Telehealth services increasingly popular with consumers and insurers
Telemedicine has been more widely offered over the last five years, promoted by health plans such as Cigna Inc and New York-based insurance startup Oscar Health. As many as 15 million people used the services this year, up 50% from 2013, according to the American Telemedicine Association.
Speak like a Physical Therapist. Scottish Centre for Telehealth and NHS Scotland launch health presence trial at Aberdeen Royal Infirmary. Simon Price photo
By Kylie Gumpert, Medscape Multispecialty December 28, 2015
New York (Reuters) – Telemedicine services, which allow doctors to treat patients via video, are gaining acceptance among consumers and insurance companies as it becomes clearer when a virtual visit is appropriate, industry executives say.
“The insurers have been adopting this at a really rapid rate because they see benefits from better access to care,” said Jason Gorevic, chief executive of Teladoc, the largest U.S. telemedicine provider. “It eliminates unnecessary visits to more expensive sites.”
Teladoc is working with over 20 health plans, including Oscar and Aetna Inc. It has gained momentum as insurers better understand how to use the services.
Aetna plans to add virtual behavioral health consultations for issues such as depression and anxiety. Next year UnitedHealth Group will roll out services to employer-sponsored and individual plans through partnerships with Doctor on Demand, American Well and NowClinic.
On average, video-based visits cost less than $50 compared with about $80 for a traditional doctor’s visit.
“The notion of supporting people’s behavioral health needs through other channels is critical,” said Rich Feifer, Aetna’s chief medical officer of national accounts.
Oscar Health offers telehealth services for free for its 100,000 members. CEO Mario Schlosser says the move has paid off, with 91% of care cases resolved after the first virtual appointment.
Patients can call or use Oscar’s website or mobile app, typing in symptoms such as: “I can’t stop wheezing.” The services are geared for conditions that do not require testing for confirmation, and the on-call doctor can determine if an in-person appointment is needed.
Patients can add photos before speaking with a doctor, who normally calls within 9 minutes.
Falls in older adults are a significant public health issue. Interventions have been developed and proven effective to reduce falls in older adults, but these programs typically last several months and can be resource intensive. Virtual rehabilitation technologies may offer a solution to bring these programs to scale.
| Acute Care |
Some hospitals are using telemedicine as an early form of triage for more serious conditions.
“If it’s an acute problem, even though telemedicine doesn’t have the completeness of being in person, the value is exponentially higher,” said Randall Moore, president of Mercy Virtual in Missouri, which describes itself as a virtual care facility, in which doctors monitor patients remotely via electronic hook-ups to medical devices; patients may be at home or in a Mercy hospital.
At Mercy Virtual, which is part of a health system operating in seven states, doctors keep tabs on intensive care patients and make calls on what to do if a patient’s condition worsens, alerting on-site staff.
Moore says the provider’s telemedicine program saves around 1,000 lives annually, has cut the length of stay at Mercy hospitals by up to 40%, and saves $35 million each year.
Penske Truck Leasing is working with Aetna and Teladoc to offer virtual services to its 18,000 employees, 20% of whom have taken advantage, according to the company’s vice president of benefits and compensation, Joe O’Neill.
Penske offers it for free, calling it a “cost neutral” decision that helps employees who are often on the road get care.
The University of Pittsburgh Medical Center saves about $300,000 each year through its telemedicine program according to executive director of telemedicine Natasa Sokolovich.
The new services still face hurdles. The Texas Medical Board has tried to stop Teladoc from operating in the state, arguing that physicians should only diagnose illnesses or prescribe medication after seeing patients in person. State courts have sided with Teladoc.
Other states have also fought against expansion by increasing regulations or not recognizing the practice.
“Widespread adoption has been limited based on state requirements on how it can be used,” said Clare Krusing, a representative with trade group America’s Health Insurance Plans. “Each state is approaching it somewhat differently.”
| References |
Are Virtual Rehabilitation Technologies Feasible Models to Scale an Evidence-Based Fall Prevention Program? A Pilot Study Using the Kinect Camera, Shubert TE, Basnett J, Chokshi A, Barrett M, Komatireddy R. JMIR Rehabil Assist Technol 2015;2(2):e10 DOI: 10.2196/rehab.4776
Also see
Military Health System Allows Telemedicine at Home in Medscape
Telemedicine Bolsters ICU Care in Rural Maryland Hospitals in Medscape
Telehealth: Barriers and Realities of the Future of Healthcare in Infinity Rehab
