CMS Final Rule Bolsters Telehealth, Allows ESRD Patients to Enroll in MA
June
1
CMS has finalized a set of proposals for Medicare Advantage and Part D plans that encourage MA plans to increase their telehealth benefits and give end-stage renal disease (ESRD) patients the right to enroll in regular MA plans. CMS also said it is moving forward with plans to increase the impact that patient experience and access measures have on plans’ overall Star Ratings.
The finalized rule, slated for June 2 publication in the Federal Register, gives MA plans more flexibility to count telehealth providers in certain specialty areas — including dermatology, psychiatry, cardiology, ophthalmology, nephrology, primary care, gynecology, endocrinology and infectious diseases — toward meeting CMS network adequacy standards.
© 2023 MMIT
Meet Our Reporters
-
Lauren Flynn Kelly Executive Editor, AIS Health, and Managing Editor, Radar on Medicare Advantage
View Lauren Flynn Kelly's Profile -
Angela Maas Managing Editor, Radar on Specialty Pharmacy and Spotlight on Market Access
View Angela Maas's Profile -
Leslie Small Managing Editor, Health Plan Weekly and Radar on Drug Benefits
View Leslie Small's Profile -
Peter Johnson Reporter, Health Plan Weekly and Radar on Drug Benefits
View Peter Johnson's Profile -
Tim Casey Reporter, Health Plan Weekly and Radar on Drug Benefits
View Tim Casey's Profile -
Carina Belles Reporter, Radar on Medicare Advantage and Spotlight on Market Access
View Carina Belles's Profile -
Jinghong Chen Reporter, Health Plan Weekly and Radar on Drug Benefits
View Jinghong Chen's Profile