Reimbursement


Trump Order Calls for Medicare Changes

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October 10, 2019

Trump Order Calls for Medicare Changes

President Trump has issued an executive order directing Medicare to reduce regulatory burdens, transition to more market-based pricing, and provide easier patient access to innovative medical technologies, particularly telehealth and related services. The order directed federal agencies to take steps that would accomplish the following:
  • Streamline the approval, coverage, and coding processes for innovative medical devices and advances in telehealth, including clarifying the evidence standards that the Centers for Medicare & Medicaid Services (CMS) uses in covering medical technologies.
  • Ensure appropriate reimbursement for the time physicians spend with patients, and eliminate regulatory billing and other requirements that unnecessarily limit such time.
  • Recommend ways to transition Medicare fee-for-service programs to more market-based pricing. This would include consideration of shared savings, competitive bidding, and the use of Medicare Advantage-negotiated rates in setting rates for fee-for-service Medicare.
  • Ensure Medicare payments and policies encourage competition and diversity in sites of care through site-neutral payment policies.
  • Provide beneficiaries with improved access to providers and plans by adjusting network adequacy requirements for Medicare Advantage plans to account for, among other things, the enhanced access made possible through telehealth services or other innovative technologies.
  • Provide beneficiaries with more diverse and affordable health plans that would:
o Reduce barriers to Medicare Medical Savings Accounts
o Promote innovations in supplemental benefits
o Allow beneficiaries in Medicare Advantage to share more directly in savings from the program.