CMS Proposes New Telehealth Guidelines and RADV Extrapolation for MAOs

By , and on November 2, 2018
Posted In Telehealth

On October 26, 2018, CMS released a Notice of Proposed Rulemaking addressing expanded telehealth coverage in Medicare Advantage, extrapolation of RADV audit results, and updates to the Medicare Advantage and Part D Quality Star Ratings program, among other topics. If finalized, the regulations set forth in the Proposed Rule would impact not only Medicare Advantage and Part D plan sponsors but also a broad range of providers and health care companies, particularly those involved in the provision or delivery of telehealth services.

CMS is accepting comments on the Proposed Rule through December 31, 2018.

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Mary Moll AlexandreMary Moll Alexandre
Mary (Mimi) Moll Alexandre works with clients across all sectors of the health care industry, with particular focus on providing regulatory advice regarding managed care, provider reimbursement, and pharmaceutical and medical device issues. Read Mimi Alexandre's full bio. 


Kate McDonaldKate McDonald
Kate McDonald focuses her practice on transactional and regulatory counseling for clients in the health care industry, with particular focus on federal and state health care government programs and the intersection between health care payors and providers. Kate regularly advises health insurers, health maintenance organizations (HMOs), health care government contractors, health care providers and other clients on compliance with health care laws and regulations, particularly in connection with Medicare Advantage, Medicare Part D, Medicaid managed care, the Affordable Care Act, state insurance laws, and state licensure and professional practice regulations. Read Kate McDonald's full bio.


Ankur J. GoelAnkur J. Goel
  Ankur J. Goel represents health industry clients in significant compliance, False Claims Act, litigation and regulatory matters. Ankur works with a range of health industry clients. He represents health plans on issues arising under Medicare Advantage, Part D, and health insurance exchanges, as well as health care providers on a variety of complex enforcement, compliance, regulatory and litigation matters. Read Ankur Goel's full bio.

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