decisionhealth Newsletters, Part B News - 2013 Issue 2 (February)
State laws, pay-for-performance making telehealth harder to ignore
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Article Overview
This article discusses the growing importance of telehealth for medical practices, especially those participating in pay-for-performance or value-based care models. It explains the policy environment shaping adoption, including federal Medicare limitations, state-level telehealth parity laws, and Medicaid coverage trends. The piece is useful for practices, compliance teams, and leaders evaluating whether telehealth investments align with reimbursement and quality initiatives.
Why This Topic Matters
Telehealth adoption is increasingly tied to reimbursement policy, state mandates, and quality-based care models. Understanding the broad policy landscape helps practices evaluate operational and strategic investment decisions without relying on fee-for-service assumptions.
Article Sections
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Telehealth and value-based care
Introduces telehealth as a strategic investment in the context of performance-based reimbursement and practice quality initiatives. The section frames why some practices are considering telehealth even when direct payment is limited.
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Cutting readmissions
Describes how telemonitoring is being used for higher-risk patients in care management and transition-of-care settings. It also discusses the relationship between telehealth, outcomes measurement, and readmission reduction efforts.
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Getting paid — by state law
Reviews state telehealth parity activity and broader payer coverage trends. The section also summarizes policy developments affecting commercial plans and Medicaid programs.
What You Will Learn
- How pay-for-performance models are influencing telehealth adoption
- How state telehealth parity laws are affecting private payer coverage
- How Medicaid and federal policy trends are shaping telehealth reimbursement
- Why some practices are investing in telehealth despite limited direct payment
Who Should Read This
- Physician practices
- Practice administrators
- Health care compliance teams
- Revenue cycle professionals
- Healthcare executives
- Telehealth program planners
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