Telehealth Advocates Disappointed, Reenergized To Get Coverage For Older Diabetes Patients

When the US Medicare agency didn’t include diabetes telehealth coverage for its patients in a recent decision, advocates say they weren’t surprised – and now they’re even more motivated to pass legislation to achieve their goals.

Illustration of an older man staying at home consulting a doctor through video call

Against all odds, Lucia Savage had hoped the US Centers for Medicare and Medicaid Services (CMS) would include telehealth coverage for diabetes patients in a recent fee schedule. With her hopes dashed, she and others like her are even more motivated to lobby Congress to force the agency’s hand.

When the CMS published its Medicare 2022 Physician Fee Schedule (PFS) in early November, it came as no surprise to Savage, chief privacy and regulatory officer at Omada Health, that the agency would not include a provision to pay for telehealth coverage of its Medicare Diabetes Prevention Program (MDPP). After all, in its July proposed fee schedule the agency didn’t propose to do so despite intense lobbying

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