{"id":28797,"date":"2020-09-11T16:41:03","date_gmt":"2020-09-11T16:41:03","guid":{"rendered":"https:\/\/dev.mtelehealth.com\/?p=28797"},"modified":"2020-09-11T16:41:03","modified_gmt":"2020-09-11T16:41:03","slug":"nyc-surveys-identify-five-strategies-to-boost-telehealth-adoption","status":"publish","type":"post","link":"https:\/\/drmiltie.com\/at-home-testing\/nyc-surveys-identify-five-strategies-to-boost-telehealth-adoption\/","title":{"rendered":"NYC Surveys Identify Five Strategies to Boost Telehealth Adoption"},"content":{"rendered":"\n

The five strategies, laid out in a recent Health Affairs blog, target barriers to telehealth adoption that go beyond reimbursement issues.<\/h2>\n\n\n\n

\u00a0By\u00a0Eric Wicklund<\/a><\/p>\n\n\n\n

September 11, 2020 – While federal and state regulators are developing strategies to give telehealth room to grow after the coronavirus pandemic, a recent series of surveys among New York physicians suggests that growth must be tied to efforts beyond reimbursement changes.<\/p>\n\n\n\n

The surveys, conducted by the New York City Department of Health and Mental Hygiene\u2019s Bureau of Equitable Health Systems and researchers from the New York School of Global Public Health, identify five strategies beyond current policy to foster telehealth growth in primary care. They\u2019re featured in a recent blog in Health Affairs<\/em>.<\/a><\/p>\n\n\n\n

According to the blog, healthcare access is typically defined by five qualities \u2013 affordability, availability, accommodation, accessibility and acceptability \u2013 yet current telehealth policies only address the first two, and that\u2019s not enough to compel connected health integration in primary care beyond the COVID-19 crisis.<\/p>\n\n\n\n

\u201cOther policies \u2026 can optimize telehealth access and quality by promoting \u2018accommodation,\u2019 \u2018accessibility,\u2019 and \u2018acceptability\u2019 for telehealth, to complement increased reimbursements,\u201d the blog concludes. \u201cFailing to address these barriers – which affect the least resourced primary care practices that are primarily serving the most vulnerable patients – will only serve to widen patient-level disparities in access to quality telehealth care. These gaps offer actionable opportunities for public and private insurers and policy makers to intervene and improve the integration of telehealth into primary care.\u201d<\/p>\n\n\n\n

Culled from a series of surveys taken between April and July, the responses support \u201ctimely regulatory changes in facilitating telehealth adoption,\u201d including recent efforts by the Centers for Medicare & Medicaid Services to expand telehealth coverage in its proposed 2021 Physician Fee Schedule and President Trump\u2019s Executive Order<\/a> to improve telehealth access in rural America.<\/p>\n\n\n\n

\u201cWhile these telehealth policy changes are critical to promoting telehealth adoption, policies now need to move beyond reimbursement rates to help providers integrate telehealth into routine care,\u201d the blog reported.<\/p>\n\n\n\n

Five strategies were identified:<\/p>\n\n\n\n

Harmonize reimbursement criteria<\/strong>. More than half of those surveyed cited \u201cuncertain reimbursements\u201d as a barrier to using telehealth, including a wide range of variables attached to those payments by state, federal and private payers.  <\/p>\n\n\n\n

\u201cSmall independent practices, which made up a large proportion of our survey respondents, often do not have the necessary administrative resources to sift through a long variable list,\u201d the researchers noted. \u201cTo promote integration of telehealth, policy makers and insurers will need to reduce the existing heterogeneity of payments to mitigate confusion and uncertainties around billing for telehealth.\u201d<\/p>\n\n\n\n

Create billing codes or payment models that cover additional steps taken to use telehealth<\/strong>. Survey respondents noted that a fee-for-service reimbursement plan doesn\u2019t take into account the time and effort spent helping patients access telehealth, and therefore there\u2019s little incentive for providers to adopt telehealth.<\/p>\n\n\n\n

\u201cGiven the significant adjustments and workflow changes required for telehealth use, value-based or population-based capitation models can better account for the expenses associated with these team-based and technology-enabled models of care,\u201d the researchers said.<\/p>\n\n\n\n

Provide coverage for remote patient monitoring<\/a><\/strong>. \u201cRemote monitoring is critical for effective telehealth,\u201d the blog points out, yet current billing codes pay for providers to set up and use the platform but not for compatible equipment required by patients. In fact, more than three-quarters of survey respondents said the patients were responsible for buying their own devices.<\/p>\n\n\n\n

\u201cSome patients may not have the means to purchase the devices on their own, which can affect the quality of telehealth being delivered and in turn increase the likelihood of adverse health outcomes for these patients,\u201d the researchers wrote. \u201cThere is a clear need for insurers to support patients\u2019 access to and training in the use of monitoring equipment at home.\u201d<\/p>\n\n\n\n

Incentivize the development of and access to patient- and provider-centered telemedicine<\/strong>. Survey respondents reported that telehealth platforms aren\u2019t always user-friendly, particularly when they\u2019re used by different socio-economic populations. A telehealth service that doesn\u2019t account for non-English-speaking patients or unreliable internet access won\u2019t make the cut.<\/p>\n\n\n\n

\u201cIndependent primary care practices often lack the capacity to garner such resources and will need policy-level support to address these barriers,\u201d researchers said. \u201cFinancial incentives and national payment policies can support the needed advancement in digital health applications and revamp its clinical value and quality for providers and patients. Financial incentives for telehealth vendors are needed to accelerate the building of improved telehealth platforms to address these flaws. National payment policies for telehealth use can also help increase demand on the provider and patient side, which can stimulate telehealth vendors to respond.\u201d<\/p>\n\n\n\n

Amend and emphasize malpractice policies.<\/strong> Malpractice policies for telehealth are largely undeveloped, and liability insurance carriers aren\u2019t eager to jump into the space. Providers are often left to wonder what is and what isn\u2019t covered, and how the laws differ in each state.<\/p>\n\n\n\n

\u201cThe consequence is often an exclusion of telehealth services from the malpractice insurance policies, creating concerns among providers about telehealth use,\u201d the blog states. \u201cRegional health departments should give providers more guidance on legal liabilities related to telehealth. This is particularly true for independent practices that do not work within larger systems, and thus lack the capacity to address the complexities of malpractice policies.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

The five strategies, laid out in a recent Health Affairs blog, target barriers to telehealth 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