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States, health systems, and insurance carriers have also moved with unprecedented speed to shift many visits that were previously done in person to a telemedicine platform.
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The federal government has taken actions to broaden and facilitate the use of telemedicine, particularly though Medicare. The telemedicine landscape is complex, with many moving pieces as different players respond to COVID-19. After many years of slow growth, telemedicine use has exploded across the nation in a few short weeks. are under shelter in place orders, this approach to care allows patients to maintain social distancing, reduce their risk of exposure to the novel coronavirus and potentially avoid overburdening emergency departments and urgent care centers at this time. will sustain this expanded use of telemedicine after the state of emergency ends, and to what extent low-income patients and patients with limited experience with or access to technology will be able to access these services.Īs clinicians seek new ways to serve patients and stem the rapid spread of the novel coronavirus in the United States, policymakers and insurers have looked to telemedicine or telehealth to provide care to patients in their homes. Gaps in technology access and use among some groups of patients may also be a concern. Service parity and payment parity for telehealth across all insurers would help increase access for patients and incentivize providers to offer these services, though it would also increase spending. A number of gaps remain in ensuring access to telemedicine during the COVID-19 pandemic.Actions to rapidly expand telemedicine could come with tradeoffs, including concerns over privacy and quality of care. This requires significant financial and workforce investment, which may be more difficult for smaller or less-resourced practices. Health systems have rapidly adapted to implement new telehealth programs or ramp up existing ones.Meanwhile, many commercial insurers have voluntarily addressed telemedicine in their response to COVID-19, focusing on reducing or eliminating cost sharing, broadening coverage of telemedicine and expanding in-network telemedicine providers.
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Many states are also mandating fully-insured private plans to cover and reimburse for telemedicine services equally to how they would for in-person care (service parity and payment parity).