Centers for Medicare & Medicaid Services (CMS) – Medicare

UMass Memorial Health, UNC Health commend hospital-at-home programs, touting better outcomes, saved costs

4 Aug 2022

American Medical Association (AMA), Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Public Health Emergency (PHE), Reimbursement 0 comments

UMass Memorial Health, UNC Health commend hospital-at-home programs, touting better outcomes, saved costs

Healthcare leaders are calling on Congress to extend a waiver that expanded flexibilities for hospital-at-home programs, saying continued reimbursement is critical to scale up these programs. Temporary waivers rolled out by the Centers for Medicare & Medicaid Services (CMS) under the public health emergency have allowed Medicare enrollees to receive acute hospital-level care from their own […]

Proposed CY 2023 Medicare Physician Fee Schedule Extends Telehealth Flexibilities Post-PHE

2 Aug 2022

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Federal Agencies, Federally Qualified Health Centers (FQHCs), Health Care Organization, Physician Fee Schedule, Public Health Emergency (PHE), Remote Therapeutic Monitoring (RTM), Rural Health Clinics (RHCs), Telehealth 0 comments

Proposed CY 2023 Medicare Physician Fee Schedule Extends Telehealth Flexibilities Post-PHE

On July 7, the Centers for Medicare & Medicaid Services (CMS) released its annual proposed rule updating the Medicare Physician Fee Schedule (MPFS) for calendar year (CY) 2023, which included various proposed changes related to the provision of telehealth, including implementing telehealth provisions included within the Consolidated Appropriations Act, 2022, and extending coverage through the end of […]

Legislation To Extend PHE Telehealth Flexibilities Passes In Near-Unanimous House Vote

1 Aug 2022

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, COVID-19 - Coronavirus, Public Health Emergency (PHE), Reimbursement, Telehealth 0 comments

Legislation To Extend PHE Telehealth Flexibilities Passes In Near-Unanimous House Vote

A bill that would extend telehealth waivers until the end of 2024 has been passed by the U.S. House of Representatives. The news is notable because it means that these pandemic-relief telehealth flexibilities could be untied from the public health emergency (PHE). Currently, the PHE is set to expire in October, but could receive another […]

CMS Final Rule Gives Nursing Homes 2.7% Pay Bump, PDPM-Related Cuts to Be Phased In

29 Jul 2022

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Federal Agencies, Public Health Emergency (PHE) 0 comments

CMS Final Rule Gives Nursing Homes 2.7% Pay Bump, PDPM-Related Cuts to Be Phased In

The federal government will give skilled nursing facilities a 2.7% pay bump in their payments for 2023, according to the final rule published on Friday. This reflects a $1.7 billion increase resulting from a 5.1% bump to the payment rates for SNFs. That includes a 3.9% SNF market basket increase, a 1.5 percentage point market basket forecast […]

The Demise of the Build Back Better and the Hope for Telehealth

28 Jul 2022

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Federal Agencies, Public Health Emergency (PHE), Telehealth 0 comments

The Demise of the Build Back Better and the Hope for Telehealth

It started out as a $4 trillion infrastructure package; but nearly a year and a half later, Biden’s Build Back Better initiative is now a $40 billion healthcare bill. The whittling down of the package was mostly the work of one senator, Democrat Joe Manchin of West Virginia. Manchin has successfully hacked away at the […]

House passes bill to expand COVID-era telehealth services

27 Jul 2022

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Federal Agencies, Legislation, Reimbursement, Rural Health Clinics (RHCs), Telehealth 0 comments

House passes bill to expand COVID-era telehealth services

The House passed a bill Wednesday to expand telehealth services that were first introduced during the COVID-19 pandemic. The legislation, titled the Advancing Telehealth Beyond COVID–19 Act, passed in a 416-12 vote. Eleven Republicans and one Democrat objected to the measure. Two Republicans did not vote. Reps. Andy Biggs (R-Ariz.), Andrew Clyde (R-Ga.), Warren Davidson (R-Ohio), Marjorie Taylor Greene (R-Ga.), Jody Hice (R-Ga.), […]

Biden Administration Extends COVID-19 Public Health Emergency

18 Jul 2022

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, COVID-19 - Coronavirus, Federal Agencies, Public Health Emergency (PHE), Telehealth 0 comments

Biden Administration Extends COVID-19 Public Health Emergency

The U.S. Department of Health & Human Services (HHS) has extended the COVID-19 public health emergency (PHE) for another 90 days. A continued federally declared emergency allows flexibilities instituted by the U.S. Centers for Medicare & Medicaid Services (CMS) to remain intact, such as 1135 waivers of certain hospice rules. These flexibilities permitted the use […]

