Technology solutions in healthcare, such as remote patient monitoring (RPM), can help bridge the gap between the overtaxed medical resources and the growing demand for them. While virtual care technology like RPM has been around for years, there have been many barriers to adoption: clinician mindset, regulatory, technological/interoperability issues and most important: how to reimburse clinicians for care. However, current healthcare reforms are finally changing the game.
This direct new 99091 code and its financial incentive may finally ignite more widespread use of virtual telehealth and RPM resulting in increased access to healthcare services for those that need it most, at a lower cost of care and increased quality. The benefits are many: identifying at-risk patients, improving outcomes, and ultimately becoming part of the standard of care that improves the health and efficiency for all. Virtual telehealth technologies let patients take an active role in their health and allow providers to detect problems early before costs and complications escalate. The new and changing payment for remote patient monitoring is expected to boost the efforts of physicians and health systems to improve the health of chronic patient populations. At last, physicians will have meaningful technology available to support their transition to value-based care.
Patient engagement and adherence is one of the most essential steps for implementing a successful telehealth program. Virtual care offers the opportunity to engage people wherever they are living, not only in the physical setting of a provider organization.
Thanks to MedCityNews for this information.Read More
Telemedicine is similar to a face-to-face health care visit but instead, patients interact with health providers remotely, usually via computer screen. Currently, the practice is limited to doctors and higher-level practitioners, and the patient has to be in a clinic setting for the visit.
But that will change starting in July 2019 because of a new law signed by Gov. Matt Bevin last week, which broadens telemedicine. Under the new law, Medicaid and commercial insurance companies will have to pay for telehealth visits in a patient’s home. And insurers will have to pay mid-level providers, such as psychologists, family therapists and physician assistants for telehealth visits.
Thanks to WFPL for this informationRead More
As the American Telemedicine Association's ATA18 conference kicks into gear, telehealth experts are holding a magnifying glass to the industry - and telling attendees its' time to get serious about digital health.
For years, telehealth advocates have been touting virtual visits as being just as good as the in-person visit. Now they’re saying telemedicine is better.
“Our focus is now on quality,” American Telemedicine President Peter Yellowlees, MD, declared as ATA18 kicked off Sunday in Chicago. “It’s now about how having virtual care really can be better for patients (than) the traditional approach.”
The ATA, marking its 25th year, is pushing the telemedicine agenda quite hard these days, with a focus not only on the benefits to the patient in a rapidly-changing direct-to-consumer landscape but also on the advantages it brings to overworked practitioners.
“I actually find it less stressful to see a patient online than I do in person,” Yellowlees, a professor of psychiatry at the University of California’s Davis campus, said during his opening remarks.
Thanks to mHealthIntelligence for this informationRead More
Today at Health 2.0, Teladoc rolled out the first tangible fruits of its acquisition of Best Doctors: a new mobile app for clients of both services.
"For over 20 million people today, Teladoc [delivers] healthcare that drives better convenience, better value, and better outcomes," Nita Stella, vice president of product strategy, said during a demo of the new app at the conference. "Now with our recent acquisition of Best Doctors, we have an opportunity to expand that mission to also enable access to the patients that have treatment questions, or seek a second opinion or other services to a network of over 50,000 providers that have been identified as the best in their field. Through this access, we’re excited to launch our new and improved Teladoc mobile application and website, which will be launched later this month.”
Daniel Trencher, SVP of Product and Strategy for Teladoc, told MobiHealthNews that Teladoc’s focus on acute care telemedicine and Best Doctor’s focus on medical second opinions is a powerful combination because of what’s referred to as the population health pyramid, a way of visualizing the cost distribution in healthcare.
“Teladoc has historically really targeted conditions at the bottom of that pyramid — higher volume, lower total dollars and in the acute space,” Trencher explained. “Best Doctors has attacked the top of the pyramid, so the most complex cases and costly cases that impact a smaller percentage of the population but really drive a lot of healthcare expense. And bringing the companies together really allows us to target the middle as well.”
