Managed Healthcare Executive April 20, 2021
A Medicare Advantage group and other organizations are endorsing legislation that would allow data collected during audio-only visits to be used to set risk adjustment payment levels to MA plans.
A coalition of provider and insurers is backing legislation that would allow audio-only telehealth visits to be used in the process that sets risk-adjustment levels that are a crucial part of the calculations for how much Medicare Advantage plans get paid.
The risk-adjustment issue, although of keen interest to Medicare Advantage plans, is just a slice of the large question about the future of audio-only healthcare, which in plainer English is a phone call between a patient and a provider.
Few doubt that telehealth has become a permanent feature of...
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