Telehealth Reimbursement Trends 2026 Explained
Telehealth reimbursement trends 2026 are reshaping payment for virtual care, RPM, and community access. See what healthcare leaders should prepare for now.
Reimbursement
UMass Memorial Health, UNC Health commend hospital-at-home programs, touting better outcomes, saved costs
Healthcare leaders are calling on Congress to extend a waiver that expanded flexibilities for hospital-at-home programs, saying continued reimbursement is critical to scale up these programs. Temporary waivers rolled out by the Centers for Medicare & Medicaid Services (CMS) under the public health emergency have allowed Medicare enrollees to receive acute hospital-level care from their own […]
Legislation To Extend PHE Telehealth Flexibilities Passes In Near-Unanimous House Vote
A bill that would extend telehealth waivers until the end of 2024 has been passed by the U.S. House of Representatives. The news is notable because it means that these pandemic-relief telehealth flexibilities could be untied from the public health emergency (PHE). Currently, the PHE is set to expire in October, but could receive another […]
House passes bill to expand COVID-era telehealth services
The House passed a bill Wednesday to expand telehealth services that were first introduced during the COVID-19 pandemic. The legislation, titled the Advancing Telehealth Beyond COVID–19 Act, passed in a 416-12 vote. Eleven Republicans and one Democrat objected to the measure. Two Republicans did not vote. Reps. Andy Biggs (R-Ariz.), Andrew Clyde (R-Ga.), Warren Davidson (R-Ohio), Marjorie Taylor Greene (R-Ga.), Jody Hice (R-Ga.), […]
Providers Face Cuts in Medicare Physician Fee Schedule Proposed Rule
The CY 2023 Medicare Physician Fee Schedule proposed rule would follow through on several cuts to physician reimbursement while aiming to bolster behavioral and ACO care. By Jacqueline LaPointe July 11, 2022 – CMS has proposed a decrease to the Medicare Physician Fee Schedule conversion factor, which would lead to significant cuts to physician reimbursement next year. The federal agency […]
Congress Considers Two New Telehealth Bills Expanding Access to Virtual Care
Earlier this month, two telehealth bills intended to expand patient access to virtual healthcare were introduced to the United States Congress. Each bill seeks to continue building upon the availability of certain telehealth services that existed throughout the COVID-19 pandemic. The first bill, known as the Kidney Health Connect Act, is designed to allow patients […]
Executive Summary: Tracking Telehealth Changes State-by-State in Response to COVID-19 – May 2022
As the COVID-19 pandemic continues across the United States, states, payers, and providers are looking for ways to expand access to telehealth services. Telehealth is an essential tool in ensuring patients are able to access the healthcare services they need in as safe a manner as possible. In order to provide our clients with quick […]
Executive Summary: Tracking Telehealth Changes State-by-State in Response to COVID-19 – April, 2022
As the COVID-19 pandemic continues across the United States, states, payers, and providers are looking for ways to expand access to telehealth services. Telehealth is an essential tool in ensuring patients are able to access the healthcare services they need in as safe a manner as possible. In order to provide our clients with quick […]
Pressure mounts on Congress to enact telehealth reform
Pressure is ratcheting up on Congress to extend, and possibly make permanent, the eased access to telehealth for Medicare beneficiaries that has been in effect since the start of the COVID-19 pandemic. On January 28, 45 members of Congress from both parties wrote to the leaders of the U.S. Senate and House of Representatives urging them to introduce […]
Rural Providers to Use USDA Grants to Boost Telehealth Capabilities
USDA is providing $43 million in new funds to rural healthcare providers, many of whom have earmarked the funds to implement and support telehealth services. By Anuja Vaidya April 19, 2022 – The U.S. Department of Agriculture is awarding $43 million to support rural healthcare providers amid the ongoing COVID-19 pandemic, and many plan to use the funds to expand […]
Top 3 Changes to Remote Patient Monitoring Codes in 2022
Remote patient monitoring (RPM) is the new standard of care for high-risk/chronic patients. With medical devices that automatically send patient readings to the practice, providers can continue to monitor patient health and intervene when necessary, ultimately improving health outcomes and patient satisfaction. Healthcare providers who implement remote patient monitoring are reimbursed for services with CPT […]
Chronic Care Remote Physiological Monitoring: Essential CPT Codes
Remote patient monitoring (RPM) is an important branch, strong augmentation and considerable expansion of telemedicine that has altered the health business. RPM has played a significant part in reducing the risk of Covid-19, and as a result, it has emerged as a viable alternative to in-person medical examinations. Medical practitioners may now manage patients with chronic […]
HHS Renews Public Health Emergency, Keeping Key Home Health Waivers in Place
By Robert Holly | April 13, 2022 The U.S. Department of Health and Human Services (HHS) on Wednesday opted to renew the COVID-19 public health emergency (PHE), keeping in place several regulatory waivers that have been critical lifelines for home health and hospice operators since the start of 2020. While the extension itself is not surprising, it offers further stability […]