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OIG Has Seven (Yes Seven!) Different National Telemedicine Audits - Food, Drugs, Healthcare, Life Sciences

OIG Has Seven (Yes Seven!) Different National Telemedicine Audits - Food, Drugs, Healthcare, Life Sciences
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5 Emerging Trends in Value-Based Health Care

Wednesday, February 24, 2021 The pace and pressure to embrace value-based care are picking up. The COVID-19 pandemic exposed the risks and limitations of reliance on fee-for-service reimbursement and, combined with the groundbreaking changes in health care delivery models and regulatory flexibility, indicate a renewed focus on value-based care. This article outlines five of the top trends to watch for in value-based care for 2021. 1. Leaning In to Value-Based Care One of the lessons from 2020 is that reliance on fee-for-service can leave providers vulnerable to volatility and changes in demand. As utilization plummeted during the COVID-19 pandemic, providers who had invested heavily in value-based care have been better able to weather the pandemic and the economic downturn by having a consistent source of revenue despite low utilization.

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Is The Permanency for Audio-Only Telehealth Act A Healthcare Equity Matter?

Thursday, December 31, 2020 In our December 7, 2020 Blog Post, “Permanent Expansion of Medicare Telehealth Services,” we discussed the 2021 Medicare Physician Fee Schedule Final Rule (the “Final Rule”) and the regulatory changes made therein by the Centers for Medicare and Medicaid Services (“ CMS”) to expand Medicare telehealth coverage within the confines of existing Medicare statutory law. The Final Rule was first posted on December 2, 2020 and was formally published in the Federal Register on December 28, 2020. In amending the Medicare regulations within the Final Rule, CMS wrote that without Congressional action, it was difficult for CMS to make permanent the regulatory telehealth waivers that the Trump Administration and CMS implemented at the outset of the current COVID-19 public health emergency (the “

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CMS Finalizes Telehealth Coverage and Reimbursement Changes in Medicare Physician Fee Schedule Rule | Manatt, Phelps & Phillips, LLP

The Big Picture Since the onset of the COVID-19 pandemic, Congress and the Centers for Medicare & Medicaid Services (CMS) have dramatically but temporarily expanded coverage and reimbursement for telehealth services. On December 1, CMS issued the final calendar year (CY) 2021 Medicare physician fee schedule (MPFS) final rule and interim final rule, including several changes to Medicare Part B telehealth payment policy. The rule makes coverage of certain services permanent, extends coverage for certain other services through the end of the calendar year in which the public health emergency (PHE) ends, and clarifies which services CMS will not be adding to the Medicare telehealth covered services list on either a permanent or temporary basis. The rule also finalizes some changes to coverage of remote physiologic monitoring services and finalizes extending the temporary flexibilities around virtual supervision through the end of 2021.

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