New RPM reimbursement guide, V2R methodology, and where we'll be this fall — DoW/VA Summit and HITLAB. ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­    ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­  
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We're at an inflection point most of the industry hasn't priced in yet. AI has made building software fast and cheap - but in health care, speed only matters if it holds up under audit, works at population scale, and earns a clinical team's trust before it earns their adoption.

 

That's the thinking behind V2R™ - Vision-to-Results, which you'll read a bit about in this issue. We didn't set out to build a faster methodology. We set out to stop writing documents that decay the moment they're signed, and put our clinical and mission experts where their judgment actually compounds - inside the build, not in front of a requirements deck.

 

The result, on a recent federal engagement, was a redesign that would normally take a year and a half landing in under three months. I'll be talking more about this in person this fall - at the DoW/VA Health IT Summit in October and at HITLAB Fall Innovators Summit in December - because the conversation happening in rooms like those is the same one driving this shift industry wide: government, payment, and platform all pointing at the same target at the same time.

 

We built Life365 to be ready for that convergence. 

 

Kent Dicks

CEO & Founder, Life365

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Life365 at the DoW/VA & Government Health IT Summit

Dow-VA-Health-Summit-Connect

 

Life365 is exhibiting at the 30th DoW/VA & Government Health IT Summit, October 20–21, 2026, in Washington, DC.

  • CEO Kent Dicks and Life365's Government and Clinical Advisor Shanna Woyak, will represent Life365 at the summit.
  • The event convenes senior leaders from the Department of War, VA, DHA, and federal health IT stakeholders to discuss EHR modernization, interoperability, and digital health for Veterans and Servicemembers.
  • More information: healthit.dsigroup.org

Want to connect with us at the summit? Contact us directly below to set up a meeting.

Connect with Us

2026 RPM Reimbursement Guide:

Your Quick Reference for

CPT Codes & Requirements

Looking for a clear, practical reference for Remote Patient Monitoring reimbursement? Our 2026 RPM Reimbursement Guide brings the key information together in one place, including:

  • The current RPM CPT codes
  • New codes 99445 and 99470
  • Requirements and documentation tips 
  • Guidance for FQHCs and RHCs
  • Frequently asked questions

Whether you’re running an existing RPM program, expanding one, or evaluating the opportunity, this guide can help your team better understand the reimbursement landscape and the requirements behind it.

 

Download the free 2026 RPM Reimbursement Guide:

reimbursement-guide-2
Download the Guide
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Life365 CEO Kent Dicks will be speaking at the HITLAB Fall Innovators Summit!

 

What is the HITLAB Fall Innovators Summit?

This three-day convening will bring together leaders across digital health, life sciences, health systems, artificial intelligence, investment, and policy to explore the technologies, partnerships, and innovations shaping the future of healthcare.

 

The program will feature:

  • Curated keynote discussions and executive panels
  • Innovation showcases and technology demonstrations
  • Investor and health system perspectives
  • Networking receptions and curated roundtables
  • Cross-sector collaboration opportunities with startups, payers, providers, industry leaders, and policymakers

The Summit will take place at:

Microsoft Technology Center | Times Square, New York City

December 1–3, 2026

 

Get tickets

 

Learn More About the Summit

📢  Policy Updates

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CMS Adds Medicare Options to ACCESS to Help People Manage Substance Use Disorder, Heart Failure, and Other Common Chronic Conditions

Starting spring 2027, CMS will expand its ACCESS Model to cover heart failure, COPD, substance use disorders, and tobacco cessation, plus extend musculoskeletal pain support beyond the initial 12-month period. ACCESS uses an outcomes-based payment approach and is currently available to 160 participating organizations serving Original Medicare beneficiaries with conditions like hypertension, diabetes, chronic pain, and depression; Medicare Advantage enrollees remain ineligible.

 

Read the announcement on CMS.gov, here.

