Tag: telemedicine

5G and Patient Care

By Alaap Shah, JD, MPH, and Ebunola Aniyikaiye, JD, MBA, MPP, Epstein, Becker, Green.

Alaap Shah

Patient care in the U.S. continues to modernize through rapid digitization, increasing connectivity among the internet of things (“IOT”). Supporting a robust infrastructure that allows for large scale flow of information through interconnected systems requires modernization of network technologies. One such technology advance is 5G.

5G is similar to its predecessor wireless technologies, such as 3G, 4G and LTE, but promises to have the capability to transmit 10 to 100 times more data than 4G in the same amount of time. 5G will also overcome issues related to latency, capacity, and customization that currently plague predecessor technologies. As the roll out of 5G progresses, the health industry is considering its potential impact of 5G on the healthcare ecosystem. Many believe that 5G will revolutionize healthcare delivery, and ultimately contribute to improved patient care. 5G appears poised to impact healthcare by facilitating faster and more seamless transmission of patient information at much larger volume than possible today. As such, 5G can improve patient care by facilitating Artificial Intelligence (“AI”), enabling remote care paradigms, and improving access to care.

Ebunola Aniyikaiye

One sector that will benefit from 5G’s ability to allow for fast and voluminous data transmission is AI. AI technologies are powered by algorithms that process complex and large data sets at exceptional speeds.  With the arrival of 5G, health organizations may be better positioned to implement AI solutions directly into their delivery of care models. Advances in AI coupled with the power of 5G would foster care delivery that is data-rich and data-driven to improve quality of care and outcomes.

Additionally, adoption of 5G will likely increase access to high-quality care, by supporting remote care paradigms in the health industry. For example, remote radiological imaging and remote robotic surgery will likely thrive in the 5G world. The secure transport of extremely large, high-resolution image data is required for successful use of these technologies. The capacity of 5G to transmit these types of data at scale in a real-time or near-real time fashion will likely be transformative. Patients will be able to gain access to care from specialists they otherwise could not have had access to previously. For the same reasons, 5G will further untether providers from historical brick and mortar facilities such as hospitals and clinics.

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The Opportunities and Challenges of Data Analytics In Healthcare

By Anita Fernandes.

Data analytics is the next step in the evolution of healthcare as it uses data-driven findings to predict and address health issues. Healthcare data analytics can also help to keep track of inventory and access methods and treatments faster than conventional systems. Data analytics is often paired with health information exchanges (HIEs) to provide safer and more personalized care based on patients’ medical history, chronic conditions and medications. Healthcare data analytics software extracts, translates and synthesizes vast amounts of data to reduce costs, involve patients more in their own health and wellness and improve patient outcomes.

Opportunities and practical applications of data analytics in healthcare

Data analytics in healthcare relies on big data (vast quantities of digitized information) that gets consolidated and analyzed. The application of data analytics in healthcare has life-saving outcomes as it uses data of a subset or a particular individual to prevent potential epidemics, cure diseases and cut down on healthcare costs. Here are a few of the opportunities and practical applications of data analytics in healthcare.

  1. Predictive analytics for personalized treatments

Predictive data analytics is the process of using historical data in order to make predictions that are personalized to each individual. Typically, analytics tools use information from millions of patients to help doctors make data-driven decisions and improve the delivery of care. Predictive data analytics helps to identify individuals who are at an elevated risk of developing chronic conditions based on lab tests, biometric data and patient-generated health data. Physicians can provide insight on lifestyle changes, wellness activities and enhanced services that can help patients avoid long-term health problems. This is particularly useful for patients with complex medical histories and suffering from multiple conditions,

  1. Data analytics to advance telemedicine

Data analytics and telemedicine go hand in hand as it helps to empower physicians and patients and offers opportunities for remote patient monitoring and remote clinical services. Smart devices are the future of telehealth monitoring as they monitor a patient’s vitals in real-time and communicate with other devices and cloud health information systems based on data analytics to alert physicians about potential problems and provide analysis on possible interventions. Data analytics in telemedicine can help to predict acute medical events – this doctors to alter medication dosages to avert negative outcomes and prevent deterioration of patients’ conditions. Telemedicine also cuts down on costs, reduces the need for hospital visits and allows patients to live healthier and more comfortable lives.

