Category: Medicare Advantage (MA)

CMS Issues Final Rule for Telehealth

Monday, May 13, 2019 Citing the use of telehealth as a care delivery option for Medicare Advantage (MA or Part C) enrollees with the potential to “improve access to and timeliness of needed care, increase convenience for patients, increase communication between providers and patients, enhance care coordination, improve quality...

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...

CMS Final Rule Offers the Promise of Additional Telehealth Services for MA Plan Enrollees

The Centers for Medicare & Medicaid Services (“CMS”) has published a final rule that will expand access to telehealth services for Medicare Advantage (“MA”) plan enrollees.CMS Administrator Seema Verma characterized the agency’s latest policymaking efforts as “a historic step in bringing innovative technology to Medicare beneficiaries” and a way for the agency to...

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 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...

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