“One thing you can never forget is that this is about providing the best outcomes that are evidence-based for the patient. “
Chasing reimbursement for telemedicine is somewhat like pushing the elevator button once it’s lit. It may not get the elevator there any quicker, but it makes you feel like you are at least trying.
Time will tell. It’s the answer that is best given right now when it comes to what is and what isn’t reimbursable with Telemedicine. As Telehealth has grown across the southeast as well as the country, the demand for these services has also placed a demand on payers to reimburse for these innovative services. What we are finding is that the typical fee-for-service structure may not be the best way to cover services which Telehealth can provide.
As healthcare reform changes with coverage and payment schemes, maybe telehealth can fit the new paradigm of reimbursement, instead of telehealth being made to fit the current fee-for-service model. With more of an integrated system payment coming, the efficiency and outcomes will help providers decide the best access for their patients, whether face-to-face or by Telehealth.
One thing you can never forget is that this is about providing the best outcomes that are evidence-based for the patient. Whether this is in person, or now utilizing interactive video, the reimbursement should be no different. But just because a service or intervention is involved with technology, and “looks” to make a difference, it should not be paid for unless it improves or proves there are no differences in patient outcomes.
As champions of telehealth we will keep moving forward and pushing that lit elevator button. The elevator doors are going to open eventually, and we are going to be right there to be the first ones on.
Michael Manley is a registered nurse and the Director of Outreach for the UAMS Centers for Distance Health.
Reimbursement is key to Self-Sustainment. Even though Telemedicine/Telehealth does reduce costs, those cost savings are generally not accrued in the same places or at the same timmes as where the costs for Telehealth are incurred and therefore; savings cannot be used to pay for Telehealth except as seen at the “Payer” level of Healthcare.