Medicare remote care policy
Remote care policy for care at home
HealthEverywhere tracks the Medicare, CMS, HHS, OIG, and AI oversight decisions shaping remote patient monitoring, telehealth, and care-at-home models.
Policy intelligence for remote care
Use HealthEverywhere as a fast entry point into the federal policy signals that affect remote monitoring, virtual care, home-based care delivery, and emerging AI oversight.
Medicare
Remote care rules
Coverage, billing, documentation, consent, and oversight issues for RPM, RTM, telehealth, and home-based care.
Policy Watch
What changed and why it matters
Source-linked updates on CMS, HHS, OIG, Congress, Medicare Advantage, and care-at-home policy changes.
AI Watch
AI in remote monitoring
How algorithms, prior authorization, device data, FDA oversight, and bias risks are changing remote care policy.
Latest policy signals
Recent posts are organized around practical reader questions: what changed, who is affected, and where to verify the primary source.
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How AI Is Changing the Alerts That Keep Medicare Patients Out of the Hospital
AI Watch Remote patient monitoring was once a simple data-collection exercise — a blood pressure reading transmitted, a nurse alerted if the number crossed a threshold. Artificial intelligence is fundamentally changing that model, shifting from reactive alerts to individualized predictive risk scoring that can flag deterioration before any vital sign crosses a static cutoff. From…
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The Bias Problem in AI-Assisted Remote Monitoring: What CMS and the FDA Still Haven’t Fixed
AI Watch As AI-driven remote patient monitoring scales across Medicare, a critical question remains unanswered: are these algorithms working equally well for everyone? Research published in 2026 confirms that AI models built on decades of unequal healthcare utilization data can replicate and amplify those inequities — producing less accurate risk alerts for low-income, rural, and…
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UnitedHealthcare Tried to Cancel Remote Monitoring for Most Medicare Patients. Here’s Why It Matters.
Policy Watch In late 2025, UnitedHealthcare announced it would stop covering remote patient monitoring for nearly all conditions starting January 1, 2026 — including chronic hypertension, diabetes, and COPD — affecting millions of Medicare Advantage members. The policy would have limited RPM coverage to only heart failure and pregnancy hypertension patients. The backlash was immediate.…
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AI Is Now Deciding Medicare Prior Authorizations — and Nobody Knows How It Works
Policy Watch Since January 1, 2026, Medicare patients in six states have had their care requests evaluated by an AI system called WISeR — the Wasteful and Inappropriate Service Reduction model, a CMS pilot active in New Jersey, Ohio, Oklahoma, Texas, Arizona, and Washington. The program screens Medicare prior authorization requests for services deemed “low-value,”…
What we track
HealthEverywhere focuses on the operational policy topics that determine whether remote care becomes durable, accountable, and accessible.
RPM and RTM
Coverage, device data, time, consent, clinical use, and billing clarity.
Telehealth access
Permanent authority, service lists, originating site rules, and audio-only policy.
AI oversight
Prior authorization, algorithmic bias, FDA software policy, and patient trust.
Program integrity
Documentation, supplier relationships, billing patterns, audits, and OIG findings.
Need the primary sources?
The resources page collects CMS, HHS, OIG, and federal policy references for Medicare telehealth, remote monitoring, and care-at-home issues.