  1. Data analytics for real-time alerting

Hospitals have started employing clinical decision support (CDS) software that analyzes medical data on the spot and provides health care experts with suggestions as they make prescriptive decisions. However, in cases where patients are unable to make frequent hospital visits, doctors recommend wearables that collect patients’ data and send it to the cloud continuously. This data is analyzed continuously so that the system can identify potential problems and send real-time alerts to physicians. Doctors can then contact patients immediately to administer medications to prevent problem escalation.

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Technology and the Evolution of Care

By Dr. Michael Blackman, medical director, population health and analytics, Allscripts.

Michael Blackman
Dr. Michael Blackman

As healthcare delivery continues to evolve, healthcare technology needs to be there to support it. But, how will technology facilitate healthcare as we move forward?

Healthcare accessibility, especially for certain populations, continues to be problematic. The expansion of telemedicine has the potential to improve access, especially for populations that have difficulty accessing care, such as those with mobility or transportation issues.

Additionally, looking from a primary care standpoint alone, a fair percentage of patient visits can be conducted remotely while continuing to insure care quality. Telemedicine can extend a clinician’s reach by freeing up office time for those who gain extra benefit from being seen in person. However, the technology must support both the clinician and patient interaction, while not creating new barriers.

Potential barriers can come not just from factors implicit in the technology, but from the way it is implemented as well. For example, simple things such as a clinician needing to turn his or her back to a patient to access the system disrupts the clinician/patient relationship. Workflow considerations need to be front and center for all technology-related changes.

Leverage what you have – especially the data

There’s continually a desire to pursue the next shiny object, the next buzzword, the next big technology. But it comes down to why? What are you trying to accomplish with new technology that you can’t already do today? If it serves a strategic goal, then the new technology may be highly beneficial, but have you optimized what you are using now?

Electronic health records (EHRs) and other healthcare technology have brought us a plethora of data, but how many of us are using this data effectively?

The original goal of capturing data in EHRs was to improve care. We need to use that data to understand and improve care delivery. Sometimes that requires new technology, but whether one is using new technology or not, improving care requires a change in the way business is conducted.

Are AI and machine learning the future of healthcare?

Both AI and machine learning are likely to be integral components of healthcare’s future, but the underlying culture and business framework supporting these technologies will determine if we are able to get the most from them. Differences in organizational culture and business processes often explain why some succeed and others fail using the same technology.

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The Role of Telehealth In Medical Malpractice

Skype, Woman, Computer, Laptop, Home

Telehealth has been in practice now for over 40 years, yet in the last 5 years it is seeing considerable growth in all sectors. There are a number of reasons for this, primarily, as the use of the internet and various new technologies are becoming more and more advanced and widespread, this has meant that the cost of using this technology for such purposes has decreased significantly. 

Also, a greater understanding of how best to make use of and implement telehealth has improved overtime, with new uses for it continually being developed. The increase of reliance on telehealth has sparked debate between physicians regarding the pros and cons of its usage, with particular consideration of the role it plays in medical malpractice.

The benefits of telehealth

One of the most obvious benefits of telehealth is the newfound ability to provide healthcare to patients in remote areas who otherwise may struggle to get access, while also being advantageous for elderly or disabled patients with mobility or logistical issues. 

It has the potential also to improve patient coverage given a shortage of physicians in relation to the number of patients in some cases. It also provides the opportunity for patients with rare conditions to get much needed medical advice from long distance specialists.

From a healthcare systems perspective, telehealth has the potential to both decrease costs and improve outcomes, however this needs to be weighed up against the potential risks involved.

It’s drawbacks

Telehealth represents a paradigm shift in medical care, changing the way that doctors operate and deal with their patients, it could be harder for more experienced doctors to adapt to these new ways of working as they were not trained that way, and many want to and are used to seeing the patient in their office. 

This technology removes the physician’s ability to see and interact with the patient face to face. It is natural that physicians will fear their ability to do their job will be reduced at such a distance plus any technological change also changes medical malpractice thresholds. It will be down to malpractice expects such as JJS Justice, and law courts to determine how telehealth and other new technologies relate to the acceptable healthcare provision threshold for patients. Doctors will need to adapt and learn to implement these technologies within these limits.

Other issues involve the quality of service that is being provided using this technology, can patients trust in this? Will they receive a quality of care equivalent to that of a face to face consultation? It also remains to be determined how exactly physicians will be reimbursed for their work done through this method.

