Virtual Care & Telehealth
Expert articles and analysis related to virtual care & telehealth.
AI Summary — Last 30 Days
CMS is tightening the virtual-care business case in Medicare: the ACCESS chronic-disease experiment signals that digital health vendors may face much lower, outcomes-oriented Medicare economics than commercial visit-based revenue, while proposed physician fee schedule changes would curb payment for outsourced remote monitoring—raising pressure on ACOs and provider groups to integrate RPM/telehealth into accountable care operations rather than rely on standalone vendors. At the same time, health systems and plans are positioning digital specialty-care models as VBC infrastructure, as shown by Henry Ford Health, Health Alliance Plan, and Protera Health’s MSK partnership using virtual triage, coordinated services, and specialty access to reduce avoidable utilization and improve longitudinal management. The strategic tension for VBC leaders is clear: virtual care remains central to population health and rural/home-based access, but Medicare policy is shifting toward tighter attribution, program-integrity scrutiny, and measurable value rather than broad fee-for-service expansion (CMS ACCESS digital health economics; digital MSK value-based model).
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