The future of Telehealth reimbursement policy has become a topic of concern for healthcare organizations as the landscape evolves. However, recent legislative developments and regulatory updates offer insights into the future of telehealth reimbursements in 2023. This article explores key updates in telehealth Medicare reimbursement policy. Furthermore, it covers the importance of reassessing telehealth programs. Finally, we assess the need for ongoing advocacy to make telehealth reimbursement a permanent fixture in healthcare. telehealth reimbursement policy
Telehealth Reimbursement Policy: Extension of Medicare Telehealth Waivers
The Centers for Medicare and Medicaid Services (CMS) provided flexibility for Medicare telehealth services by waiving specific requirements during the PHE. However, the emergency waivers expired on May 11, 2023. These are the latest updates on telehealth reimbursement policy.
Consolidated Appropriations Act of 2023
Congress passed the Consolidated Appropriations Act of 2023 to address telehealth reimbursement policy concerns. This omnibus appropriations bill includes a two-year extension of Medicare telehealth waivers. In addition, it covers other provisions impacting healthcare and telehealth reimbursement policy. These updates have significant implications for healthcare organizations and telehealth access.
Key Updates for Telehealth Reimbursement Policy in 2023
The passage of the Consolidated Appropriations Act of 2023 brought several significant changes and extensions to the telehealth reimbursement policy.
- Expansion of originating sites: The patient’s location, including their home or temporary residence, qualifies as an originating site for the telehealth reimbursement policy under Medicare.
- Eligible practitioners: Various healthcare professionals, such as occupational therapists, physical therapists, speech-language pathologists, and audiologists, remain qualified to provide telehealth services.
- Delay in In-person mental health services requirement: The requirement for mental health services to be provided in person is delayed, allowing for such services via telehealth.
- Extension of Acute Hospital Care at Home Program: The Acute Hospital Care at Home program supports hospitals providing care at home. This extension benefits hospitals with hospital-at-home programs and hospital-at-home companies.
- Safe Harbor exceptions: Safe Harbor exceptions are extended. This ensures that high-deductible health plans cover telehealth services. Thus, offering more financial flexibility for patients.
- DEA waivers for controlled substance prescriptions: The Drug Enforcement Administration (DEA) announced the extension of waivers so patients can receive controlled substances through telehealth appointments. This extension addresses the in-person rule mandated by the Ryan Haight Act of 2008, enhancing accessibility to necessary medications.
Re-Evaluating Telehealth Programs
With telehealth waivers extended, healthcare organizations should reassess their telehealth programs and technology infrastructure according to the telehealth reimbursement policy. Considerations for health IT leaders include:
- Assessing technology deployed: Evaluate the effectiveness of telehealth solutions implemented during the pandemic and identify gaps or areas for improvement.
- Exploring telehealth platforms: With renewed interest in telehealth, health IT leaders should consider exploring other available telehealth platforms. Assess whether current solutions meet the organization’s needs and consider integrating disparate point solutions into a cohesive system.
- Integrations and interoperability: Aim for seamless integrations across platforms, such as electronic health records and clinical command centers, to maximize the benefits of telehealth. This integration can enhance care coordination and improve efficiency within the organization.
- Future-proofing telehealth programs: Anticipate the evolution of telehealth programs by shifting from mobile carts to integrated telehealth solutions within patient rooms. Create a roadmap that aligns with the organization’s long-term goals and incorporates technology advancements.
Looking Ahead: Advocacy for Permanent Telehealth Reimbursement:
To ensure the long-term viability of the telehealth reimbursement policy for Medicare recipients, Congress must take further action before the end of 2024. In addition, continuous advocacy by industry groups, including the American Telemedicine Association (ATA), will drive the conversation forward and make telehealth reimbursement policy a permanent fixture in healthcare.
Telehealth Reimbursement Policy: Key Points
The telehealth reimbursement policy landscape of 2023 is shaped by the extension of Medicare telehealth waivers through the Consolidated Appropriations Act of 2023. These updates provide continued flexibility and access to telehealth services for patients and healthcare providers. As healthcare organizations re-evaluate their telehealth programs, it is crucial to consider technological advancements, integrations, and interoperability to maximize the benefits of telehealth. Ongoing advocacy efforts are essential for securing future permanent telehealth reimbursement for Medicare recipients.
If you’d like to discover more about the fascinating world of remote patient monitoring and telehealth, visit the Tenovi blog, where you’ll find informative past summaries and updates on the latest studies and research in remote patient monitoring and telemedicine.
