Name: Rheuban: Telemedicine Ch. 22: The State Policy Framework of Telehealth

Description: Rheuban: Telemedicine Ch. 22: The State Policy Framework of Telehealth

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Upload Date: 2022-02-27T00:00:00.0000000

Transcript: Language: EN.
Segment:0 .
DR. ALI: Where do you think the next steps that we’re going in telemedicine? And I guess the big areas to me 2018 which you alluded this is going to be a big year, is parity laws, which I think President Trump is now on board, nationally, through the Veterans Association, looking at parity laws. What’s your take on the parity law? And then, I think the next part that we touched upon is the payer mix and how insurances and device companies and digital therapeutics are working together to actually get telemedicine paid for.
DR. RHEUBAN: So, you know, as we alluded earlier, the federal government plays a big role, certainly for the veterans. Health administration, Department of Defense, Medicare. But the states play a huge role as well and sometimes when there are roadblocks in Congress, especially because the congressional budget office has to score these bills, and when they are more expensive than what Congress would like, they push back, even though the evidence suggests that it should be less expensive. But at the state level there are private pay parity laws, and now more than 35 states have implemented private pay parity laws, and some are parity reimbursement itself within person, others are not just saying you have to pay for telemedicine services.
DR. RHEUBAN: And every state, you’ve seen one state, you’ve seen one state. Some say you have to pay for remote monitoring, some say you have to pay for E&M codes and visits, but the states have been very progressive. And one place the states have played a fabulous role, is with the Medicaid programs. So, the state Medicaid programs again, you’ve seen one state, you’ve seen one state, but they have to manage larger populations, especially in those states that have expanded Medicaid, and to be able to have improved access and manage the patients better.
DR. RHEUBAN: And partnerships with the payers themselves, the managed Medicaid organizations who hold these contracts are very important. Again, they will hold the outcomes data, cost data, clinical outcomes data, from which we can then use as the evidence base to inform Congress and the congressional budget office to advance Medicare reimbursement.

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