Resources & Reports

CCHP’s January Newsletter is Here! This month’s topics include: Winter Policy Developments in CCHP’s Telehealth Policy Finder; Revised Version of Medicare 2022 Physician Fee Schedule Available; CMS Medicaid Toolkit Clarifies States Can Reimburse Audio-Only Permanently; Telehealth Among Strategies to Address Customer Experience in New Executive Order; HHS Title X Family Planning Funding to Fuel Telehealth Infrastructure & Capacity; AMA Audio-Only Modifier 93 Effective Jan. 1, 2022; FDA Removes In-Person Requirement for Mifepristone Abortion Pill.

The traction gained by telehealth during the pandemic has raised a number of policy questions. One of the most frequent issues raised revolves around telehealth’s impact on quality of care, but even more so, how to measure quality of care delivered via telehealth. With funding from the Department of Health and Human Services, the National Quality Forum (NQF) convened a stakeholder group between January and October 2021 to create a framework for assessing telehealth impacts on the healthcare system and health outcomes, specifically during emergencies in rural areas. Released in November 2021, the Final Report, Rural Telehealth and Healthcare System Readiness Measurement Framework, recommends primary areas for measurement, such as access and equity, existing measurements that can also be applied, as well as concepts to continue developing and prioritizing moving forward.

As the year winds down, it’s been another eventful one for telehealth policy.  With COVID continuing to impact our daily lives for a second year, telehealth still remains an important tool in providing people with needed health services.  It has also become a time where federal and state policymakers have made or begun the process to make decisions on temporary telehealth policies.  Many of the telehealth policies enacted in response to the pandemic are or were temporary.  Some have expired because they had a specific end date or were tied to a state declaration of a public health emergency.  Other waivers remain, such as the ones for Medicare, because they are tied to the federal public health emergency (PHE) which was renewed October 15, 2021 and extended to January 16, 2022.

While 2020 saw unprecedented utilization of telehealth due to the COVID-19 pandemic and many new flexibilities put into place through executive orders and administrative policies, 2021 was the year that all states grappled with permanent telehealth legislative changes in some form and the majority enacted at least one bill related to telehealth. Whether it was related to expanding reimbursement in Medicaid or private payers, establishing telehealth practice standards or addressing cross-state licensing issues through special registration processes or Compacts changes were made. A larger quantity of bills in 2021 moved through legislatures to become law more successfully than any single year prior.

In late September, the nomination of Christi Grimm as Inspector General for the Department of Health and Human Services (HHS-OIG) was considered in a hearing before the United States Senate Committee on Finance. As the future of telehealth policy is front of mind for lawmakers, the HHS-OIG Official Responses to Questions for the Record (QFRs) posted on the Committee’s website contain a number of questions and responses that showcase the important role of HHS-OIG in terms of the future of telehealth policy while also providing a clear explanation of OIG’s view on a range of telehealth issues.