Lexology March 4, 2019
Towards the end of 2018, several developments in the area of telehealth signal significant changes are on the horizon in 2019. The following provides a summary of these developments and implications for 2019 and beyond.
Medicare Advantage Payment for Telehealth
In the November 1, 2018 proposed policy and technical changes to Medicare Advantage for fiscal year 2020, CMS signaled potential payment for Part B telehealth services for participant plans. Sec. 50323 of the Bipartisan Budget Act permits MA plans to provide “additional telehealth benefits” beginning in 2020 and to “treat them as basic benefits for purposes of bid submission and payment by CMS” – a game changer. Currently, telehealth coverage is optional, a bonus that MA plans may offer to...
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