AMGA and Physician Organizations Call for HHS to Support Audio-Only Telehealth Services
Alexandria, VA – In collaboration with medical groups and independent practice associations from across the country, AMGA has issued a letter urging Secretary of Health and Human Services (HHS) Alex Azar, and Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma to reduce regulatory burden on physician practices by supporting audio-only telehealth services.
Clinicians have embraced the use of telemedicine during the COVID-19 outbreak, providing critical care for their patients while mitigating the spread of the disease. As stay-at-home orders were declared across the country, CMS has taken numerous steps to expand the use of telehealth to meet patient needs, including sweeping waivers and reimbursement changes in traditional Medicare. On April 10, 2020, the agency announced that diagnoses made during telehealth visits may now be submitted for risk adjustment purposes.
AMGA and its members applaud CMS for providing necessary regulatory relief for physician practices and their patients. However, the agency’s requirement that telehealth services be provided via live, audiovisual telecommunications remains a significant barrier for patients and physicians during the pandemic. A major component of telehealth services are audio-based services, or care provided over the telephone, which remains a straightforward and preferable alternative for many patients and physicians.
“Too many Americans lack the technology or broadband service necessary to receive care through video-based modalities,” said Jerry Penso, M.D., M.B.A., president and chief executive officer of AMGA. “Recognizing this need, clinicians have continued to provide care for these populations during the pandemic, using only audio-based services, including landline phones. This care should is vital to many patients who are unable to access audiovisual technology.”
Unfortunately, under current CMS rules, any diagnosis made during an audio-only visit with a patient cannot be used for risk adjustment purposes. This restriction undermines both the financial stability of these physician practices and our patient care goals.
AMGA and its members have called for CMS to clarify that audio-only visits can be counted for risk adjustment and care coordination purposes. This policy adjustment would support the needs of physician practices across the country as they continue to provide coordinated, affordable patient care during and after this global pandemic.
A copy of the letter is available on AMGA’s website.
Organizations submitting the letter include:
AMGA
Colorado Permanente Medical Group
Hawaii Permanente Medical Group
Mid-Atlantic Permanente Medical Group
Northwest Permanente
The Permanente Medical Group
The Southeast Permanente Medical Group
Southern California Permanente Medical Group
Washington Permanente Medical Group
Acclaim Physician Group, Inc.
agilon health
Arizona Community Physicians
Austin Regional Clinic
AtlantiCare Physician Group
Atrius Health
Benefits Health System
Bryan Physician Network
Catalyst Medical Group
Cleveland Clinic
Coastal Carolina Health Care, P.A.
CommonSpirit Health
Covenant Medical Group
Crystal Run Healthcare
DuPage Medical Group
El Camino Hospital System
Eventus WholeHealth
Facey Medical Foundation
Gould Medical Group
Grace Medical Group
Graves Gilbert Clinic
Greater Newport Physicians IPA
HealthCare Partners
HealthCare Partners Nevada
HealthPartners
Heritage Medical Associates
Hoag Medical Group
HSHS Medical Group
Inova Health System
Intermountain Medical Group, Intermountain Healthcare
Iowa Clinic
Johns Hopkins Medicine
Kadlec Clinics
Kaweah Delta Medical Foundations
Kettering Physician Network
Lee Health
Lehigh Valley Health Network
Marshfield Clinic Health System
Matthews-Vu Medical Group
Maui Medical Group
Maury Regional Medical Group
Mayo Clinic
MedChi, the Maryland State Medical Society
Medical Society of the District of Columbia
MemorialCare Medical Center Foundation
MemorialCare Medical Group
Mercy Medical Group
Methodist Medical Group
Mission Heritage Medical Group
North Mississippi Medical Clinics, Inc.
North Shore Medical Group
Northeast Georgia Physicians Group
Oregon Medical Group
Pacific Medical Centers
Palo Alto Medical Foundation
Parkview Physicians Group
Pennsylvania State Medical Society (PAMED)
The Portland Clinic
Premier Family Physicians
Prevea Health
Providence Medical Institute
Providence Medical Group
Providence St. John's Medical Foundation
Quincy Medical Group
Revere Health in Utah
Scripps Coastal Medical Group
Sharp Rees-Stealy Medical Group
Silicon Valley Medical Development, LLC
SIMEDHealth, L.L.C.
St. Joseph Health Medical Group
St. Mary High Desert Medical Group
St. Peter's Health
St. Joseph Heritage Medical Group
St. Jude Heritage Medical Group
Summit Medical Group
Sutter East Bay Medical Group
Sutter Health
Sutter Independent Physician Association
Sutter Medical Group
Sutter Medical Group of the Redwoods
Sutter North Medical Groups
Sutter West Bay Medical Group
Swedish Medical Group
Union Medical Group
USF Health
Utica Park Clinic
Valley Organized Physicians
Vancouver Clinic
Wellstar Medical Group
Western Montana Clinic in Missoula, MT
Western Washington Medical Group
Wilmington Health
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About AMGA
AMGA is a trade association leading the transformation of health care in America. Representing multispecialty medical groups and integrated systems of care, we advocate, educate, innovate, and empower our members to deliver the next level of high performance health. AMGA is the national voice promoting awareness of our members’ recognized excellence in the delivery of coordinated, high-quality, high-value care. More than 175,000 physicians practice in our member organizations, delivering care to one in three Americans.