The potential for medical malpractice in telehealth

There is still work to be done to ensure that telemedicine is controlled and regulated effectively, to maximise its efficacy and minimise the risk of medical malpractice. The main concerns around the potential for medical malpractice in telehealth include issues around online prescribing, informed consent and state licensure. 

With regard to online prescribing, in some cases it may be insufficient to prescribe medication on the basis of an over the phone consultation or upon review of a patient questionnaire submitted online. It Is therefore important that there are crystal clear guidelines and expectations set around when a physical examination is required. 

Laws around informed consent are different between states, physicians should therefore be au fait with the requirements on this front for the states where they are licensed to prescribe medication to patients. 

Finally, physicians should not operate beyond their jurisdiction, a doctor needs to be licensed in the patient’s home state in order to prescribe them medication. In fact, most malpractice issues in relation to telemedicine involve unlicensed activity. 

To avoid malpractice litigations, it is essential that physicians are licenced, have full knowledge of their duties and responsibilities, receive adequate training and that they have taken a full and extensive medical history of all the patients that they prescribe for.

Technologies Providing A Greater Patient Experience

Computer, Business, Typing, KeyboardWhether you work in a hospital, dentist, doctor or dermatologist’s office, providing your patients with a positive experience should be a priority. The increased costs of healthcare premiums and deductibles that are often passed down to subscribers, has caused a lot of people to become more aware of the type of treatment they receive from medical professionals. Like with other industries, consumers are starting to shop around to ensure they’re getting the best experience possible.

Patients are more inclined to visit a medical professional who can not only treat the problem but someone who gives them a supportive and positive experience every time they visit. Healthcare providers are urged to understand that this experience is not only tied to the success of treatment. They must work diligently to ensure their patients’ needs are accommodated from the time they schedule the appointment to the time they’re treated.

One powerful and innovative resource that medical professionals like a dermatologist in Mckinney TX or a dentist in Miami FL are technology. Medical practices would be wise to leverage the use of technology to their advantage. Such tools can help to enhance the patient experience which leads to better doctor-patient relationships and overall patient outcomes. Though there are lots of technological resources out there to consider, below are a few features one might consider implementing in their practice:

Online appointment setting and reminders

With a hectic schedule, how in the world does a person find the time during traditional business hours to set an appointment with their doctor? The answer is, they don’t. It simply gets put off for days. Then, when they finally set an appointment, it’s often missed simply because they forgot.

Medical practices can help patients with this problem and reduce their no call, no show visits by implementing online appointment setting features with reminders. Allowing patients to go online whenever it’s most convenient for them and pick a date and time for an appointment provides a convenience they can get behind. With a reminder being texted or emailed to them a few days before, you also help them to stay on track with their health.

Electronic patient forms

When someone makes an appointment to see the doctor, chances are they’re on a schedule themselves. Meaning, they don’t necessarily have the time to spend the next ten or fifteen minutes filling out paperwork. This increases wait times and inconvenience the patient. Healthcare providers can remedy this problem by allowing patients to complete their forms online. This way the patient can complete the forms prior to showing up and get seen faster.

Telemedicine

There are patients that simply have a hard time making it in to visit the doctor. Some face mobility challenges while others lead busy lifestyles that don’t allow them to slow down. Healthcare providers can assist their patients in making their health a priority by offering telemedicine features. This is a technological tool in which medical professionals to consult, diagnose, and prescribe medication for their patients remotely. This helps to shorten wait times for patients who are in office, it increases patient interest in caring for their health, reduces healthcare costs, and strengthens the doctor-patient relationship.

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Managed Medicaid Plans Must Adopt Digital Telehealth Solutions To Secure Re-Procurement

By Michael Scarbrough, board member, AristaMD.

Michael Scarbrough

If it isn’t already clear, the headlines are signaling that the era of healthcare innovation is upon us and moving swiftly. Managed Medicaid plans could be losing out on millions of contracted lives (and money) by lagging in the adoption of digital telehealth resources to improve access to care and patient outcomes. Leveraging an eConsult solution is a proven way to increase access to high-quality care while lowering system cost, ensuring innovation scoring opportunities are not missed.

Innovation is the new constant

Although the pace of innovation in healthcare has traditionally been slow, organizations are increasingly seeking new ways to innovate in order to support value-based care models. Recent partnerships formed between Amazon, Berkshire Hathaway and JPMorgan Chase, CVS and Aetna, Cigna and Express Scripts, and so on strongly indicate that innovations rooted in providing better care for lower costs are paramount to the success and growth of healthcare.

