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Telehealth Gains Momentum In Obamacare Era
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Alison_Diana
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Alison_Diana,
User Rank: Author
4/23/2014 | 2:28:49 PM
Re: Achieving the Triple Aim
Thanks, Bill (and thanks for being interviewed for the story!). EY's guide gives healthcare organizations a good look at some of the considerations they should keep in mind before entering telehealth - not just technological, but organizational and governmental. Interesting and helpful.
@BillFeraEY
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@BillFeraEY,
User Rank: Apprentice
4/22/2014 | 6:12:07 PM
Achieving the Triple Aim
Terrific piece Alison. There are indeed some significant hurdles still to overcome before we get to any sort of cohesive national telehealth program.  As you point out, even now a robuts telehealth program provides the ability for providers to make a quantum leap in delivering lower cost, higher quality, accessible and appropriate health care. We actually recently offered a look at necessary components of a sustainable telehealth program to help providers make that leap- http://www.ey.com/US/en/Industries/United-States-sectors/Health-Care/EY-shaping-your-telehealth-strategy
Alison_Diana
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Alison_Diana,
User Rank: Author
4/21/2014 | 9:31:59 AM
Re: Federation of State Medical Boards is scheduled to vote on a new telehealth proposal clarifying that, for purposes of state regulation, care occurs where the patient, not the physician, is located
@daburt00: The rules for telehealth vary from state to state and are not federally mandated, which is where some of the confusion comes in. Insurers have, for the most part, become much more flexible and agreeable to paying for telehealth services; they are often much more cost-effective in several ways, benefiting patient and provider -- and payer. Some states, however, have a lot of strings surrounding telehealth that make it much more challenging for providers to practice. While hospitals and doctors may, perhaps, be able to practice telehealth in those states, it's challenging (if not impossible) for telehealth-only organizations to operate, as discussed in this story and subsequent comments. 

Of course, that may or may not be a good thing, depending on your perspective. We're seeing more organizations offering telehealth services -- some are 100% phone-based, others include a video option (like the one in this story) -- as a standalone business. These compabnies hope clarification allows them to more easily expand into states that currently have cloudiness surrounding their rules.
daburt00
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daburt00,
User Rank: Apprentice
4/18/2014 | 5:08:47 PM
Federation of State Medical Boards is scheduled to vote on a new telehealth proposal clarifying that, for purposes of state regulation, care occurs where the patient, not the physician, is located
In real life, the patient usually travels to the specialist location for a referred consultation.....either within state, or many times out of state. In these cases, where the patient is located IS where the consultant is located. Currently that specialist does not have to be credentialed in the patient's home state to provide a consultation for the patient sitting in their office.  Why should this be any different for specialist consultations via telehealth?  The consultant is in their office and the patient virtually shows up for an appointment, except the patient does not have to travel to that consultant's office.
Alison_Diana
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Alison_Diana,
User Rank: Author
4/17/2014 | 3:38:24 PM
Telehealth: It's come a long way
I remember first writing about telehealth about 20 years ago or so. Of course, the technologies were much more limited and expensive, but two of the biggest hurdles were legislative and insurance. It appears insurers are eager to adopt and pay for telehealth for obvious reasons. However, several states still lag behind; although they may allow telehealth on paper, the actual rules detailing how healthcare providers must fulfill these programs make it virtually impossible to comply. Let's hope these states catch up soon, especially as most of them involve states with rural areas that could probably benefit most from a sophisticated network of telehealth providers. 
David F. Carr
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David F. Carr,
User Rank: Author
4/17/2014 | 1:44:22 PM
Using telehealth to lower costs?
Is your organization using remote consultations with telehealth technologies? Have they been effective at lowering costs -- ideally without compromising quality?


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