decisionhealth Newsletters, Part B News - 2023 Issue 4 (April)
At end of PHE, patients will hunt for tests, incur costs; prepare now
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Article Overview
This article explains the operational and regulatory changes physician practices should expect as the COVID public health emergency ends. It focuses on shifting patient access to tests, vaccines, and treatments, along with related Medicare, Medicaid, telehealth-adjacent, and compliance impacts that may affect ordering, billing, and practice workflows.
Why This Topic Matters
Physician practices may see more patient demand for COVID-related services and need to adapt to changing coverage, documentation, and compliance requirements. Understanding the transition helps practices prepare for new payer rules, shifting patient costs, and the return of pre-PHE regulatory standards.
Article Sections
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End of free COVID stuff?
This section discusses the expected changes in patient access to COVID testing and vaccination services as federal and local programs wind down. It also touches on general coverage and supply issues.
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RPM, Medicaid and more
This section covers additional PHE-related changes affecting remote patient monitoring, Medicaid coverage continuity, and several compliance-related flexibilities. It also addresses broader operational effects for physician offices.
What You Will Learn
- How the end of the COVID public health emergency may affect access to testing, vaccines, and treatment options
- Which broad coverage and payment changes may affect patients and physician practices
- What operational and compliance areas may need review as emergency flexibilities expire
- How related changes may affect remote patient monitoring and Medicaid coverage continuity
Who Should Read This
- Physicians
- Medical practice managers
- Medical coders
- Billing staff
- Compliance officers
- Healthcare administrators
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