Payers whose ongoing strategies are not placing precedence upon innovation will be left in the dust. Not only will this be costly for access and quality, it can jeopardize managed Medicaid payers’ chance of re-procuring and expanding contracts.

Managed Medicaid Plans must innovate to reach objectives

Managed Medicaid plans need innovations to improve the value and efficiency of healthcare provided. To ensure they’re getting the best value, state Medicaid programs re-procure contracts with managed care payer groups on a perpetual basis — sometimes as frequently as every three years. States use these periods as an opportunity to seek updated solutions to long-standing or emerging challenges, often assigning points to questions that speak to innovations in care delivery for Medicaid recipients.

Key Medicaid challenges

Barriers to care and access within Medicaid programs are often among the most important issues states and managed care plans are attempting to address. The Kaiser Family Foundation 2017 survey of Medicaid managed care plans reported high rates of difficulty in recruitment for some specialties and listed provider supply as a leading challenge.

Timely access to care is key to healthcare goals, as delays in accessing necessary care exacerbate health conditions, in turn leading to more costly treatment and poor outcomes. This lack of care access worsens a health crisis that could have been easily avoided with more proactive (and less expensive) care.

A key takeaway from 2018’s 11th annual Medicaid Managed Care Summit was that, “Reforming healthcare in the U.S. is not about spending more money, but about moving around the dollars that we’re already spending.” Adoption of eConsult platforms allows health plans to solidify their value-based initiatives and Medicaid payers to expand access to needed specialist services, bring new physician access points to urban and rural areas and leverage the latest in technology and sophisticated referral protocols to help meet members’ care needs.

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Primary Care Practices Utilize the Convenience of Telemedicine

By Faraz Zubairi, CEO, ExamMed.

Faraz Zubairi

Patient is not a word typically used to describe the current generation of tech savvy, time saving, health conscious millennials – and it shows in their healthcare decisions, too. Fewer individuals choose to see their primary care physician, and more are turning to quick clinics or urgent care offices for care. According to a survey by NPR, one in five respondents reported going to an urgent care facility at least once in the last two years for common ailments because of the lack of available appointments at their primary care provider. And typically, urgent care offices can guarantee same day appointments, with short wait times of 30 minutes or less.

Although patients are commonly turning to these solutions to meet their needs, most still prefer being treated by their own doctor who knows them and their medical history. Ask patients why they opted to go to the urgent care center, or even more cumbersome, the emergency room for a non-emergent issue and the answer generally boils down to convenience. Primary care physicians are finding a solution through telemedicine that not only provides their patients with additional options for care but can increase practice revenue.

Telemedicine provides patients with the opportunity to meet with their doctor regarding common yet non-life-threatening conditions. Some of the conditions that are most commonly treated through telemedicine in a primary care setting are a cough, runny nose, sore throat, musculoskeletal pain, pink eye or urinary symptoms that do not warrant a physical exam to diagnose. Additionally, lab reviews, medication refills, and managing widespread chronic conditions including diabetes and hypertension can be effectively handled through virtual visits.

By seeing these patients virtually in addition to in-office visits, these physicians can maximize their time by increasing the number of patients they see in a day while still maintaining a quality level of care. Happier patients, and increased revenue? Who could ask for better.

Here are some of the most common conditions that Dr. Kaufmann of the Kaufmann Clinic, one of the primary care practices that uses ExamMed’s technology, treats virtually through telemedicine:

While telemedicine is not the solution for all appointments, it is a great addition to couple traditional, in-person visits. Virtual care enhances a practice’s capabilities, improves patient outcomes and offers a convenient option. Blending telemedicine services into a medical practice is a strategic move that will benefit both patients and providers long-term.

swyMed Partners with Life Image To Expand Access To Integrated Telestroke Solutions

Life Image and swyMed announce a new strategic partnership to enhance telestroke capabilities. This engagement will improve the ability for physicians to collaborate and coordinate care while using swyMed’s offering by seamlessly integrating relevant clinical and imaging data into the telemedicine encounter. The agreement also deepens swyMed’s ability to connect to neurologists and primary stroke centers, which are already part of the Life Image network. Life Image is currently supporting more than 140 stroke centers within its U.S. network.