Best Doctors and Teladoc had a number of enterprise customers in common even before the acquisition, and some customers of just one service will likely adopt the other as the two companies continue as a merged entity. This app will be rolled out to the members of some of those joint customers.
When a customer logs onto the app, they’ll be given two options (with a third to be added shortly after launch). The first, “Request a visit”, will take the user to an experience very much like Teladoc’s existing telemedicine app, which can guide them to either a phone or video visit for acute care, beahvioral health, or dermatology.
But the other two options are new and utilize one of Best Doctors’ primary assets: It’s vetted list of medical specialists around the world. On launch, the app will have a “seek a second opinion” option. The user will fill out a short survey in the app. Then, finewatch either immediately or at a scheduled time in the next 48 hours, a nurse will call them and do a more detailed intake. Then Best Doctors will set up a consultation with the appropriate specialist.
The final option, which will roll out as an update a little later, uses Best Doctors’ database to help the user find a high quality specialist near them for a first opinion.
These features are major parts of what Best Doctors has been doing all along, but notably Best Doctors has never before had a mobile app. Teladoc will also be launching a Best Doctors app for enterprise customers that use Best Doctors but not Teladoc.
The Teladoc app has one other neat feature. Using Geofencing, the app can tell when a user enters an urgent care center and send them a push notification reminding them that telemedicine is another — possibly cheaper — option.
Having Teladoc and Best Doctors’ existing services in one app is a meaningful step in the companies’ merger, but still an early one. Ultimately, Teladoc will look for more synergies to integrate the two business models, with the goal of covering that whole spectrum of care.
“The vision is to have services that can help meet the needs of patients throughout the course of their lives and for different types of patients across the spectrum,” Trencher said.Read More
New research by the Employee Benefit Research Institute examines how Millennials interact with their health care providers, finding material differences between this generation’s approach and that of other generations. Analysis of the EBRI/Greenwald & Associates Consumer Engagement in Health Care Survey (CEHCS) reveals how Millennials—who now outnumbers Baby Boomers—are more comfortable with non-traditional engagement with their health care providers, and are more likely to apply shopping habits commonly found in the online retail realm to their health care decision-making.
The analysis finds that Millennials are:
More than twice as likely to be interested in telemedicine than Baby Boomers. Forty percent of millennials are interested in telemedicine compared with 19 percent among Baby Boomers and 27 percent among Gen Xers.
More likely than other generations to have researched health care options, such as checking the quality or rating of a doctor or hospital (51 percent Millennial vs. 34 percent Gen X and 31 percent Baby Boomers); using an online health cost tracking tool (28 percent Millennial vs. 17 percent Gen X and 10 percent Baby Boomers); or otherwise finding health cost information (72 percent Millennial vs. 65 percent Gen X and 64 percent Baby Boomers).
Thanks to insurancenewsnet.com for this information.
Telemedicine generally refers to the use of information technologies and electronic communications to provide remote clinical services to patients. Examples of telemedicine are the transmission of medical imaging and video consultations with patients and specialists. Telemedicine is the first generation description of the clinical application of technology to medicine.
As the application of technology to health care has evolved, the term “telehealth” has become the second generation of terminology and describes the evolution of health care technology beyond the delivery of clinical services using remote means. Telehealth encompasses a broader collection of means or methods to enhance care delivery and education. While the terms are often used interchangeably, telemedicine and telehealth are not precisely the same thing.
The Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services defines telehealth as the use of electronic information and telecommunications technologies to support and promote long-distance clinical health care, patient and professional health-related education, public health and health administration. Technologies include videoconferencing, the internet, store-and-forward imaging, streaming media, and terrestrial and wireless communications.
According to The Center for Connected Health Policy, “telemedicine” often refers to traditional clinical diagnosis and monitoring that is delivered by technology, while “telehealth” describes the wide range of diagnosis and management, education and other related fields of healthcare.
