In final rule, CMS makes telehealth more widely available in Medicare Advantage plans

Jannie Delucca

The Centers for Medicare and Medicaid Services nowadays finalized needs that will, between other measures, enhance entry to telehealth for seniors in Medicare Gain programs.

CMS is offering MA programs a lot more flexibility to count telehealth vendors in particular specialty parts these kinds of as Dermatology, Psychiatry, Cardiology, Ophthalmology, Nephrology, Most important Treatment, Gynecology, Endocrinology, and infectious illnesses, to conference CMS network adequacy benchmarks.

This flexibility will motivate programs to enhance their benefits to give beneficiaries entry to the hottest telehealth systems and enhance strategy selections for beneficiaries residing in rural parts, CMS said.

CMS is also finalizing proposals to enhance the MA and Portion D Star Ratings technique to further enhance the influence that affected individual knowledge and entry measures have on a plan’s overall star ranking.

In addition, CMS adopted a series of improvements in the March 31 Interim Closing Rule with Comment Time period for the

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CMS proposes 1.6% inpatient increase and new CAR-T cell therapy payment

Jannie Delucca

Hospitals in 2021 get a one.6% maximize for inpatient care paid by Medicare less than a proposed rule unveiled by the Centers for Medicare and Medicaid Solutions.

CMS is also proposing in the inpatient possible payment program rule to have a separate new hospital payment classification for Chimeric Antigen Receptor (Car) T-cell remedy.

Car-T is a gene remedy that works by using a patient’s individual genetically modified immune cells to treat people today with sure sorts of most cancers, alternatively of supplemental chemotherapy or other sorts of remedy paid for less than the inpatient possible payment program.

Presently, Car-T hospital scenarios are paid at the exact charge as bone marrow transplants and qualify for supplemental payments by way of the short-term new know-how insert-on payment for higher-cost scenarios which is set to expire this yr.

In addition, CMS is relocating forward with its selling price transparency rule demanding hospitals to

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