Telehealth 'parity' continues to make inroads via state legislation

Individual states continue to press forward with telehealth legislation, as evidenced by recent news out of Montana and a forthcoming effort in Florida.

A bill introduced to Congress last month--the Telehealth Modernization Act--seeks to establish a federal definition of telehealth and clear up the confusion from myriad state policies.
"Telehealth is a major contributing factor to increased health care quality, convenience, and lower costs," said Reps. Doris Matsui (D-Calif.) and Bill Johnson (R-Ohio), who introduced the Telehealth Modernization Act. "However, there currently are 50 separate sets of rules as to what type of care can be provided. This often leaves both providers and patients in a state of uncertainty."
Meanwhile, the Centers for Medicare & Medicaid Services last month announced that changes to Medicare's 2014 physician fee schedule would incrementally expand coverage for telehealth services.

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Challenges...
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
  • patient safety should trump all other values; corporate concerns about liability and intellectual property ownership may be valid but should not over-ride all other considerations;
  • transparency and a commitment to patient safety should govern vendor contracts;
  • institutions are duty-bound to provide ethics education to purchasers and users, and should commit publicly to standards of corporate conduct; and
  • vendors, system purchasers, and users should encourage and assist in each others’ efforts to adopt best practices.

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