Telemedicine is a component part of telehealth, but telehealth goes beyond traditional telemedicine. For now, in most cases, the context in which the terms “telehealth” and “telemedicine” are used will be the key to understanding the intent of the word. Usage of the terms will continue to evolve and I predict that the broadest possible term defining the application of technology to health care will survive the test of time.
Thanks to Mondaq News Alert for this informaitonRead More
Teladoc, a provider of virtual care delivery services, has announced an expanded partnership with Microsoft to advance telehealth capabilities.
As telehealth services become increasingly popular in conventional care, developers are looking to expand capabilities to meet demand of patients and clinicians. By combining Teledoc’s platform with the Microsoft Azure cloud platform, hospitals and healthcare systems across America hope to improve access to virtual care to better meet the needs of patients.
“Teladoc is committed to providing a superior telehealth solution to our clients,” said Alan Roga, MD, president, hospital and health systems at Teladoc. “Whether it’s the Microsoft Azure platform or any of a number of other Microsoft applications that will support the success of our clients’ telehealth goals, our focus remains on providing a secure, flexible and reliable platform for all of our health system clients.”
After doubling market growth in hospitals and healthcare systems in the past year, Teledoc aims to leverage Azure to deliver telehealth to more than 250 hospitals and healthcare systems. This improved reach of telehealth could increase patient base and improve care and workflow. With Microsoft, Teledoc is able to leverage all HITRUST-certified Azure cloud services to provide highly scalable, redundant and secure applications to clients.
“Consumer telehealth is now becoming central to hospital and health system strategy,” said Neil Jordan, general manager of Worldwide Health at Microsoft. “In combination with the security and global scale of Microsoft Azure, we can jointly take Teladoc’s solution to market to successfully expand use cases in current clients and reach many more new ones, helping Teladoc’s provider customers improve the healthcare experience.”
Thanks to Clinical Innovation + Technology for this informationRead More
Even while broader US healthcare reform efforts stall amidst a lack of bipartisan cooperation, the prospect of cost savings has Democrats and Republicans working together to reduce restrictions on telemedicine use.
The Evidence-Based Telehealth Expansion Act of 2017 was introduced recently in an effort to reduce healthcare costs while maintaining or improving quality of care. The bill, if approved, would remove a number of restrictions to telemedicine and help expand its use among Medicare providers and patients. These include giving the HHS secretary authority to waive Medicare restrictions on the telemedicine it covers, the lifting of restrictions on geographic limitations, and lifting limitations on the types of Medicare-enrolled healthcare providers that can offer telemedicine services.
Medicare reimbursement has been identified as one major obstacle to broader implementation of telemedicine. Greater access to and reimbursement for telemedicine among Medicare beneficiaries could signal a coming shift to greater expansion to Medicaid and commercially insured patients.
Thanks to KLICK WIRE for this informationRead More
A two-year bipartisan budget deal announced by Senate leaders on Wednesday includes provisions to expand telehealth coverage and scale back Meaningful Use regulations.
The House of Representatives addressed the same issues in its short-term funding bill approved earlier this week that would have provided federal funding for a six-week period and averted a partial government shutdown by midnight on Thursday.
The Senate’s bill is far more expansive and features a slew of healthcare extenders, including $6 billion in funding for mental health issues and opioid addiction, $2 billion for the National Institutes of Health and a four-year extension for the Children’s Health Insurance Program. The deal still must pass through the House where Democrats are pushing Republicans on a commitment to protect immigrants who were brought to the U.S. as children.
“The budget deal doesn’t have everything Democrats want; it doesn’t have everything the Republicans want, but it has what the American people need,” Sen. Chuck Schumer, D-N.Y., said in a statement Wednesday.
But the bill includes health IT sweeteners like the CHRONIC Care Act, which builds telehealth benefits into Medicare Advantage plans beginning in 2020. The spending bill would also allow accountable care organizations to expand the use of telehealth by allowing a patient’s home to be considered an originating site. Telestroke service would also get a boost beginning in 2019.
