{"id":31659,"date":"2020-12-10T20:03:11","date_gmt":"2020-12-10T20:03:11","guid":{"rendered":"https:\/\/dev.mtelehealth.com\/?p=31659"},"modified":"2020-12-10T20:03:11","modified_gmt":"2020-12-10T20:03:11","slug":"medicare-telehealth-expansion-gets-bipartisan-stamp-of-approval-from-lawmakers","status":"publish","type":"post","link":"https:\/\/drmiltie.com\/at-home-testing\/medicare-telehealth-expansion-gets-bipartisan-stamp-of-approval-from-lawmakers\/","title":{"rendered":"Medicare telehealth expansion gets bipartisan stamp of approval from lawmakers"},"content":{"rendered":"\n\n\n<p>Telehealth technology has proved to be a reliable tool for Medicare providers throughout the pandemic, according to a bipartisan and bicameral group of 49 lawmakers who want to lock in those gains now.<\/p>\n\n\n\n<p>In&nbsp;a Dec. 4&nbsp;<a href=\"https:\/\/www.schatz.senate.gov\/imo\/media\/doc\/Bicam%20EOY%20Telehealth%20Letter_12.4.20%20(1).pdf\">letter,<\/a>&nbsp;the lawmakers urge&nbsp;House and Senate leaders to use end-of-year legislation to permanently expand Medicare coverage of telehealth services.<\/p>\n\n\n\n<p>The letter says Congress should&nbsp;permanently waive geographic restrictions on telehealth services, so that a beneficiary\u2019s eligibility isn\u2019t based on where they live. The lawmakers also want the telehealth services approved by the&nbsp;Centers for Medicare and Medicaid Services (CMS) to be available to all beneficiaries, not just some. Lastly, they call for legislation to permanently authorize Federally Qualified Health Centers and Rural Health Clinics to provide telehealth services.<\/p>\n\n\n\n<p>\u201cCongress needs to act now to better serve patients and health care providers during the pandemic, and to ensure that telehealth remains an option after the pandemic is over,\u201d the letter reads. Sen. Brian Schatz, D-Hawaii,&nbsp;<a href=\"https:\/\/www.schatz.senate.gov\/press-releases\/schatz-leads-bipartisan-bicameral-group-of-49-lawmakers-in-calling-for-permanent-expansion-of-telehealth-coverage-in-end-of-year-legislation\">led the effort to circulate the letter<\/a>&nbsp;on Capitol Hill.<\/p>\n\n\n\n<p>Under the current expansion, there are&nbsp;<a href=\"https:\/\/www.cms.gov\/newsroom\/fact-sheets\/medicare-telemedicine-health-care-provider-fact-sheet\">three types<\/a>&nbsp;of&nbsp;virtual services doctors can provide for Medicare beneficiaries: a telehealth visit that uses audio and visual&nbsp;technology for real-time communication, a&nbsp;brief&nbsp;patient-initiated virtual check-in&nbsp;typically conducted&nbsp;over the phone, or an e-visit through an online patient portal.<\/p>\n\n\n\n<p>Providers&nbsp;must use \u201cnon-public facing\u201d remote communication&nbsp;tools for those visits \u2014 such as Apple FaceTime, Zoom, Skype, or Google Hangouts \u2014 that only allow the intended parties to participate in the visit.<\/p>\n\n\n\n<p>The lawmakers&nbsp;note that telehealth services have numerous practical effects, including reduced potential for COVID-19 transmission because fewer patients need to enter health care facilities.&nbsp;Additionally, telehealth increases a health care facility\u2019s capacity overall and reduces the use of \u201cscarce\u201d personal protective equipment, the letter says.<\/p>\n\n\n\n<p>\u201cThese actions would address the restrictions on originating sites that CMS has stated are the greatest barriers to the expansion of Medicare telehealth services as well as ensure that health centers can continue their pivotal role in providing health care in rural and underserved areas,\u201d the letter reads.<\/p>\n\n\n\n<p>The Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 and the Coronavirus Aid, Relief, and Economic Security Act increased access to telehealth services for Medicare beneficiaries, which resulted in a rapid acceleration of use. Before the pandemic, about 13,000 Medicare recipients used telehealth services in any given week. By the last week of April this year, it was 1.7 million recipients, nearly a 13,000% increase.<\/p>\n\n\n\n<p>The expanded coverage is currently tied to the Covid-19 public health emergency declaration and is renewed in three-month increments.<\/p>\n\n\n\n<p>The uncertainty of the long-term future of Medicare telehealth coverage has made it difficult for providers to fully invest in scaling up their operations, such as purchasing telecommunications equipment, training staff and updating electronic billing systems. These are high cost actions and \u201cmany organizations are not investing in all of these areas to optimize the use and availability of telehealth,\u201d without knowing the longevity of the expanded coverage.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Telehealth technology has proved to be a reliable tool for Medicare providers throughout the pandemic, [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":30245,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","_uf_show_specific_survey":0,"_uf_disable_surveys":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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