Policy Priorities

Remote care policy should expand clinically appropriate access while protecting patients, taxpayers, providers, and plans from unclear rules, low-value utilization, and technology-driven inequities.

1. Make access durable without making compliance ambiguous

Temporary extensions can preserve care continuity, but long-term remote care needs stable statutory and regulatory footing that providers can operationalize.

2. Separate RPM, RTM, telehealth, and care management rules

Remote care programs often combine monitoring, virtual visits, care management, devices, and vendors. Policy should make clear which service is being furnished, who is responsible, and what documentation supports payment.

3. Build program integrity into design

OIG reports show that RPM growth creates oversight questions. Safeguards should address patient consent, treating-provider involvement, device-data thresholds, clinical use of data, vendor relationships, and outlier billing patterns.

4. Govern AI and automated review carefully

AI used in remote monitoring and utilization management should be evaluated for transparency, clinical validity, appeal rights, bias, human review, and patient communication.

5. Protect equitable access

Rules should account for broadband gaps, device access, disability access, language needs, caregiver support, rural providers, safety-net providers, and patients who cannot use video platforms reliably.