Telehealth expansion has received bipartisan support in Congress. Lack of reimbursement has been a longstanding concern among providers and industry groups and a frequently cited a barrier to adoption.
Like the House bill, Senate leaders included legislation sponsored by Rep. Michael C. Burgess, M.D., R-Texas, that would strike portions of the HITECH Act to prevent Meaningful Use requirements from becoming more complex moving forward.
That regulatory change has received backing from health IT associations, including the American Medical Informatics Association (AMIA). Jeff Smith, AMIA's vice presidents of public policy, said the bill would give the Centers for Medicare & Medicaid Services more control over policy tied to health IT adoption and allow the agency to be more responsive to industry feedback.
Thanks to FierceHealthcare for this information
In a recent letter to the U.S. Drug Enforcement Agency, a bipartisan group of senators pushed for a new rule that would expand rural communities’ access to opioid addiction treatment by easing restrictions on providers’ ability to prescribe controlled substances through telemedicine.
Sen. Claire McCaskill (D-Mo.), and Lisa Murkowski and Dan Sullivan, both Republicans from Alaska, called for healthcare providers in limited cases to be exempt from current laws requiring prescribers to see a patient in person before issuing a prescription for a controlled substance, such as those used in medication assisted treatment. In the senators’ proposal, practitioners would be able to obtain a special registration to write prescriptions as part of opioid addiction treatment via telemedicine.
The expansion of telehealth “would ensure that controlled substances are dispensed in a tightly regulated and safe way,” Murkowski said in a news release.
Accessing in-person treatment for substance use disorders has been particularly challenging for many in the senators’ home states. In Missouri, 98 of 101 rural counties do not have licensed psychiatrists, while 80% of communities in Alaska are not connected to a road system.
Thanks to Healthcare Executive for this information
The American Association of Family Physicians is the latest healthcare organization to lobby the FCC to increase funding for rural broadband, which in turn would allow for an expansion of rural telemedicine.
Thanks to mHealth Intelligence for this information.Read More
Although been more than a month since the Federal Communications Commission voted 3-2 to repeal net neutrality rules, the topic remains a hot-button issue.
The FCC’s decision affects more than just consumers. Lawyer Kristi Kung dives deeper into what the repeal could mean for telemedicine services.
In November, FCC Chairman Ajit Pai argued that the government’s light touch approach to high-speed internet would be beneficial to telehealth.
“However, the 2015 rules already prioritized critical healthcare services,” Kung wrote.
They differentiate between Broadband Internet Access Services (or general internet traffic) and Non-BIAS data services, which are exempt from the rules and ensure faster speeds. FCC Order 15-24 notes that telehealth services “might alternatively be structured as ‘non-BIAS data services,’ which are beyond the reach of the open Internet rules.”
Kung concludes: “Therefore, telehealth services could have secured an exemption under the old rules without implementing paid prioritization across the market.”
However, the past is the past. The FCC took a vote, and now healthcare industry experts are concerned that rural and small practices may not be able to afford high-quality telehealth services. And rural communities tend to be the ones that need telemedicine the most.
“Net neutrality advocates have posed the question, ‘What happens to telehealth if Netflix streaming services is given preference over critical medical applications?'” Kung wrote.
Thanks to MedCity News for this informationRead More
11 pieces of legislation in nine states will officially take effect in 2018.
Here they are:
Arkansas: A policy in the state gives a new definition of telemedicine and includes requirements for establishing a “professional relationship” via telemedicine. Additionally, it contains requirements for when a healthcare worker provides telehealth services to a minor in a school setting and the minor is in the state’s Medicaid program.
California: Two bills (AB 205 and SB 171) let Medi-Cal managed care plans request other access standards if they’ve exhausted all the other options to obtain providers to meet certain standards. They also classify telehealth visits as a means of alternative access standards.
