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Health · Healthcare systems · published 2026-10-13 · via Medical Economics

MedPAC weighs changes to telehealth pay and billing by nonphysician clinicians

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Image via Medical Economics

MedPAC discussed how telehealth services should be valued under the physician fee schedule. The panel also examined whether nurse practitioners and physician assistants should bill directly rather than through incident-to arrangements. The debate could influence future Medicare payment rules.

Expanded Detail

MedPAC discussed two Medicare payment issues. One was how telehealth services should be valued under the physician fee schedule. The other was whether nurse practitioners and physician assistants should bill directly rather than through incident-to arrangements.

The panel’s debate may affect future Medicare payment policy. Both topics concern how clinicians are paid and how services are billed, so the discussion may matter for how telehealth and nonphysician clinician care are handled in Medicare.

Context

If Medicare payment policy changes, clinicians, patients, and health organizations could be affected. How telehealth is valued may influence whether virtual visits remain financially viable for providers and accessible to patients. Direct billing by nurse practitioners and physician assistants could change how care is supervised, billed, and delivered, potentially affecting team-based practice and access. The panel’s

Expanded detail and Context are AI-generated analysis; the linked article remains the authoritative source.
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This summary is Al-enhanced to contain extended analysis and broader social context. The original is {NAME); the linked article is the authoritative source. Original headline: “On telehealth and incident-to billing: MedPAC debates physician fee schedule values.” Browse more stories.