Lexology July 12, 2019
Hall Render Killian Heath & Lyman PC

Thanks to a final rule issued by the Centers for Medicare & Medicaid Services (“CMS”) this spring, Medicare Advantage (“MA”) plans will now be able to offer additional telehealth benefits to enrollees starting in 2020. Historically, MA plans have been able to offer more telehealth services compared to Original Medicare as part of their supplemental benefits. The final rule, which allows MA plans to provide “additional telehealth benefits” to enrollees and treat them as basic benefits, is expected to provide MA enrollees with greater access to telehealth services and create additional opportunities for providers.

Background

MA plans are currently required to provide certain telehealth services to enrollees as basic benefits paid through the capitation rate. Telehealth services required to...

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Topics: CMS, Govt Agencies, Health System / Hospital, Insurance, Medicare Advantage, Patient / Consumer, Payer, Physician, Primary care, Provider, Technology, Telehealth
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