tci Medicare Compliance & Reimbursement - 2019 Issue 8

Policy: CMS Finalizes Telehealth Expansion for Medicare Advantage

Cost-savings is at the heart of the final rule. CMS continues to reshape healthcare, ensuring quality and value are intertwined with all of its programs. In its latest offering, the agency solidifies Medicare Advantage and Part D payment changes for 2020 while reducing costs for beneficiaries. Background: On April 5, CMS issued a two-part final rule addressing Medicare Advantage (MA) and Part D. On the MA side, the agency builds on recent policies by expanding telehealth, updating plan designs, and pushing value-based care forward. The Part D section of the ruling provides some cost-sharing incentives that aim to combat...

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