Lexology September 3, 2024
Ankura Consulting Group, LLC

Healthcare in the United States is undergoing significant changes, particularly in the areas of reimbursement and coverage of telehealth, substance use disorders (SUDs), and mental health services. The proposed 2025 Physician Fee Schedule (PFS) by the Centers for Medicare & Medicaid Services (CMS) marks a major shift in these areas, and solidifies key measures introduced during the COVID-19 pandemic. As these sectors evolve, it is crucial for providers, payers, and policy makers to adapt to these emerging trends.

The rise in telehealth usage during the COVID-19 pandemic prompted CMS to temporarily expand access and reimbursement. Now, the proposed 2025 PFS aims to make many of these measures permanent.

Key Provisions in the Proposed Rule

  1. Extension of Telehealth Flexibilities: CMS...

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Topics: CMS, Govt Agencies, Insurance, Medicare, Physician, Provider
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