Uploaded byVirginia Rural Health Association
Telehealth Policy Issues
This document discusses current policy issues related to the Virginia Telehealth Network. It summarizes major federal issues around coordination of telehealth programs across agencies and reforming healthcare delivery through telehealth. It also outlines barriers in Medicare reimbursement for telehealth and priority issues for 2011, including advancing health technology, payment innovation, care coordination, and addressing Medicare barriers. Other federal actions on spending, medical device regulation, and meaningful use of electronic health records are also covered. Major state issues discussed include a report on telehealth in California and Medicaid telehealth programs. The document concludes with upcoming actions by the American Telehealth Association to address these policy issues.
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Telehealth Policy Issues
- 1. Virginia Telehealth NetworkCurrentPolicy IssuesGary CapistrantApril 5, 2011
- 2. Major Federal IssuesCoordinationSeveralrolesMany agenciesFederal reimbursement to support federal investmentReform health care delivery
- 3. Medicare BarriersOnly ruralcounties (21% of beneficiaries) No store & forward in “lower 48”No remote patient monitoringLimited originating sitesLimited providersOnly specific procedures
- 4. Priority 2011 IssuesAdvancing& using health techPayment & service innovation CMMICare coordination – teams, HIE Accountable care orgs Independence at HomeMedicare barriers
- 5. Other Federal ActionSpending/ budgetMedicare privilegingFCC telecomm wireless rural healthFDA medical devicesEHR meaningful use 2013
- 6. Major State IssuesCaliforniareportMedicaid health homeVirginia model on telehealth-provided covered servicesLicensure
- 7. ATA Actions6 ATeamson policyThe HUBATAwikiCongressional proposalsAdministration proposalsTampa – May 1-3DC – July 27
- 8.
Editor's Notes
- #6 FY11 – now until 9/30 3/18Debt ceilingCong budget planFY12 – beginning 10/1 Biggest targets are unobligated moneyPPACA defund ACOs – any day waiver – 1834(m) I@H CMMI
- #8 6 policy ATeams + one SIG policy work group Medicaid remote prescribing coding – CPT/HCPCS telehealth data exchange teleICU 3 home telehealth & RPM telemental health SIGHill Medicare expansions Ways to package with payment innovationsCMS – 6 things the Admin can do