This new partnership will advance swyMed’s telestroke solution by combining the exceptional bandwidth management capabilities in its videoconferencing platforms, which are highly beneficial for rural area hospitals, with access to all relevant medical records, diagnostic imaging, and other critical clinical data.

This data is made available through the Life Image clinical image exchange, which is integrated into the workflows of 80 percent of all large health systems and academic medical centers in the U.S. The engagement will also provide Life Image hospital customers with a value-added telestroke solution as part of the Life Image Interoperability Suite, to extend neurology departments’ reach beyond the walls of the organization and deliver timely, high-quality care for patients affected by stroke.

Evie Jennes
Evie Jennes

“Despite widespread knowledge that every moment counts when it comes to treating acute ischemic stroke, a majority of stroke patients do not receive adequate treatment in time due to lack of access to primary stroke centers and appropriate specialists,” said Evie Jennes, CCO, swyMed. “We have dedicated extensive efforts to innovating solutions to overcome these challenges and optimize outcomes among stoke patients. By engaging with Life Image, we can now provide immediate access to imaging and clinical data to speed up diagnosis and treatment, as well as connect swyMed users to premier neurology centers and leading research facilities through Life Image’s extensive provider network.”

There are several access-related challenges associated with acute stroke treatment, which are further compounded by the fact that diagnosis and treatment are incredibly time-sensitive and require a specialist. Unfortunately, research shows a severe lack of stroke specialists in the U.S.: only 55 percent of Americans reside within 60 miles of a primary stroke center, and there are only an estimated 1,100 neurologists specializing in stroke nationwide.

This new strategic partnership between swyMed and Life Image will address these data access and specialist shortage issues by offering immediate connectivity, even in the most bandwidth-challenged areas, to stroke specialists across the U.S., and integrating all relevant medical data into the telemedicine encounter to allow diagnosis and treatment to begin before the patient arrives at the hospital.

Matthew A. Michela, President and CEO
atthew A. Michela

“Providers have long struggled with interoperability and data-integration issues across systems and locations, and these issues come to a head when caring for a stroke patient. Paramedics and emergency room doctors especially need to immediately reach stroke specialists and provide them with the patient’s neurological exam and other imaging and clinical data in order to achieve the best-possible outcome for the patient,” said Matthew A. Michela, president and CEO, Life Image.

“We see this partnership with swyMed as an important opportunity to advance the clinical practice of telestroke. Whether it’s a rural hospital with poor bandwidth or a hospital without stroke specialists, this new engagement will benefit all providers dealing with stroke management by uniting swyMed’s cutting-edge telemedicine platform with our powerful global network of data and integration into thousands of provider workflows nationwide.”

Life Image’s interoperable solution, which integrates into existing workflows, orchestrates the flow of more than 10 million clinical encounters per month. The network connects 1,500 U.S. facilities, 8,000 affiliated sites, 150,000 U.S. providers and 58,000 global clinics with a broader ecosystem of patients, life sciences, medical device companies and telemedicine companies.

Digital Health Trends To Watch In 2019

Technology is the new creed that has literally touched almost every aspect of our life. Be it communication, traveling, or exercising, we are always interacting with technology. However, healthcare has always been considered a very conservative area in terms of technology deployment. This is because, in its very nature, healthcare mainly deals with human life which calls for utmost precaution. But the emergence of machine learning and artificial intelligence has sparked innovation and a myriad of solutions that are already working in the healthcare industry.

At the forefront of this growth are Android-powered smartphone devices. It’s estimated that 88 percent of all the devices sold in the last quarter of 2018 were all powered by Android. It shouldn’t then come as a surprise that companies are looking to hire Android developers to build health-care related apps.

But what does the future hold for tech solutions in the health industry? In this article, we are going to look at the trends in healthcare to look out for in 2019 and a few examples of apps for healthcare.

Artificial Intelligence and Machine Learning

“If you’re arguing against AI then you’re arguing against safer cars that aren’t going to have accidents, and you’re arguing against being able to better diagnose people when they’re sick.” – Mark Zuckerberg during a live Facebook video in 2016.

Artificial intelligence and machine learning are getting increasingly sophisticated to the extent of surpassing human capability and the potential for these two technologies in the healthcare ecosystem are huge.

One of the biggest potential benefits of AI in 2019 is helping people to stay healthy without consulting a doctor, or at least do it less often. Coupled with the Internet of Medical Things (IoT), AI is already being used to develop consumer health apps that proactively show patients how to stay healthy.

