Category: Legislation

CMS Announces Final Rules for Medicare Advantage Telehealth Benefits

On April 5, 2019, CMS issued final rules (the Final Rule) implementing various provisions of the 2018 Bipartisan Budget Act (the 2018 Budget).  The 2018 Budget includes provisions allowing Medicare Advantage plans to provide telehealth benefits as basic benefits, which are paid for by the Medicare program, rather than...

Contract Year 2020 Medicare Advantage and Part D Flexibility Final Rule (CMS-4185-F)

Contract Year 2020 Medicare Advantage and Part D Flexibility Final Rule (CMS-4185-F) On April 5, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates the Medicare Advantage (MA or Part C) and Medicare Prescription Drug Benefit (Part D) programs by promoting innovative plan...

Medicare coverage for telehealth has expanded but still has limits

The expansion of telehealth is changing the landscape of health care. This is the second in a four-part series exploring what providers should know about this growing area. Before 2015, Medicare did not pay separately for telehealth, and telehealth and telemedicine services were bundled into “evaluation and management” codes....

CMS Updates MA Flexibility to Allow Telehealth Patient Care Access

The rule updates give Medicare Advantage plans the flexibility to offer telehealth as a covered benefit, boosting patient care access. By Sara Heath April 09, 2019 – CMS has finalized updates that would introduce telehealth as a covered benefit in Medicare Advantage plans, which will ideally improve patient care access....

CMS Finalizes Telehealth Expansion for Medicare Advantage Plans

CMS has finalized new rules unveiled last year that will expand telehealth access and reimbursement for the growing number of Americans in Medicare Advantage plans – and their doctors. By Eric Wicklund April 08, 2019 – The Centers for Medicare & Medicaid Services has finalized its plan to expand telehealth...

New CMS ruling expands telehealth access to Medicare Advantage patients

The new ruling will expand access geographical and plans will have more flexibility in payment models. By Laura Lovett Come 2020, Medicare Advantage (MA) members will have more access to virtual care visits, according to a new ruling from the Centers for Medicare and Medicaid Services that was finalized...

Home Care Providers Look Ahead as Medicare Advantage Evolution Continues

Home care providers slow to chase Medicare Advantage business opportunities may now be motivated to speed up their pursuits. Last week, the Centers for Medicare & Medicaid Services (CMS) announced it was broadening the range of supplemental benefits Medicare Advantage (MA) plans can offer in 2020. Starting next year,...

CMS finalizes policies to bring innovative telehealth benefit to Medicare Advantage

CMS finalizes policies to bring innovative telehealth benefit to Medicare AdvantageFinal Rule will strengthen popular Medicare private health insurance plans, expand telehealth access for patients, and improve coordination for dual-eligible individuals Today, the Centers for Medicare & Medicaid Services (CMS) finalized policies that will increase plan choices and benefits,...

CMS finalizes policies to bring innovative telehealth benefit to Medicare Advantage

Final Rule will strengthen popular Medicare private health insurance plans, expand telehealth access for patients, and improve coordination for dual-eligible individuals Today, the Centers for Medicare & Medicaid Services (CMS) finalized policies that will increase plan choices and benefits, including allowing Medicare Advantage plans to include additional telehealth benefits....

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