 

AMA Files 171-Page Comment Letter on 2027 Physician Fee Schedule

The American Medical Association submitted extensive comments to CMS on the proposed 2027 Medicare Physician Fee Schedule, pushing back on several provisions including the remote monitoring changes, same-day E/M billing, and maternity care coding. On remote monitoring specifically, the AMA raised concerns alongside its broader recommendations that CMS revise a number of proposed policies before finalizing the rule.

 

Read more, here.

 

Rural Health Transformation Program: Year 1 Closing, Year 2 Awards Approaching

The Rural Health Transformation Program's first budget period is wrapping up as CMS prepares to announce next year's state allocations. Key dates:

Proposed:

  • October 2026 – States face their deadline to obligate first-year award funds

  • September 30, 2027 – Deadline for states to actually spend Year 1 awards

     
  • October 31, 2026 – CMS will announce each state's Year 2 (FY2027) workload-based allocation - the baseline half of funding (50% of the pot, split equally among approved states) is already locked in for all five years, but the workload-based half is recalculated and announced annually, about a year ahead of each budget period

  • States are already opening Year 2 planning cycles

Read more, here.

📰 Quick Bytes - What We're Tracking

September-Quickbytes

Inside Health Policy – RPM makers see drawbacks to current ACCESS model, stress need for provider role

CMS' new ACCESS payment model is drawing concern from digital health leaders who worry it could deepen the split between patients and their physicians, since it relies on consumer wellness devices that often don't connect back to a care team. One RPM executive pointed to companies like Whoop, Oura, and Withings marketing devices as "free with Medicare" while not interacting with the physician. He also warned the model isn't built for complex, multi-condition patients - those with heart failure or other serious comorbidities - because it doesn't provide enough clinical oversight to manage them. The Alliance for Connected Care's Chris Adamec added that ACCESS doesn't offset losses providers face under CMS's proposed RPM reimbursement cuts, and both called for tighter coordination requirements between ACCESS participants and treating physicians.

 

Read the article – here.

 

Becker's Health IT – 35 health systems urge CMS to drop proposed remote patient monitoring ban

More than 230 organizations, including 35 health systems, are urging CMS to drop the 2027 physician fee schedule's proposal to restrict how remote patient monitoring services can be staffed. Organized by the Alliance for Connected Care, the coalition — which includes Ascension, Mass General Brigham, Stanford Health Care, and Yale New Haven Health — argues the change would disrupt care for roughly 1 million Medicare beneficiaries who use remote monitoring to manage chronic conditions at home. The American Hospital Association said the proposal would cause "immediate and significant disruption" to existing RPM programs.

 

Read the article – here.

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Introducing V2R™ - Vision-to-Results

Most delivery methods spend months writing documents before anyone sees working software. V2R skips the document. It turns vision straight into bars - concrete, beatable references - and builds against them with the experts still in the room. On a recent engagement with a global consulting and technology partner, a federal health assessment redesign that would normally take twelve to eighteen months landed in two to three, because the platform underneath it was already wired.

 

What it does:

  • Sets bars, not requirements. Every capability is measured against something real - the current instrument, the incumbent completion time, a conformance suite - not a sentence that can be argued down in a status meeting. 

  • Builds and checks separately. AI critics score the work against the bar continuously; a named human expert rules on clinical soundness. The builder never grades its own work.

  • Lands on a harness, not a demo. Every prototype plugs into the same wired platform - records, identity, devices, accreditation - so it becomes production instead of getting rebuilt from scratch.

  • Proves value before anyone commits. Simulation runs the capability at population scale against near-real data, producing the value case and a clinical sign-off before hardening begins.

More on V2R soon.

Learn more about CloudCare

Ready to Go Beyond

Remote Patient Monitoring?

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Discover proactive care with Life365. Our platform delivers real-time insights, enabling early intervention and personalized care that reduces costs and enhances patient outcomes. View our solutions today.

 

View Our Solutions

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