{"id":5913,"date":"2018-11-21T04:41:04","date_gmt":"2018-11-21T04:41:04","guid":{"rendered":"http:\/\/tele.healthcare\/?p=5913"},"modified":"2018-11-21T04:41:04","modified_gmt":"2018-11-21T04:41:04","slug":"congress-facing-pressure-to-pass-telehealth-bill-for-senior-care","status":"publish","type":"post","link":"https:\/\/drmiltie.com\/at-home-testing\/congress-facing-pressure-to-pass-telehealth-bill-for-senior-care\/","title":{"rendered":"Congress Facing Pressure to Pass Telehealth Bill for Senior Care"},"content":{"rendered":"
\n

Connected care advocates are pressuring Congress to pass the RUSH Act, which aims to increase telehealth and telemedicine services in senior care facilities.<\/h2>\n<\/header>\n
\n
By Eric Wicklund<\/a><\/div>\n<\/div>\n
<\/div>\n

Reducing Unnecessary Senior Hospitalizations (RUSH) Act of 2018<\/a>, which\u00a0aims to reduce rehospitalizations at qualified skilled nursing facilities by giving them more incentives to use telemedicine and telehealth to improve patient care.<\/p>\n

And they want it done soon.<\/p>\n

Among those pushing for passage of the bill is Health IT Now. The broad-based coalition fired off a letter to lawmakers last week following the Centers for Medicare & Medicaid Services\u2019 release of a report on the use of telehealth in Medicare<\/a>.<\/p>\n

\u201cIn this report, CMS makes the case for passage of the bipartisan, Health IT Now-endorsed RUSH Act better than we ever could ourselves,\u201d Joel White, the group\u2019s executive director, said in the letter<\/a>. \u201cNow, the agency should put its findings into action by joining us in calling for swift passage of this sorely needed legislation during the current ‘lame-duck’ session.\u201d<\/p>\n

\u201cA\u00a0growing chorus<\/a>\u00a0of lawmakers have already offered up the bill – which enjoys support from respected patient organizations such as the Alzheimer’s Association and the Michael J. Fox Foundation – for possible year-end consideration, and we intend to see it happen,\u201d White added. \u201cPresented with clear findings directly from CMS, lawmakers should have no reason to dither on advancing this worthy solution.\u201d<\/p>\n

Introduced in July<\/a> by U.S. Reps. Adrian Smith (R-Neb.), Diane Black (R-Tenn.), Joe Crowley (D-N.Y.), Morgan Griffith (R-Va.) and Ben Ray Lujan (D-N.M.), the bill would, if made into law, create an \u201cSNF-based Provision of Preventive Acute Care and Hospitalization Reduction Program,\u201d which would be overseen by CMS and qualify SNFs to receive telemedicine and telehealth equipment described as \u201cnon-surgical items and services furnished at a hospital emergency department that may be safely furnished by a qualified group practice at a qualified skilled nursing facility.\u201d<\/p>\n

The bill would enable CMS to reimburse these SNFs for the technology, while also requiring the agency to evaluate each recipient six months after receiving the technology and at least once every two years after that.<\/p>\n

\u201cSkilled nursing facilities are often faced with few options to treat residents in need of emergency care, leading to excessive and costly hospital transfers,\u201d the lawmakers said in\u00a0a joint press release<\/strong><\/a>. \u201cHowever, allowing medical professionals already working within these facilities to provide needed emergency care through telehealth, the RUSH Act will offer Medicare recipients with better access to care at a lower cost to taxpayers.\u201d<\/p>\n

According to the Centers for Medicare & Medicaid Services, almost 20 percent of all hospital transfers originate from SNFs, and 45 percent of them could have been avoided through access to virtual care. In addition,\u00a0the Medicare Payment Advisory Commission (MedPAC) has noted<\/strong><\/a>\u00a0that rehospitalizations expose seniors to increased risk of falls, delirium, infections and adverse medication interactions.<\/p>\n

Black made another pitch for her bill in an Oct. 19 op-ed piece in The Hill<\/em><\/a>, arguing that lawmakers have a chance to enact significant healthcare reform before the end of this year.<\/p>\n

\u201cThis bill would use the technology of today to change this broken status quo, instantly bringing the capabilities of an emergency room right to the patient\u2019s bedside,\u201d she wrote. \u201cThe\u00a0RUSH Act\u00a0is our chance to move Medicare into the 21st\u00a0century; stemming the nursing home to hospital pipeline and giving these facilities the technology-enabled tools needed to lower health care costs and, most importantly, save lives.\u201d<\/p>\n

In its report last week, CMS references a 2014 study published in Health Affairs<\/em><\/a> which found that a long-term care facility which averages 180 hospitalizations a year could reduce that number by at least 15 through telehealth, saving more than $150,000 in Medicare costs.<\/p>\n

\u201cThere is overwhelming agreement that telehealth can bring medical care into communities with limited access to health care providers, reduce wait times for patients, and be more convenient than travelling to a health care provider\u2019s office,\u201d the 47-page document noted. \u201cBased on the experiences of multiple payers and health care providers, it appears that telehealth could play an important role in achieving the goals associated with value-based Information on Medicare Telehealth models by providing clinically indicated, high quality, \u2018anytime, anywhere\u2019 care to patients. In addition, many health disparities in rural communities are related to poor access to care, and most evidence supports telehealth use in these communities.\u201d<\/p>\n

\u201cIn conclusion, telehealth offers the promise of a technology and approach to care for a broad range of populations, including those enrolled in Medicare,\u201d CMS concluded. \u201cEmerging evidence indicates that telehealth can be a tool for empowering providers and patients to offer the best approaches to care, including consideration of the patient\u2019s age, race\/ethnicity, geographic location, and diagnoses, and provide high quality care without increasing costs.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

Connected care advocates are pressuring Congress to pass the RUSH Act, which aims to increase 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