Telemed J E Health - Private payer telehealth reimbursement in the United States.

Tópicos

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Resumo

CKGROUND: Significant information is available about government-reimbursed telehealth services such as Medicare and Medicaid across the United States. Although currently 20 states mandate reimbursement for telehealth services and some private insurers have voluntarily covered those services in other states, relatively little is known about telehealth provider experiences with reimbursement from private insurance payers.MATERIALS AND METHODS: To investigate this, the American Telemedicine Association's (ATA's) Telemental Health Special Interest Group (SIG), the Policy Group, and the Business and Finance SIG, with the help of ATA staff, conducted a national private payer reimbursement online survey in 2012 using Survey Monkey? (Palo Alto, CA) ( www.surveymonkey.com/ ).RESULTS: Survey responses were received from respondents in 46 of the 50 states. The survey found that telehealth services are being reimbursed by private payers but that progress in reimbursement has been relatively slow compared with earlier surveys.CONCLUSIONS: Key findings from this study were that government payers as well as several major private payers are highly influential in payment policies for telehealth private payers, that private payers have administrative rules regarding telehealth reimbursement that are barriers to services and reimbursement, and that some providers would benefit from being better informed about billing and coding for telehealth services and how to advocate for telehealth services reimbursement.

Resumo Limpo

ckground signific inform avail governmentreimburs telehealth servic medicar medicaid across unit state although current state mandat reimburs telehealth servic privat insur voluntarili cover servic state relat littl known telehealth provid experi reimburs privat insur payersmateri method investig american telemedicin associ ata telement health special interest group sig polici group busi financ sig help ata staff conduct nation privat payer reimburs onlin survey use survey monkey palo alto ca wwwsurveymonkeycom result survey respons receiv respond state survey found telehealth servic reimburs privat payer progress reimburs relat slow compar earlier surveysconclus key find studi govern payer well sever major privat payer high influenti payment polici telehealth privat payer privat payer administr rule regard telehealth reimburs barrier servic reimburs provid benefit better inform bill code telehealth servic advoc telehealth servic reimburs

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