BC Advantage - 2020 Issue 5

Physician Reimbursement: COVID-19 Demonstrates the Need for Independent Physician Groups to Assert Their Authority Against Payers

Years before COVID-19, a physician I was speaking with asked me why insurance payers hardly ever cover Telehealth. Telehealth, he argued, could revolutionize our healthcare system in many ways and expand coverage to rural areas, increase clinical outcomes and decrease costs. My response was "It's going to take an act of God to get payers to cover Telehealth." I didn't want to be so right and so literal at the same time. Almost overnight, CMS declared they were waiving many Telehealth requirements and soon after many payers followed suit. Why couldn't this have happened sooner? Researchers at...

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