MA Final Notice Silent on Risk Adjustment for Telehealth Visits

Written by Ted Kyi

April 6, 2020

As I suspected, the final notice for MA and Part D came out today, and it does not address whether telehealth visits will risk adjust. In the announcement, CMS is limited to finalizing regulations which were proposed in the Advanced Notices and went through public comment. For this reason, telehealth needs to be addressed separately. Guidance about telehealth may come soon, but it will be under the umbrella of the Section 1135 waiver authority of the public health emergency. Stay tuned!

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Ted Kyi
SVP, Business Intelligence & Analytics at Matrix Medical Network

Ted Kyi is a leader in the Business Intelligence & Analytics group responsible for measurement and analysis of current and new products and services at Matrix.  Ted leads the healthcare analytics and data science teams, and is a subject matter expert on risk adjustment and government programs.  He has worked in healthcare analytics for over twenty years.  Prior to joining Matrix, Ted was president of the analytics vendor Ascender Software, and vice president of the consulting firm Infotech Systems Management.