Congress on track to extend telehealth and at-home care provisions

Dec 18, 2024 at 3:50 PM
After a prolonged period of intense lobbying efforts, it seems that Democrats and Republicans on Capitol Hill have reached an agreement. This stopgap year-end continuing resolution will include crucial extensions related to telehealth and at-home care. A vote on the appropriations bill is expected to take place this week, carrying numerous Medicare and Medicaid provisions that healthcare and health IT organizations have been seeking for a long time.

Key Telehealth and Remote Patient Monitoring Provisions

Two-Year Extension of Medicare Telehealth Flexibilities

This two-year extension of Medicare telehealth flexibilities is set to have a significant impact. It provides healthcare providers with the necessary flexibility to offer telehealth services more easily. With this extension, patients can access medical consultations and treatments from the comfort of their homes, reducing the need for in-person visits. It allows for a wider range of healthcare services to be delivered via telehealth, enhancing access to care for those in remote areas or with mobility issues. This flexibility also enables healthcare providers to better manage patient populations and provide timely care.

Five-Year Extension of Acute Hospital Care at Home Program

The five-year extension of the Acute Hospital Care at Home program is a major step forward. It allows patients to receive acute hospital-level care in the comfort of their own homes. This not only improves the patient experience but also reduces hospital readmissions and healthcare costs. By providing care at home, patients can recover in a familiar environment and receive personalized care from a team of healthcare professionals. This extension ensures the continued availability of this important program and supports the shift towards more patient-centered care.

Two-Year Extension Allowing First-Dollar Coverage of Telehealth for High Deductible Health Plans

The two-year extension of first-dollar coverage of telehealth for high deductible health plans is a game-changer. It removes the financial barrier for many patients who have high deductibles and makes telehealth more accessible. With this extension, patients can receive telehealth services without having to pay a significant amount out of pocket first. It encourages the use of telehealth as a primary care option and helps to bridge the gap in access to care for those with high deductibles. This extension also promotes the integration of telehealth into the healthcare system and supports the growth of virtual care.

Cardiopulmonary Rehab Services via Telehealth at Medicare Beneficiaries' Homes

The allowance for cardiopulmonary rehab services to be performed via telehealth at Medicare beneficiaries' homes is a valuable addition. It enables patients with cardiovascular or pulmonary conditions to receive rehabilitation services from the comfort of their homes. This helps to improve patient outcomes and reduces the burden on healthcare facilities. Telehealth-based cardiopulmonary rehab allows for more individualized care and monitoring, as well as better adherence to treatment plans. It also provides an opportunity for patients to connect with healthcare providers and receive support during their recovery.

Five-Year Extension of Virtual Participation in the Medicare Diabetes Prevention Program

The five-year extension of virtual participation in the Medicare Diabetes Prevention Program is a significant development. It allows Medicare beneficiaries to participate in diabetes prevention programs remotely, through virtual platforms. This is especially important for those who live in rural areas or have difficulty accessing in-person programs. Virtual participation increases the reach and accessibility of diabetes prevention services, helping to prevent the onset of diabetes and improve the health of Medicare beneficiaries. It also supports the integration of technology into healthcare and promotes preventive care.

Provisions for the SPEAK Act

The SPEAK Act provisions require the HHS to develop best practices for improving telehealth services for non-English speakers. This is a crucial step in ensuring that all patients, regardless of their language background, can access telehealth services. By developing best practices, the HHS can address the language barriers that often exist in healthcare and improve the quality of telehealth services for non-English speakers. This extension helps to promote cultural competency in healthcare and ensures that all patients have equal access to care.Industry groups are expressing their satisfaction with the draft legislation. The American Telemedicine Association, for example, has cheered the "big wins" for virtual care in the bill. Kyle Zebley, executive director of ATA Action, stated that these extensions are very meaningful for countless Americans and will give healthcare providers and hospital systems the certainty and confidence needed to continue investing in telehealth services. This has been a long time in the making, and it is crucial that these extensions are kept intact as the bill goes through the voting process in both chambers of Congress and then to President Biden for signature.The American Hospital Association's executive VP, Stacey Hughes, added that the legislation contains a number of critical policies that the AHA strongly advocated for. These include preventing cuts in Medicaid disproportionate share hospital payments, reducing cuts to physicians, and extending Medicare programs that increase access to rural health care. Importantly, the bill also extends telehealth and hospital-at-home programs that expand access to care. The AHA appreciates the bipartisan effort and urges Congress to pass this healthcare package to ensure that hospitals and health systems can continue to care for their patients and communities.America's Essential Hospitals' president and CEO, Dr. Bruce Siegel, also thanked congressional negotiators for promising language in the developing year-end spending package. This language would avert devastating cuts to Medicaid support for essential hospitals and extend telehealth flexibility and the hospital-at-home program. These steps are essential for strengthening safety net care and ensuring that all patients have access to the care they need.In conclusion, this agreement on telehealth and at-home care extensions is a significant milestone. It brings much-needed certainty and support to the healthcare system and promotes the growth of virtual care. With these extensions in place, healthcare providers can continue to innovate and provide high-quality care to patients, regardless of their location or circumstances.