explain the critical shifts in Digital Mental Health Treatment (DMHT) codes.
They cover what the DMHT codes actually reimburse, how they fundamentally differ from Remote Patient Monitoring (RPM) and Remote Therapeutic Monitoring (RTM), and the strict FDA/CMS requirements your device must meet. They unpack the major hurdles—from the lack of a national payment amount (MAC contractor pricing) to provider uptake challenges—and advise founders on how to position their companies for success despite these limitations.
This video is an essential resource for founders looking to understand the pathway to reimbursement and influence the future of digital mental healthcare policy.
CMS Announces MAHA ELEVATE Model: A New Opportunity to Shape Reimbursement for Lifestyle, Functional, and Whole-Person Care Services
CMS’s new MAHA ELEVATE Model offers $100M in funding to evaluate evidence-based lifestyle, functional, and whole-person care interventions not currently covered by Medicare. Launching in 2026, this initiative creates a pathway for healthcare innovators, digital health companies, and care organizations to influence future Medicare coverage and reimbursement for chronic disease prevention and management.
CMS Launches ACCESS Model: The Tools Directory Opportunity for Digital Health Vendors
The CMS ACCESS Model is a 10-year Medicare payment demonstration promoting outcomes-based reimbursement for chronic care management. For digital health vendors—from remote monitoring and wearables to interoperability platforms—the accompanying ACCESS Tools Directory creates a critical, new entry point into the Medicare ecosystem. This post breaks down the shift to Outcome-Aligned Payments (OAPs) and provides a compliance-forward strategy for listing your technology in the Directory to gain visibility and establish trust with Access Model Organizations (AMOs) before the July 1, 2026, launch.
Government Shutdown Looms: How the Medicare Telehealth Cliff Impacts Providers and Patients Starting October 1
Unless Congress acts by midnight, Medicare’s temporary telehealth flexibilities will expire on September 30, 2025. Starting October 1, many non-behavioral telehealth services face new limits, while behavioral health coverage and Medicare Advantage plans remain more flexible. Here’s what patients and providers need to know now.