Category: Medicare

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 Expands Telehealth Benefits under Medicare Advantage

On Friday, April 5, 2019, the Centers for Medicare and Medicaid Services (“CMS”) announced that it had finalized policies allowing Medicare Advantage plans (“MA Plans”) to include additional telehealth benefits in their basic benefit packages starting in 2020.  The final rule implementing the changes (the “Final Rule”) will be published in...

Providers pushing for more telehealth flexibility after CMS opens up virtual visits to Medicare Advantage plans

Providers will be able to offer more telemedicine services to seniors in private Medicare plans, thanks to changes announced Friday. But nursing home advocates are pushing for more, hoping the technology can help ease the industry’s ongoing staffing challenges. Under the final rule starting in plan year 2020, nursing...

Medicare Advantage plans to offer expanded supplemental benefits and telehealth services

By Meredith Parnell on April 9, 2019h Last week the Centers for Medicare & Medicaid Services (CMS) announced significant policy changes for Medicare Advantage (MA) and Part D programs. On April 1, 2019, CMS released the calendar year 2020 Rate Announcement and Call Letter, and on April 5, 2019,...

CMS is loosening regulations on telehealth services offered in Medicare Advantage plans

The Centers for Medicare and Medicaid Services (CMS) finalized a rule proposed in October 2018 that loosens regulations on telehealth services offered in Medicare Advantage (MA) plans. For context, MA is a type of health insurance offered by private insurers to consumers 65 and up as an alternative to...

CMS: 2020 final rule includes expanded access to telehealth for MA, Part D enrollees

A final rule issued by CMS on April 5 cemented policies to increase plan choices and benefits for enrollees in the Medicare Advantage (MA) and Medicare Prescription Drug Benefit (Part D) programs, opening those beneficiaries to supplemental services like telehealth and streamlining the appeals process for those unsatisfied with...

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...

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