2023: New Federal Developments There were no new federal developments in the last month. 2023: New State-Level Developments State Activity Illinois Illinois passed S.B. 1913, which requires Medicaid FFS and Medicaid managed care plans to provide coverage of mental health services, substance use disorder treatment, and ‘behavioral telehealth services’. Requires Medicaid FFS and Medicaid managed care plans […]
At a Glance The annual Medicare physician payment rule is upon us, proposed July 13, 2023, for calendar year (CY) 2024 and open for public comment through September 11. Each year, the couple-of-thousand-page rule makes modifications to how Medicare pays physician and nonphysician providers for their services, including for telehealth services. In recent years, the physician […]
The Centers for Medicare & Medicaid Services (CMS) has released the calendar year (CY) 2024 Revisions to Payment Policies Under the Physician Fee Schedule (MPFS) and Other Revisions to Medicare Part B (CMS-1784-P) Proposed Rule, which includes proposals related to Medicare physician payment and the Quality Payment Program (QPP). The Proposed Rule, released on July […]
CMS recently released the CY 2024 Medicare Physician Fee Schedule (MPFS) Proposed Rule (Proposed Rule), which included many noteworthy proposals and clarifications related to Medicare telehealth services and other remote services. Since the COVID-19 Public Health Emergency (PHE) terminated on May 11, 2023, providers and practitioners have sought clarity on the end dates of various waivers and […]
Telehealth changes that helped physicians and patients during the COVID-19 pandemic could become permanent under a new bill pending in Congress. Meanwhile, another leading physician group is supporting site-neutral payment for medical services. The two issues have sparked renewed discussion this month due to proposals by federal policy makers. CONNECT in Congress A bipartisan group of 60 […]
2023: New Federal Developments New Item Activity S. 1699: Tech to Save Moms ActIntroduced May 18, 2023 This bill would require 1) the Center for Medicare and Medicaid Innovation to test payment and delivery models regarding the adoption and use of telehealth tools for screening, monitoring, and managing health complications during the pregnancies of Medicaid beneficiaries, […]
Tuesday, June 6, 2023 Telehealth experienced massive growth during the COVID-19 pandemic, due in no small part to various regulatory and reimbursement policies that federal agencies implemented following a declaration by the US Department of Health and Human Services (HHS) in early 2020 that the COVID-19 pandemic was a public health emergency (PHE). Although the […]
The COVID-19 public health emergency declared by the Department of Health and Human Services (HHS) expired earlier this month. But that doesn’t mean the deadly respiratory illness has disappeared, warned Deb Houry, MD, MPH, chief medical officer and deputy director for program and science at the Centers for Disease Control and Prevention (CDC). COVID-19 and […]
2023: New Federal Developments New Item Activity OIG Report: Medicare Improperly Paid Providers for Some Psychotherapy Services, Including those Provided via Telehealth, During the First Year of the COVID-19 Public Health Emergency (PHE)Released May 2023 The Office of Inspector General (OIG) at the Department of Health and Human Services (DHHS) released a report detailing findings […]
On May 10, 2023, HHS announced that many telehealth and teleprescribing flexibilities will remain in place after the end of the COVID-19 Public Health Emergency (PHE) on May 11, 2023. Congress extended many telehealth flexibilities under the Medicare program through December 31, 2024, via the 2023 Consolidated Appropriations Act. The Drug Enforcement Agency (DEA) and […]
May 22, 2023 – A new report from the Center for Connected Health Policy (CCHP) found that various changes in telehealth policies related to Medicaid reimbursement, private-payer laws, and professional requirements occurred at the state level in 2023. Encompassing the period of January to March 2023, this spring report followed the standard process of organizing information under three headings: […]
Telehealth Access for America wrote a letter urging Congress to recognize the value of virtual care and the need to protect it. Telehealth Access for America (TAFA), an American Hospital Association-created campaign to protect patient access to critical telehealth services, urged Congress to make permanent certain Medicare telehealth flexibilities granted during the COVID-19 public health […]
The May 11 expiration of the federal public health emergency declaration will bring changes to federal healthcare programs, with various regulatory flexibilities expiring immediately or within a short period of time. Many policy interventions to combat COVID-19 will continue, however, leaving senior living providers to navigate the unwinding of pandemic-era rules and sometimes conflicting state-level guidelines. […]
The end of the COVID-19 public health emergency on May 11 has created dizzying changes for Medicare beneficiaries. Whether Medicare will or won’t cover certain health care costs may now depend on whether you are in Traditional Medicare or a private insurer’s Medicare Advantage plan, want remote monitoring for a chronic condition, and need rehab […]
Telehealth Access for America, an AHA-supported campaign to protect patient access to critical telehealth services, urged Congress to make permanent certain Medicare telehealth flexibilities granted during the COVID-19 public health emergency and extended through 2024 by the Consolidated Appropriations Act. “This temporary extension was welcomed news for patients and providers alike, but remains just that – a […]