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March 16.2025
2 Minutes Read

Telehealth CEOs Celebrate Short-Term Win But Demand Permanent Legislation

Congress Telehealth Legislation meeting via telemedicine illustration.

The Temporary Win: A Step Forward for Telehealth

Last week, Congress passed a critical continuing resolution to fund the government through September 30, averting a potential shutdown. This legislation brought good news for telehealth as it extended some vital healthcare provisions, including Medicare's telehealth flexibilities, for another six months. For telehealth CEOs, this represents a short-term victory, yet they maintain that more work lies ahead to secure permanent access to virtual care for all Americans.

Perspectives from Industry Leaders

Telehealth executives view this extension as a welcome relief. Brooke Boyarsky Pratt, CEO of knownwell, emphasized the importance of accessibility for all seniors, highlighting that mobility and transportation challenges often limit their access to care. She expressed a strong desire for a longitudinal Medicare ruling to provide certainty for patients and providers alike.

Vanessa Rissetto, CEO of Culina Health, echoed this sentiment, asserting that while the temporary coverage is beneficial, it only scratches the surface of what is needed. “We hope to see permanent telehealth coverage across government programs,” she stated, advocating for health equity that spans across demographics. Rissetto’s view aligns with the sentiment expressed by Laurent Marinot, CEO of Sunrise, which focuses on sleep diagnostics. He believes telehealth will remain pivotal in the future of healthcare delivery.

Wider Implications of Telehealth Coverage

The broader implications of this temporary fix are substantial. Anu Sharma, CEO of Millie, articulated the fear that without uninterrupted telehealth coverage, significant health equity gaps could widen, especially in underserved communities. She highlighted the importance of telehealth for maternal care, pointing out that most pregnancy-related care occurs outside traditional healthcare settings. According to Sharma, this continuity of care is crucial for women, particularly at a time when the landscape for maternity care is becoming increasingly challenging.

The Call for Permanent Change

The passage of this resolution showcases the ongoing battle for telehealth access. As voiced by Kyle Zebley, executive director of ATA Action, the measures taken by Congress are pivotal but far from sufficient. The absence of extended provisions, like first-dollar coverage for Health Savings Accounts and expanded telehealth services, continues to pose challenges for many. Zebley emphasized the need for sustained advocacy to ensure that the temporary wins evolve into lasting changes.

A Unified Voice for Telehealth's Future

In conclusion, while the resolution has momentarily bolstered telehealth access, industry leaders are united in their call for permanent legislative changes. As they push for essential reforms, it's clear that the dialogue around telehealth is more critical than ever. Advocating for policies that solidify telehealth's role in our healthcare system is a necessity — not just a preference.

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What George W. Bush's Visit Means for Biotech and Healthcare Innovation

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How Acute Care Telemedicine is Revolutionizing Patient Care at Prime Healthcare

Update Enhancing Emergency Care with TelemedicineIn today's fast-paced healthcare environment, timely access to specialists can significantly impact patient outcomes, especially in emergency situations. Prime Healthcare, a comprehensive health system with 51 hospitals across 14 states, is proving that acute care telemedicine is not just an innovative approach but a necessary evolution in healthcare delivery. With more than 2.5 million patient visits annually, the organization is transforming how rural hospitals manage critical care through its telehealth initiatives.Telehealth's Role in Behavioral Health and Stroke ManagementPrime Healthcare has reported notable improvements in patient throughput in emergency departments for various conditions, particularly for behavioral health and stroke patients. According to Harsha Gopinath, the director of telemedicine services, the efficient use of telemedicine ensures accurate diagnoses and effective treatment plans. These advancements are crucial since timely intervention can be the difference between a patient recovering or facing severe complications.Addressing Healthcare Disparities in Rural AreasA key challenge has been the equitable distribution of healthcare services, especially in rural areas where access to specialists is limited. Prime Healthcare's implementation of remote consultations has allowed hospitals to retain patients who otherwise would need to travel significant distances for specialty care. By leveraging technology from Equum Medical, healthcare providers can connect with on-demand specialists who have direct access to Electronic Health Records (EHR) for thorough evaluations, thus enriching the care experience for patients.Future Trends in Acute Care TelemedicineAs healthcare continues to evolve, the integration of telemedicine is expected to grow. Prime Healthcare exemplifies how technology can bridge the gap in care access, offering insights into potential future practices within the industry. By investing in telehealth platforms, hospitals can not only enhance their service offerings but also address social determinants that affect health outcomes, leading to a more equitable healthcare system.

Unlocking Medicare Advantage Profitability: Humana's Focus on Annual Wellness Visits

Update Humana's Strategic Shift: Revisiting Wellness Visits In a bold move to bolster its profitability, Humana is turning to a familiar mechanism in Medicare Advantage: the annual wellness visit. This strategy has been around for over a decade but is facing scrutiny regarding its effectiveness and ethical implications. Humana’s leaders recently asserted that these visits are not just profitable for insurers but also provide important benefits to seniors, highlighting that members appreciate the convenience and personalized care they receive in their homes. The Purpose Behind Annual Wellness Visits Designed under the Affordable Care Act, annual wellness visits allow healthcare providers to take a comprehensive inventory of senior patients’ health. While this innovation aimed to improve preventive care, it has also opened doors for insurers to capitalize on these visits for increased revenue. By coding diagnoses during these assessments, insurers can secure higher government payments, raising a question on whether the focus is truly on patient care or profit. Humana's Approach: Integration and Engagement At a recent investor meeting, Humana emphasized its commitment to enhancing annual wellness visits through innovative partnerships with primary care providers. The initiative aims to seamlessly integrate these visits into members' healthcare routines. As described by COO Lisa Stephens, Humana plans to proactively encourage members to schedule wellness visits during any call. This approach reflects a growing trend in patient engagement, where convenience is prioritized to ensure seniors receive necessary preventative care. Potential Pitfalls: Profit vs. Patient Care Despite the positive spin, there are concerns regarding the genuine care provided through these visits. Reports indicate that insurers, including Humana, have received billions in payments for diagnoses added without accompanying treatment, raising ethical questions about their approach to healthcare delivery. As the Medicare Advantage sector comes under scrutiny, Humana’s challenge lies in proving that these wellness visits translate into real health benefits and not simply financial gain. Taking Action: What This Means for Seniors For seniors, being aware of the importance of annual wellness visits can empower them to take charge of their health. These visits can not only help in early detection of potential health issues but also provide an essential platform for communicating with healthcare providers about specific concerns. Understanding their rights and the purpose behind these visits will allow seniors to navigate their healthcare plans more effectively. Conclusion: A New Chapter in Medicare Advantage As Humana reinvigorates its strategy around annual wellness visits, it becomes increasingly vital for seniors to engage in their health journeys. By recognizing the benefits while also being vigilant about the complexities of the healthcare system, older adults can make informed decisions. Keeping an eye on how these strategies unfold will be crucial for everyone involved in the healthcare ecosystem.

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