MA plans could use more telehealth services under proposed rule

Dive Brief:

• CMS proposed a rule Friday that would allow Medicare Advantage and Part D plans to cover additional telehealth benefits starting in 2020. Specifically, Medicare plans will have more leeway on telehealth payments “to meet the needs of their enrollees,” CMS said.

• The agency’s proposal would also update the methodology for calculating star ratings. The new methodology would modify existing measures, including readmissions and improvement calculations. The move would “improve stability and predictability,” as well as allow for rating adjustments in case of uncontrollable events, such as hurricanes, CMS said.

• The proposed rule would additionally help the agency recover improper payments made to insurance companies.

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