Category: Medicare Advantage (MA)

Telehealth: How the Pandemic Is Shaping the Future of Remote Healthcare

As of late March 2021, 475 million people worldwide have received a COVID-19 vaccine. Although a return to normalcy is drawing closer, it is unclear how state and federal governments will regulate and reimburse for telehealth services when temporary telehealth policies expire at the end of the COVID-19 public...

OIG to Audit Telehealth Services Provided During Pandemic by Part B and Home Health Providers

The U.S. Department of Health and Human Services (HHS), Office of Inspector General (OIG) recently updated its 2021 Work Plan in January to include audits of Medicare Part B and home health telehealth services by OIG’s Office of Audit Services (OAS). OAS conducts independent audits of HHS programs, HHS grantees, and contractors to examine their...

Time for a Checkup: Recent Federal Efforts Regarding Telehealth – Part I

The public health emergency (PHE) for COVID-19 has brought about many changes to the way healthcare is practiced, delivered, and reimbursed. This article will discuss some of the major recent changes to telehealth on the federal level. Disclaimer: For consistency, the term “telehealth” is used throughout this article and is...

Deloitte: Medicare Advantage plans that don’t embrace telehealth ‘will get left behind’

COVID-19 has dramatically accelerated the adoption of digital health, and a new analysis from Deloitte finds that trend extends similarly to Medicare Advantage (MA) beneficiaries. Deloitte researchers surveyed executives at MA plans, as well as digital health companies, and found that through April 2020 more MA members used telehealth...

What’s new in the Medicare landscape for 2021?

Medicare Advantage plans are available for people with End-Stage Renal Disease (ESRD) as of 2021. Medical Advantage plans have the flexibility to include telehealth provider in practice areas including primary care, cardiology, dermatology, psychiatry, gynecology, and endocrinology Standard Medicare Part D prescription drug plan coverage parameters are new in...

Factoring in Caregivers Adds Value to a Telehealth Program

Telehealth programs that include the caregiver in the care management process stand a better chance of improving outcomes and quality of life. October 16, 2020 – Telehealth programs are so focused on connecting the patient with the provider that they sometimes forget about the other person in the room: the caregiver....

‘There’s No Undoing This Revolution’: HHS Secretary Alex Azar Touts In-Home Care, Virtual Visits

U.S. Department of Health and Human Services (HHS) Secretary Alex Azar believes that COVID-19 has led to a health care revolution, one that will include a larger focus on care in the home. Specifically, Azar thinks the increase in telehealth usage and a stronger focus on social determinants of...

HHS Secretary Azar: Medicare Advantage Will Grow Telehealth Beyond COVID-19

Telehealth will be a cornerstone of future health care policy following the COVID-19 pandemic, with Medicare Advantage plans as one engine for growth. Expansion of telehealth services across the health care continuum accelerated rapidly due to efforts to stem the spread of the novel coronavirus. These developments will likely...

Number of MA Plans Offering In-Home Support Services to Increase by 93% in 2021

CMS’s Medicare Advantage preview from September revealed that 738 plans are offering supplemental benefits under the “primarily health-related” pathway in 2021, a 46% increase compared to the nearly 500 plans that did so in 2020. The preview similarly showed that 920 plans are offering benefits under the Special Supplemental...

For Home Care Agencies, Tracking ‘Total Cost of Care’ Is the Secret to Breaking into Narrow Networks

Home care agencies and their services have always been valuable to the patients they serve. But being able to demonstrate that value to payers requires more than just patient testimonials. As the home care industry enters into an era filled with new tailwinds, including Medicare Advantage (MA) and managed...
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