Additionally, California took a closer look at telepharmacies. The state has set up requirements for registered pharmacy technicians who work at a remote dispensing site pharmacy.
Colorado: Bill SB 2017 develops a behavioral health crisis response system and crisis service facilities walk-in centers mobile response units. It also outlines what role telehealth can play in these areas.
Illinois: A new policy specifies that the Department can’t require a physician or healthcare professional to be physically present in the same room as the patient for the whole time that the patient is getting telepsychiatry services.
Another piece of legislation establishes standards for providers using telehealth in Illinois. The requirements include the need for providers to be licensed and use the same standard of care used for in-person visits
Montana: Beginning in 2018, Montana will require insurance to cover teledentistry.
Oregon: Oregon is making changes in the dentistry realm as well. Next year, it will allow dental care providers to utilize telehealth if they believe it’s appropriate and within their scope. The Oregon Board of Dentistry will be required to treat telehealth services the same way it treats in-person services.
Tennessee: Bill HB 664 enacts the Interstate Medical Licensure Compact. This will take effect July 1, 2018.
Texas: Bill 1107 provides definitions of telemedicine and telehealth in the state and defines a patient-provider relationship for telemedicine services. It took effect on May 27, 2017, but sections 5, 6 and 7 will become effective on January 1, 2018.
Washington: Through new legislation, Washington has further defined where a patient may receive health services. Starting in 2018, the state will expand private payer reimbursement requirements to include an originating site of “any location determined by the individual receiving the service.”
Thanks to MedCity News for this informationRead More
Why do so many people experience holiday-related anxiety? For starters, the emphasis on family time and togetherness can act as a constant and painful reminder that our lives may not look like joyful holiday cards — putting family conflict, loss, breakups and divorce under a microscope. The stress and anxiety of being confronted with family events, combined with travel, darker and colder days, unusually packed schedules, and lack of sleep can trigger behavioral health issues. Also, when busy and/or traveling, it’s common for people to deprioritize their physical and mental health.
But this doesn’t have to be your reality. You can give yourself the gift of telehealth! Many people, through their health plans, have access to virtual visits with licensed therapists, psychiatrists and psychologists — making it possible to manage mental health and enjoy the busy holiday season. Telehealth makes it possible to access quality care, 24/7, anywhere you have a smartphone or the web. Visit Teladoc.com/therapy to find out how you can access care from your home, on the road, or even right smack in the middle of your family’s holiday dinner.
“A combined 58 million American adults are living with either major depression (16M) or an anxiety disorder (42M), but in my experience, 100 percent of people will experience a stressor, or a loved one will need support, during the holiday season,” says Dr. Monika Roots, vice president of health services at Teladoc, the world’s largest and most trusted provider of virtual care delivery services. “One of the reasons I’m an advocate of telehealth for mental health is that it allows people to access care upon feeling triggered, not waiting weeks to get an appointment. After your aunt asks you why you’re single at the dinner table, for example, you can talk to someone immediately, making it easier to proactively manage stressors before they become major issues.”
How else can you help yourself or a loved one maintain positive mental health during the holidays? We asked Teladoc’s Dr. Roots for the top five ways to mitigate holiday-triggered anxiety. Here’s what she said:
1. Set boundaries.
2. Ask for help.
3. Stick to a routine.
5. Get some sleep.
Many people don’t realize that they have access to a telehealth solution like Teladoc through their health benefits, or that these services offer mental health support. Further, as opposed to 25-day wait times for a mental health visit (according to the Kennedy Forum), you can see Teladoc licensed therapists and psychologists/psychiatrists within minutes, so you can get back to enjoying your holiday.
Thanks to the Mtn. Grove News Journal for this information.Read More
New laws to improve cybersecurity in the healthcare industry and to remove barriers that impede the expanded use of telehealth technology are among the legislative acts being sought by the Healthcare Information Management and Systems Society, which publicized its “wish list” during National Health IT Week.
