CMS Proposes New Payments for Digital Health
Industry News
Thursday, July 18 2024
(By Emma Beavins) July 11 - The Centers for Medicare & Medicaid Services' (CMS') proposed calendar year 2025 physician fee schedule rule, out Wednesday, proposed an assortment of new payments and coverage for digital health services, including digital therapeutics, telehealth and audio-only telehealth services. It did not, however, address the bulk of Medicare telehealth waivers expiring at the end of the year, which need to be extended by Congress.
The draft rule contains significant proposals for rural health clinics and federally qualified health centers to continue receiving payment for audio-only telehealth, waive the in-person visit requirement for telemental health services and report remote monitoring codes outside of catch-all code G0511.
CMS' proposal also gives opioid treatment programs more flexibility in their use of telehealth and audio-only telehealth services, which the agency says will improve health equity While some of the changes were obvious wins for the digital health community, policy experts are still digging into the implications of other proposals.
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The draft rule contains significant proposals for rural health clinics and federally qualified health centers to continue receiving payment for audio-only telehealth, waive the in-person visit requirement for telemental health services and report remote monitoring codes outside of catch-all code G0511.
CMS' proposal also gives opioid treatment programs more flexibility in their use of telehealth and audio-only telehealth services, which the agency says will improve health equity While some of the changes were obvious wins for the digital health community, policy experts are still digging into the implications of other proposals.
To Read More Click Here