Is Telehealth Changing the Game for Healthcare?

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A study recently published by The New England Journal of Medicine stated that telehealth is positioned to revolutionize medical care. It’s fair to say that technologies are making a lot of things possible that wouldn’t have happened even a few years ago, but it’s also fair to say that this new age of telemedicine poses new risks and a few hurdles to overcome for the healthcare industry, providers, and patients alike.

One limitation that the industry is currently experiencing is the adoption of reimbursement for medical delivery systems by payers across the country, specifically the lack of coverage and “unequal” treatment of receiving care via technological advances. Luckily, certain states have put telehealth parity laws into place, thus requiring coverage and reimbursement for telehealth under private insurance, Medicaid, and workers compensation as though services were provided in person. Medicare, on the other hand, seems to be last to join the party which makes sense considering the population it serves.

Want to learn more? Download our free telehealth whitepaper!

Throughout the article, the biggest issue rings loudly: the digital divide between the industry and the populations they serve, whether that be the elderly, lower income individuals, or the less educated. These groups are less likely to have the means to participate in telehealth options. No computer or smartphone = no digital health adoption.

While there are a few bumps in the road, telehealth does serve up some benefits as well:

• Doctors across several specialties are easily accessible for patients. This helps individuals with time constraints, lack of transportation or means to visit a doctor, and includes those whom have chronic diseases that need to be monitored closely and more frequently.
• Telehealth is cost-effective. What one may pay toward their deductible or out-of-pocket maximum for an in-office visit is undoubtedly lower than an e-visit which can typically be found for $50 or less.
• E-visits will contribute to less hospital readmissions, therefore reducing overall healthcare and drug spend which is astronomical in this country.

Ultimately, telehealth is meant to be an extension of the provider’s office, not a replacement. It will enable medical professionals to meet the growing burden of chronic disease, while enhancing the patient-centric, value-based care model the United States is currently trying to implement.

What do you think of this shift to digital health? Exciting or nerve-wracking? Share your thoughts with me below!

Sources: The New England Journal of Medicine

About DoseSpot

DoseSpot is a Surescripts certified e-Prescribing platform specifically designed to integrate with electronic health record, electronic dental record, practice management and telehealth software. DoseSpot is certified to e-Prescribe controlled substances and has provided simple, affordable and integratable e-Prescribing solutions to healthcare IT companies since 2009. For more information, please visit http://www.DoseSpot.com.

Grades Matter: State-by-State telemedicine performances and what they mean

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In the days of schooling that we all loved and miss dearly, report cards were used to denote “good” and “poor” students. Similarly, within the realm of U.S. telemedicine, standards to separate a “good” state for telemedicine and a “not-so-good” one have been put into motion. Earlier this month at its annual conference, the American Telemedicine Association (ATA) released two key reports: a state-by-state analysis of coverage and reimbursement policies for telemedicine services and a second on physician practice standards and licensure in each state.

So who made the grade? In terms of coverage and reimbursement, five states (six including the District of Columbia) received an A based on 13 criteria. New Mexico, one of the lucky “A” states, received its grade for a few key reasons worth sharing:

• New Mexico has distinguished telehealth parity for private insurance, Medicaid and its state employee health plans.
• New Mexico is one of just five states to specify that its Medicaid program must cover telemedicine services provided by substance-abuse or addiction specialists.
• New Mexico Medicaid also covers telemental health delivered by licensed clinical social workers and counselors (as do several others). However, only New Mexico, Oklahoma and Washington do so for behavioral analysts. This trend, according to the ATA, “is unique because these specialists are critical for the treatment of autism spectrum disorders.”

And then there were those who didn’t make the class. The only two states to earn failing grades on coverage policies are small New England neighbors, Connecticut and Rhode Island. These two states each failed the three major categories–parity for private insurance, Medicaid and state employee health plans–mainly due to their lack of Medicaid telemedicine coverage (according to the ATA). Both Connecticut and Rhode Island allow telemedicine services without a telepresenter or other healthcare professional present with the patient and neither got extra points for innovative service-delivery models.

Catch up on your telemedicine news and see how all 50 states fared here with the ATA’s official telemedicine report card!

SOURCE: MedCity News

About DoseSpot 
DoseSpot is a Surescripts certified e-Prescribing platform specifically designed to integrate with electronic health record, electronic dental record, practice management and telehealth software. DoseSpot is certified to e-Prescribe controlled substances and has provided simple, affordable and integratable e-Prescribing solutions to healthcare IT companies since 2009. For more information, please visit http://www.DoseSpot.com.