***Update*** This issue was fixed in the Coronavirus Aid, Relief, and Economic Security Act, signed by the President on March 27, 2020. Thanks to all who advocated for fair treatment for our partners in Rural Health Clinics and Federally Qualified Health Centers and their patients.  


The Medicare telehealth expansion in the recent emergency funding bill is welcome news for patients and practitioners. Remote office visits will be much more widely available for the duration of the national COVID-19 public health emergency. This is an important tool to minimize further spread of the disease, protecting both patients and providers. Unfortunately, an oversight in this legislation leaves out some of the most vulnerable populations in rural communities. We are encouraged to see the Senate include a fix in their bill that may become law soon. 

Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), more than 6,000 facilities in historically underserved areas, will not be able to provide remote office visits to their Medicare patients unless Congress acts. We urge the Congress to act quickly to add RHCs and FQHCs to the list of eligible providers, as the health crisis is accelerating each day. The one in five Americans who reside in rural areas deserve the same access to care as everyone else, delivered as safely as possible.   

How Did Congress Leave out These Rural Providers? 

Before the public health emergency, telehealth services were available mostly to rural patients. A rural Medicare patient could travel to a local health facility, called an “originating site,” such as their doctor’s office, a rural health clinic, or hospital. At the local facility, the patient would be connected through real time telecommunications technology to a provider at a separate location, called a “distant site.” This allowed rural beneficiaries access to a wider range of providers, including specialists who were not available locally.   

The emergency legislation expanded these services to Medicare patients living outside rural areas. It also expanded the definition of “originating site” to include the homes of patients for the duration of the public health emergency. However, the law did not change the definition of distant site to include RHCs and FQHCs. Unless Congress changes the law, rural Medicare patients can receive services at their homes, but they won’t be able to connect with RHCs and FQHCs remotely, even if that is where they get their regular care.  

To learn more about telehealth options for Medicare, join Caravan Health for a webinar with our Chief Medical Office, Dr. Anna Loengard on Thursday, March 26 at 9 AM PT/12 PM ET. Register for the webinar here.  

Sign up to our newsletter

Recent Resources

CMS Actions in Response to the COVID-19 Public Health Emergency

The Centers for Medicare and Medicaid Services just issued a lengthy set of policy changes to address the growing COVID-19 public health emergency (PHE). These changes will help hospitals and health providers to respond to the crisis more quickly and safely, including many more options for telehealth in Medicare.

Stop Standing Still: How to Get Started in a High-Performing Caravan Health ACO

Tuesday, September 24 at 9:00am PT / 12:00pm ET

ACO, Webinars & Events

10 Reasons ACOs Can Fail

Just published in Becker’s Hospital Review – Caravan Health Senior Vice President Tim Gronniger discusses ten reasons Accountable Care Organizations can fail.

ACO, Blogs & News, Value-Based Care

attention

Stay up to date on the latest info on value-based care - visit our resources page

ACO insights delivered right to you

Thank you

Sign up for our newsletter of data-driven news and stories from the latest in ACOs, value-based care, and population health.

  • Real-time insight into alternative payment model trends
  • Strategies and practices that drive results
  • Leadership lessons from health care and beyond
  • Perspectives on the changing health care landscape

By sharing your email you agree to our Privacy Policy

newsletter signup