CMS Finalizes Telehealth, ESRD, Star Ratings, Reinsurance Policies for 2021

Finalizing a series of policies just before the 2021 bid deadline, CMS on May 22 said it will address remaining proposals from its February proposed rule at a later date (RMA 2/20/20, p. 1).

CMS finalized a proposal to count telehealth providers in certain specialty areas (e.g., dermatology, psychiatry, cardiology, ophthalmology) toward meeting CMS network adequacy standards. The agency also lowered the required percentage of rural beneficiaries who must reside within the maximum time and distance standards from 90% to 85%.

© 2021 MMIT

Lauren Flynn Kelly Managing Editor, Radar on Medicare Advantage

Lauren has been covering health business issues, including drug benefits and specialty pharmacy, for more than a decade. She served as editor of Drug Benefit News (the predecessor to Radar on Drug Benefits) from 2004 to 2005 and again from 2011 to 2016, and now manages Radar on Medicare Advantage. Lauren graduated from Vassar College with a B.A. in English.

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