Medicare Telehealth Pre and Post-COVID-19

Interstate Framework, Regulations, Licensure, and HIPAA

Authors

DOI:

https://doi.org/10.30953/tmt.v6.299

Keywords:

cost-savings, COVID-19, interstate, medical licensure, Medicare, patient privacy, telemedicine

Abstract

ABSTRACT

The COVID-19 pandemic led to temporary relaxations for telehealth with respect to physician licensure, geographic location, and eligible sites for reimbursement. Earlier policies had impacted the rate of adoption of telehealth and retarded the ability to derive full benefits related to cost, access to care, and quality of care. This aspect is analyzed using 2018 Medicare fee-for-service codes and rates for 10 telemedicine services. Based on the analysis of these data, additional research, and literature review, this report describes how interstate practices can be better leveraged to achieve maximum potential for direct and indirect savings that can accrue through such pragmatic approaches for certain services. The interstate collaborations proposed in this report provide examples of broader telehealth policies that could foster increasing access to quality health care for Medicare beneficiaries and can potentially be used as insight to assist federal and state agencies as they review the continuation, cessation, or modifications of relaxations granted due to the COVID-19 pandemic.

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Author Biographies

Dr. Amar Gupta, Massachusetts Institute of Technology

Ph.D., Coordinator for Telemedicine and Research Scientist at the Massachusetts Institute of Technology

Ilina Shah

Ilina Shah, B.S., B.A. University of Massachusetts Amherst (Amherst, MA, US)

Dr. Joanna Mitri, Harvard Medical School

Dr. Joanna Mitri, MD, MS, Research Associate and Staff Physician at Joslin Diabetes Center (Boston, MA, US); Assistant Professor at Harvard Medical School (Cambridge, MA, US); joanna.mitri@joslin.harvard.edu

Joslin Diabetes Center, 1 Joslin place, Boston, MA 02215, Harvard Medical School

 

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Published

2021-11-24

How to Cite

Albanese, S., Gupta, A., Shah, I., & Mitri, J. (2021). Medicare Telehealth Pre and Post-COVID-19: Interstate Framework, Regulations, Licensure, and HIPAA . Telehealth and Medicine Today, 6(4). https://doi.org/10.30953/tmt.v6.299

Issue

Section

Narrative/Systematic Reviews/Meta-Analysis

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