Medicare's Proposed Physician Fee Schedule a Mixed Bag, Doc Groups Say

16 Jul 2022

Accountable Care Organizations (ACOs), Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Physician Fee Schedule, Public Health Emergency (PHE), Telehealth 0 comments

Medicare’s Proposed Physician Fee Schedule a Mixed Bag, Doc Groups Say

Despite bad news on the fee cut, some provisions on ACOs have doctors cheering by Joyce Frieden, Washington Editor, MedPage July 15, 2022 WASHINGTON — Physician group responses to the proposed 2023 Medicare Physician Fee Schedule ranged from disappointment over the proposed 4.4% overall payment cut to praise for many of the provisions related to accountable […]

Providers Face Cuts in Medicare Physician Fee Schedule Proposed Rule

8 Jul 2022

Accountable Care Organizations (ACOs), Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Physician Fee Schedule, Reimbursement 0 comments

Providers Face Cuts in Medicare Physician Fee Schedule Proposed Rule

The CY 2023 Medicare Physician Fee Schedule proposed rule would follow through on several cuts to physician reimbursement while aiming to bolster behavioral and ACO care. By Jacqueline LaPointe July 11, 2022 – CMS has proposed a decrease to the Medicare Physician Fee Schedule conversion factor, which would lead to significant cuts to physician reimbursement next year. The federal agency […]

Doctor In Surgery With Male Patient Reading Notes

7 Jul 2022

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Merit-based Incentive Payment System (MIPS), Public Health Emergency (PHE), Telehealth 0 comments

CY 2023 Physician Fee Schedule Proposed Rule

On July 7, 2022, the Centers for Medicare & Medicaid Services (CMS) released the CY 2023 Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Medicare Part B Proposed Rule, which was published in the Federal Register on July 29, 2022. The proposed rule includes proposals related to Medicare physician payment […]

How Telehealth Legislation Will Evolve During the Pandemic & Beyond

20 Jun 2022

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, CONNECT Act, Legislation, Telehealth 0 comments

How Telehealth Legislation Will Evolve During the Pandemic & Beyond

Despite numerous bills to solidify telehealth flexibilities enacted during the pandemic, none have passed in Congress, leaving the future of telehealth access and adoption uncertain. By Anuja Vaidya June 20, 2022 – The significant spike in the use of telehealth during the COVID-19 pandemic was made possible by numerous legislative waivers that were quickly enacted as in-person care […]

CMS finalizes physician fee schedule, including controversial updates to EM visits

17 Jun 2022

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, COVID-19 - Coronavirus, Physician Fee Schedule, Reimbursement, Telehealth 0 comments

Executive Summary – Tracking Telehealth Changes State-by-State in Response to COVID-19 – June 17, 2022

16 Jun 2022

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Chronic Care Management (CCM), Federal Agencies, Medicaid, Public Health Emergency (PHE), Telehealth 0 comments

Emerging State Policies, CMS Telehealth Policy Updates & Hope for PHE Policy Extension

As the Center for Connected Health Policy has continued to update our Telehealth Policy Finder over the course of 2022, a few new elements are beginning to emerge in newly passed legislation and in adopted Medicaid policies. While these may not yet be trends, they have potential to develop into trends, as it is common […]

16 Jun 2022

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, COVID-19 - Coronavirus, Federally Qualified Health Centers (FQHCs), Health Care Organization, Public Health Emergency (PHE), Rural Health Clinics (RHCs), Telehealth 0 comments

Congress Extends Telehealth Benefits

Congress has extended telehealth benefits for Medicare beneficiaries and for participants in high-deductible health plans with health savings accounts. The extension keeps telehealth benefits in place that were greatly expanded at the start of the pandemic. But the future of expanded telehealth medicine remains uncertain. The telehealth extension was enacted on a temporary basis as […]

Congress Considers Two New Telehealth Bills Expanding Access to Virtual Care

16 Jun 2022

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Reimbursement, Telehealth 0 comments

Congress Considers Two New Telehealth Bills Expanding Access to Virtual Care

Earlier this month, two telehealth bills intended to expand patient access to virtual healthcare were introduced to the United States Congress. Each bill seeks to continue building upon the availability of certain telehealth services that existed throughout the COVID-19 pandemic. The first bill, known as the Kidney Health Connect Act, is designed to allow patients […]

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