Moreover, AI is increasingly being used by healthcare professionals to gain deep insights and better understand of routine patterns occurring in patients. With these deeper insights, the caregivers are able to give better diagnosis, guidance, and support to the patients. For instance, the American Cancer Society is already using AI to detect cancer at the initial stages with 99 percent accuracy.

Product development is another area that AI and machine learning are being used. R&D in the medical field can be painstakingly slow and costly given that hundreds of variables need to interact with each other. Today, medical researchers are using AI to safely explore biological and chemical interactions of drugs using the discovery process and clinical data.

Another area you can get artificial intelligence in healthcare is through workflow optimization. It helps automate repetitive tasks such as routine paperwork, patient scheduling, and time-folio entry.

Wearables and Augmented Reality

I do think that a significant portion of the population of developed countries, and eventually all countries, will have AR experiences every day, almost like eating three meals a day. It will become that much a part of you.” — Tim Cook at the 2016 Utah Tech Toursource.

Virtual wearables and augmented reality devices are other emerging healthcare trends proposing to make significant advances in the healthcare space in terms of diagnosis and medical education.

On one side of the scale, virtual reality superimposes a patient in an artificially created surrounding, whereas, augmented reality helps generate layered images to real like objects. As a result, these technologies are and will continue being used by emergency response services providers to relay critical first aid information before the first responders arrive at the hospital.

In the prevention and diagnostics front, VR/AR has allowed medical care providers to create and manipulate different camera colors to reflect or replicate pre-existing effects in their databases.

But perhaps, the biggest impact of VR can be seen in 3D reconstructions of human organs. This has proven important especially when surgeons need to re-create the exact size and positioning of human organs before conducting complicated surgeries. Having the same exact replica of human organs give surgeons the know-how on how to deal with particular organs no matter how small they are.

In terms of medical education, both VW and AR have been great tools in transforming the way students learn. Surgeons are able to rehearse surgery procedures using dummies quicker and without having to use actual human bodies.

Telemedicine

“The evidence supporting the role of telemedicine is strong. Studies have shown that telemedicine promotes continuity of care, decreases the cost of care, and improves patient self-management and overall clinical outcomes” — Stephen Agboola, MD, at the 2016 Annual Partners Healthcare Connected Health Symposium.

The internet age has brought along profound changes in the telemedicine landscape. In the earlier years, telemedicine was strictly limited to doctor and nurse consultation. However, the proliferation of smart mobile devices that are capable of transmitting high-quality videos has opened up avenues for virtual healthcare services from specialists to patients straight in their homes. This is especially paramount in remote areas where doctors can’t easily reach.

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How Does Medicare Cover Telemedicine?

By Danielle K. Roberts, a Medicare insurance expert and co-founder, Boomer Benefits.

Danielle Kunkle Roberts

The telehealth revolution gives health providers the opportunity to assist patients in remote or rural areas; the same kind of care that they give to patients in person. It saves money on travel and improves efficiency in healthcare as well.

While telehealth options in healthcare are helpful to individuals at any stage in life, they can be particularly helpful in treating older adults with chronic illnesses. The Centers for Medicare and Medicaid Services have recognized this and have put together guidelines for primary care physicians who treat patients in geographical areas where it may be difficult for those beneficiaries to otherwise gain access to certain specialists and medical experts.

Telehealth services are made available to these Medicare beneficiaries who have signed up for Medicare Part B. Here’s how Medicare covers telemedicine for these people.

Medicare outpatient coverage for telemedicine

Medicare has two original parts: Part A hospital coverage and Part B outpatient coverage. Telehealth services fall under Part B. Medicare Part B will cover a telehealth consultation whenever a consultation is medically necessary, and your Medicare doctor follows the guidelines in arranging the consultation.

The specialist must conduct your teleconsultation using two-way interactive communication that must include both live audio and video feeds. Fortunately, with the prevalence of digital technologies and telehealth platforms, this has become common practice for most healthcare organizations.

The Medicare beneficiary needs to live within designated rural areas, and the video conferencing call must be held at a designated originating site. Approved originating sites include your physician’s office or rural health clinic. Calls can also be conducted from within a federally qualified health center, a skilled nursing facility, inpatient hospital, critical access hospital or community mental health facility.

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