Category: Reimbursement

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...

CMS Shares Strategies for Successful Collaborations Between ACOs, Nursing Homes

The federal government released a breakdown of strategies that accountable care organizations (ACOs) have used to successfully partner with skilled nursing facilities — a move that could indicate policymakers’ continued support of the care models. The Centers for Medicare & Medicaid Services (CMS) recently released a care coordination toolkit...

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...

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,...

More Telehealth Benefits Coming To Medicare Advantage Plans In 2020

Access to telehealth services for seniors got another boost Friday when the Centers for Medicare & Medicaid Services said it would allow private Medicare Advantage plans to offer additional access to virtual doctors in their basic benefit packages. The so-called final rule will bring new benefits to seniors in...

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