In the face of massive amounts of patient information being stolen by hackers, and with providers facing financial, reputational and patient safety ramifications, HIMSS is offering a series of cybersecurity policy recommendations to members of Congress.
The nation’s leading healthcare IT professional association is asking the Department of Health and Human Services to appoint a security champion. The agency does have Christopher Wlaschin as its chief information security officer, but HIMSS believe a champion more power is needed.
HIMSS recommends that Congress enact legislation to raise the HHS CISO position to be a peer of the agency’s CIO, with the CISO having responsibilities to establish goals and priorities for cybersecurity.
These goals could include plans for effective response to threats, educating providers, vendors, insurers and other stakeholders on holistic security measures; working with organizations in other industries; and increasing the number of cybersecurity personnel in the healthcare industry.
The organization also calls on lawmakers to enact the CONNECT for Health Act of 2017 to remove Medicare restrictions that prevent reimbursing most providers for telehealth services and remote monitoring of patients using telehealth technology.
Thanks to HealthData Management for this informationRead More
Millennials are turning out to be the biggest proponents of telehealth services and mobile health applications. Telehealth services use technology such as computers and smartphone apps to connect physicians and healthcare providers with patients for diagnosis, referrals and treatment.
At nearly 80 million strong and growing in numbers, millennials are the largest generation living and working in the United States. Born between 1981 and 1997, they are generally more tech-savvy than baby boomers. Millennials want easy access, lower cost and convenient healthcare services that fit their busy lifestyles.
More than 50% of millennials are parents with young families. Healthcare providers are recruiting millennials for telehealth pediatric care that can be conducted from the comfort of the family’s home. Services offered include emergency diagnosis, referrals, periodic check-ups and ongoing parental education.
Thanks to Marlin Business Services Corp. for this information.Read More
The University of Mississippi Medical Center now bears the title of National Telehealth Center of Excellence.
The federal Health Resources and Services Administration bestowed the title on UMMC in recognition of its 14 years of providing telehealth care, especially for those with little access to both primary and specialty services.
The recognition carries with it an initial $600,000 in funding, with the opportunity for an additional $2 million over two years — money that “will help UMMC to build the infrastructure for research in telehealth and allow us to bring a national leadership to this emerging special area of medical practice,” Dr. Richard Summers, UMMC professor of emergency medicine and associate vice chancellor for research, said in a news release.
The designation also allows UMMC’s Center for Telehealth to serve as a national clearinghouse for telehealth research and resources, including technical assistance to other telehealth providers.
Thanks to The Clarion Ledger for this information.
Telemedicine lies in the forefront of innovation for the healthcare industry. Using a combination of telecommunications and technology, healthcare can be provided from a distance, providing essential coverage to people in rural communities, among others, who may not have ready access to medical facilities.
The global telemedicine market, Grand View Research noted in a report released in April, is expected to reach US$113 billion by 2025, up from US$24.9 billion in 2016, a compound annual growth rate of 18%. The research firm stated that the key drivers are the increasing numbers of chronic conditions and the rising demand for self-care. The "enhancing application of Internet, virtual medicine and rising demand for centralization of healthcare are expected to save on cost incurred, which is one of the critical success factors attributing for the growth of telemedicine market," research firm noted.
A recent KPMG-commissioned survey found that about one-third of healthcare providers are using patient monitoring and video services "to improve patient engagement and access to care and more of these programs are likely to come." While the study conducted by HIMSS Analytics found 31% of healthcare organizations were using video-based services and 34% provided remote monitoring, growth is foreseen as an additional 44% expect to add video-based services and 48% are planning for remote monitoring.
There is growing acceptance of telemedicine. A recent Harris Poll survey found that 65% of consumers who had a primary care physician said they were open to seeing their doctor by video. Among parents with children under age 18, over three-quarters, 78%, expressed interest.
Thanks to Streetwise Reports for this information.Read More