Telehealth Needs Permanent Payment, Regulation Answers

Telemedicine has become an integral part of the health care delivery system as a result of the COVID-19 pandemic, but insurers still have to find the answers to important business questions about virtual care. Experts say payers and providers have only just begun the process of determining how much telehealth should be used and how it should be reimbursed.

Determining the appropriate amount of telehealth, the clinical settings where it is appropriate and reimbursement rates for virtual visits will all be critical for plans expanding virtual care. Some plans have announced they will continue reimbursing virtual visits at parity with in-person visits at least through the end of the year, though insiders say that may change in the years to come.

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Peter Johnson

Peter Johnson

Peter has worked as a journalist since 2011 and has covered health care since 2020. At AIS Health, Peter covers trends in finance, business and policy that affect the health insurance and pharma sectors. For Health Plan Weekly, he covers all aspects of the U.S. health insurance sector, including employer-sponsored insurance, Medicaid managed care, Medicare Advantage and the Affordable Care Act individual marketplaces. In Radar on Drug Benefits, Peter covers the operations of (and conflicts between) pharmacy benefit managers and pharmaceutical manufacturers, with a particular focus on pricing dynamics and market access. Before joining AIS Health, Peter covered transportation, public safety and local government for various outlets in Seattle, his hometown and current place of residence. He graduated with a B.A. from Colby College.

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