Medicare Payment Advisory Commission members said it would be
difficult to re-implement strict rules for telehealth now that clinicians and
patients have seen its value, but other commission members said making expanded
reimbursement permanent could burden taxpayers, and a balance must be struck
between telehealth and in-person visits. MedPAC staff proposed limiting the
expansion of telehealth under fee-for-service models and preserving flexibility
under advanced alternative payment models, ending reimbursement for audio-only
visits and possibly placing a monthly cap on the number of telehealth services
eligible for reimbursement.
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