Health
Trendy or future? COVID-19 Expanding Telemedicine Beyond the Pandemic – Denver Post
Washington — Telehealth is an American little trick that seems to have been rewarded with a coronavirus pandemic. Medicare has temporarily exempted pre-smartphone restrictions, but now there is a move to make remote medicine more widely available in the future.
When society closed in early spring, consultations over tablets, laptops, and telephones connected patients and doctors. Telemedicine visits have decreased with resumption, but are much more common than before.
Permanently gain access to patients who are marginalized from remote health care, including those who balance cost and quality, address privacy concerns and potential fraud, and have mental health problems. You need to understand how you can reach it.
“I don’t think it will replace face-to-face consultations, as doctors may need to deal with patients.”
Aside from the warning, “it’s almost a modern home call,” she added.
“It’s no exaggeration to say that telemedicine was still in its infancy before the pandemic, but it has matured this year,” said Murray Aitken of data company IQVIA, which is tracking the impact.
With the depth of coronavirus shutdown, telehealth accounted for more than 40% of traditional Medicare patients’ primary care visits, from a small 0.1% sliver prior to a public health emergency. Medicare, the government’s flagship healthcare program, covers more than 60 million people, including those over the age of 65, and younger people with disabilities.
A recent poll of the elderly by the University of Michigan Institute for Healthcare Policy and Innovation found that more than 7 in 10 people were interested in using telemedicine for doctor follow-up, and nearly 2 in 3 videos. I found that I was happy with the meeting.
But privacy was a problem, especially for those who have never tried telemedicine. A poll found that 27% of older people who did not receive a remote medical visit were concerned about privacy, while 17% of older people who tried it were concerned about privacy.
Those who tried telemedicine did not sell completely. Four in five were concerned that doctors couldn’t see the body, and 64% were worried that the quality wasn’t very good.
“After the initial excitement, in the afterglow, the patient realizes that he can’t get the vaccine, or that he can’t see it on his computer from the back of his throat,” said Dayton’s Gary Leroy. The doctor said. , Ohio, a primary care physician and president of the American Society of Home Medicine.
For Medicare beneficiaries Jungladi in Westford, Virginia, telemedicine was a relief. She needed the health care that Medicare needed to stay on top of the wearable insulin pump. Being part of the high-risk group of COVID-19, Grady was worried about potential exposure in the doctor’s waiting room, as well as losing her diabetes supply if she missed the Medicare screening deadline.
“I would have had to go back to taking insulin with a syringe,” she said.
Grady prepared for a virtual visit by calling the clinician’s technical department and downloading the conference call software. She said she would make a video of her future visits, but not all. For example, people with diabetes should have regular blood tests and their feet examined for signs of circulatory problems.
Still, quite a few follow-ups are “very efficient and should be as helpful to the doctor and myself as they are to see them,” Grady said.
Many private insurance plans, including Medicare Advantage, offer some degree of remote health insurance.
However, traditional Medicare restricted it to rural residents and had to go to a specially designated site to connect to the general public.
In a coronavirus public health emergency, administrators were temporarily exempt from Medicare restrictions, allowing registrants to use distance care anywhere. Patients can connect from home. Permanent such changes would require legislation from Congress, but of bipartisan interest.
Senator Lamar Alexander, chairman of the Senate’s Health, Education, Labor and Pensions Commission, said he wanted broader access without breaking the bank.
“Our job is to ensure that changes are made at lower cost, with the goal of better results and a better patient experience,” said Alexander of R-Tenn.
It’s a difficult order.
Payment is a nasty obstacle. Currently, Medicare pays equivalent clinicians for clinical and face-to-face visits.
“Policymakers seem to be in a hurry to pass the bill, but I think it’s worth the time,” said Juliet Cubanski, a Medicare expert with a bipartisan Kaiser Family Fund. Said. “Scams are one of the big areas that policy makers need to be aware of.”
People who oppose fraud agree
Telehealth is so new that “at this point we don’t really know what the big risks are,” said Andrew Van Landingham, senior lawyer for the Department of Health and Human Services’ laboratory director. “We are in a kind of stage.”
Despite the risks, supporters are looking at opportunities.
With the expansion of Medicare’s telemedicine:
• Helps bring the country closer to the long-sought goal of treating mental states as well as physical symptoms. D-Ore. Senator Ron Wyden wants to use telemedicine as a starting point for improving mental health care. IQVIA data show that 60% of psychiatric consultations were done by telemedicine during shutdown.
• Increase access for people living in remote communities, low-income urban areas, and even nursing homes. According to a Medicare study, low-income beneficiaries resemble the pattern of using telemedicine for primary care, similar to registrants for the overall program.
• Improves care coordination for patients with chronic health. This is a goal that requires patient and permanent monitoring. Chronic treatment accounts for most of the program spending.
Mark Fendrick, a health policy expert at the University of Michigan, says Medicare should find and pay for services that add value to patient health and taxpayer wallets.
Telehealth was “an overnight sensation,” Fenhealth said. “Hopefully, it’s no wonder it’s a hit.”
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