Health Payer Intelligence June 4, 2020
As COVID-19 motivates more audio-only telehelath utilization, audio-only telehelath diagnoses should count toward Medicare Advantage risk adjustment.
Audio-only diagnoses should be factored into Medicare Advantage risk adjustment, Better Medicare Alliance (BMA) stated in a letter to CMS which HealthPayerIntelligence received by email.
“We believe that the ten guardrails CMS proposed in their entirety are unworkable, place an undue burden on health plans and clinicians, and detract from the focus on providing high- quality, accessible care during this period of social isolation,” BMA explained.
Telehealth in general has been critical to payer strategies surrounding the coronavirus pandemic. However, audio-only visits appear to be in higher demand than audio-video visits, with audio-only visits making up over two-thirds of the total telehealth visits...
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