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Telehealth visits surge along with coronavirus cases

Lauren Clason, CQ-Roll Call on

Published in News & Features

Privia Health, a similar Virginia-based technology and solutions company, said the number of telehealth visits on a recent Monday was on par with the entire month of January. The rate is increasing around 25% each day.

"It's obviously exploded," CEO Shawn Morris said.

CMS is offering state waivers to relax requirements limiting Medicare payments to rural patients receiving telehealth services at a facility, which would let Medicare pay for certain types of visits from a patient's home regardless of the geographic region. CMS also said it would not audit providers to see if they had an established relationship with the patient beforehand, as is required in certain circumstances.

Increasing access to the Medicare population is important considering how vulnerable seniors are to the virus.

But telehealth expansions in federal programs are more incremental than IT advocates prefer. Medicare only pays for audio, visual or patient portal communications under certain circumstances.

Brendan Levy, executive medical director for GoodRx -- which owns direct-to-consumer telehealth app HeyDoctor -- said clarification around modalities like chat features are still needed. HeyDoctor typically services patients seeking quick prescriptions for things like birth control, although Levy said the company has been triaging hundreds of patients per day for COVID-19.

"Clear national guidelines that allow providers to decide the best modality of care (in-person, video, chat, etc.) for their patients would dramatically enhance our ability to treat many more people," he said.

A patchwork of state rules also makes it unclear where clinicians are allowed to practice. Vice President Mike Pence last week announced that the Department of Health and Human Services would be issuing regulations that day to allow doctors to practice across state lines, but HHS has so far not provided further details.

 

States mostly control their own licensing policies, and can strike agreements with each other to let physicians traverse their borders. It's also unclear whether the Trump administration's announcement would apply to telemedicine.

"The state licensure issue is certainly confusing," Antall said. "We're encouraged by the president's announcement regarding the easing of state licensure restrictions, as this is something we've long been a proponent of, but the reality is this is not a federal issue and still must be enacted by each individual state."

Even if the telehealth surge is temporary, advocates say a broader recognition of the technology's benefits in times of crisis might be the slim silver lining to the pandemic. Ramping up virtual capabilities and increasing access and awareness could better prepare the country for the next infectious disease outbreak, and that recognition could help reduce restrictions on telehealth adoption.

"I think the medical community tends to be innovative if the reins are loosened," Stephan said.

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