{"id":42123,"date":"2015-09-21T16:20:28","date_gmt":"2015-09-21T16:20:28","guid":{"rendered":"http:\/\/tele.healthcare\/new.php\/?p=2074"},"modified":"2015-09-21T16:20:28","modified_gmt":"2015-09-21T16:20:28","slug":"telehealth-reimbursement-needed-for-its-growth-advancement","status":"publish","type":"post","link":"https:\/\/drmiltie.com\/at-home-testing\/telehealth-reimbursement-needed-for-its-growth-advancement\/","title":{"rendered":"Telehealth Reimbursement Needed for its Growth, Advancement"},"content":{"rendered":"
Reimbursement is on its way\u2026\u2026..<\/p>\n
Author Jacqueline DiChiara<\/a> | Date February 26, 2015<\/div>\n
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An increasingly digitalized healthcare system has experienced significant telehealth reimbursement changes \u2014 even within the past five years \u2014 as it becomes more routinely integrated.<\/p>\n

The snowballing demand for telehealth solutions is becoming evident as the most valuable healthcare professionals now require a certain tech savviness. As the influence of telehealth continues to grow, more physicians and nurses are merely a tap away from an operating room thousands of miles away.<\/p>\n

\"2013-12-16-163751742_large\"<\/p>\n

Last September, multiple American Telemedicine Associationreport<\/a>s found some states in opposition to telemedicine as a result of limited coverage and reimbursement as well as physician practice standards and licensure.<\/p>\n

\u201cOne disappointing observation includes the lack of coverage and reimbursement for telemedicine under state employee health plans,\u201d as the ATA State Telemedicine Gaps Analysis Reportstated<\/a>. \u201cEighty-two percent of the country is ranked the lowest with failing scores including Arkansas which will only cover the use of store-and forward for diabetic retinopathy screening, and Nebraska which requires their plans to cover autism treatment via telemedicine.\u201d<\/p>\n

Disparities in coverage were also reported. According to the same report, the most covered services were for mental and behavioral health, mental health assessments, individual therapy, psychiatric diagnostic interview exams, and medical management.<\/p>\n

According to ATA CEO Jonathan Linkous these findings \u201cserve as a wake-up call to those who are failing to extend quality and affordable care to the residents of their state.\u201d And they are signs that additional work is necessary.<\/p>\n

\u201cWe hope that states will respond by streamlining policies to improve medical practice rules, licensure, healthcare quality, and reduce costs through accelerated telemedicine adoption,\u201d Linkous explained in aninterview with mHealthIntelligence.com<\/em><\/a>.<\/p>\n

That is not to say that improvements have not occurred.<\/p>\n

\u201cThere is more reimbursement for fee-for-services<\/a>,\u201d Linkous revealed. \u201cWe are moving into more broad care where the payment systems are such that you don\u2019t need to justify each and every time you use a telecommunication device, which makes it a lot easier to use those services.\u201d<\/p>\n

For Linkous, the demand for telehealth is increasingly widespread and far reaching, especially among those with influence in the industry or those who were slow to integrate it.<\/p>\n

\u201cIt is being accepted, not only by the healthcare profession and healthcare, but it is going into the C-Suite where the CEOs are actually asking for it and the payers are starting to really reimburse,\u201d he said. \u201cAlso the medical societies that used to be an opponent to telemedicine are now embracing it.\u201d<\/p>\n

Telehealth\u2019s future is unknown yet great<\/strong><\/p>\n

When it comes to telehealth reimbursement, Medicare has some needed catching up to do, which might take extended time. \u201cMedicare pays for a limited number of Part B services furnished by a physician or practitioner to an eligible beneficiary via a telecommunications system. For eligible telehealth services, the use of a telecommunications system substitutes for an in-person encounter,\u201d according to the Centers for Medicare & Medicaid Services (CMS).<\/p>\n

\u201cMedicare is the slowest to adopt the use of this technology, so it is going to be a few years for them to really come in line to do everything they should,\u201d Linkous maintained. \u201cThere is some reimbursement now through Medicare and as we move through other kinds of payment mechanisms \u2014 the payment for quality rather than quantity \u2014 and when those take hold it is going to accelerate it, but we have to move faster than that pace.\u201d<\/p>\n

Looking to the future, the ATA foresees vast opportunity for telehealth adoption so long as legislation continues to promote its integration into healthcare.<\/p>\n

\u201cThere are a number of bills \u2014 in particular in Congress which the House introduced \u2014 which we have been working with to develop some of the language,\u201d Linkous revealed. \u201cI don\u2019t know if it will all get passed this year, but the fact that it has very broad, bipartisan support and is endorsed by the leadership, is a sign of where we are going.\u201d<\/p>\n

All in all, there is good hope that telehealth will play an important role in the transition from fee-for-service to value-based reimbursement.<\/p>\n

\u201cWe are still in the beginnings of it, but clearly the tidal wave is coming,\u201d Linkous said. \u201cTeamed with that on the state level, the fact that we have some 40 states that are moving in the direction of putting legislation through the state governors\u2019 offices that mandate private payer insurance or expanding Medicaid reimbursement or other types of incentives.\u201d<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Reimbursement is on its way\u2026\u2026.. 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