Not affiliated with The United States Office of Personnel Management or any government agency

Not affiliated with The United States Office of Personnel Management or any government agency

How are Medicare patients adopting telemedicine encounters that take place between states?

A recent study found that most telehealth services offered by providers in other states are used to maintain continuity of treatment rather than recruit new clients.

The purpose of the study was to compare the use of interstate telehealth among many Medicare recipients after March 2020, the date when all states initiated temporary solutions designed to allow physicians to practice medicine in other jurisdictions via telemedicine, and the use of interstate telemedicine among Medicare recipients during the years 2017-19.

The authors evaluated how prices of out-of-state telemedicine altered from 2017 through 2020, the subject matter of out-of-state telemedicine trips, the attributes of those using out-of-state telemedicine, and the variability in out-of-state telemedicine use at the state and local level. The data for this study came from a nationwide, arbitrary sample of 20 percent of Medicare fee-for-service recipients. The authors extended their study to three distinct kinds of visits: those that took place across state lines via telehealth, those that took place within the same state via telehealth, and those that took place within the same state in person.

They found, among other things, that there was an increased level of correlation between the billing and main patients diagnosed for in-state and out-of-state telemedicine trips and that most people who underwent treatment from providers in other states were patients whose conditions were routine.

The study notes, “These study results must alleviate potential issues that prolonging licensing requirements options will lead to out-of-state physicians attracting patients from their established healthcare professionals.”

The study also found that approximately two-thirds of out-of-state telemedicine trips were with a doctor in a nearby county and that a higher percentage of rural sick people used both out-of-state in-person and telemedicine assistance compared to patients in non-rural regions. It was discovered that this was the case when patients living in rural areas were compared to sick persons living in non-rural areas. Because of this, the recommendations advise that states with rural towns along their boundaries should want to implement standards such as licensure recognition to enable continuous access to telemedicine in remote towns. This is because of the benefits that telemedicine may provide to rural communities.

According to the information provided in the article, even though the number of out-of-state telehealth meetings had a significant increase in frequency in 2020 compared to previous years, they still only constituted a tiny portion of the total number of outpatient services during the time covered by the analysis. However, that percentage varied significantly from area to region, with the District of Columbia having the most at 9.3 percent and Louisiana and Utah having the least at 0.4 percent, respectively.

The authors believe that if jurisdictions are aware of the level of care their citizens receive in other jurisdictions, it will be easier for them to decide the commitment it would take to enable telehealth services to be provided from other states once the COVID-19 pandemic has been contained.

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Bio:
Rick Viader is a Federal Retirement Consultant that uses proven strategies to help federal employees achieve their financial goals and make sure they receive all the benefits they worked so hard to achieve.

In helping federal employees, Rick has seen the need to offer retirement plan coaching where Human Resources departments either could not or were not able to assist. For almost 14 years, Rick has specialized in using federal government benefits and retirement systems to maximize retirement incomes.

His goals are to guide federal employees to achieve their financial goals while maximizing their retirement incomes.

Rick Viader is a Federal Retirement Consultant that uses proven strategies to help federal employees achieve their financial goals and make sure they receive all the benefits they worked so hard to achieve.

In helping federal employees, Rick has seen the need to offer retirement plan coaching where Human Resources departments either could not or were not able to assist. For almost 14 years, Rick has specialized in using federal government benefits and retirement systems to maximize retirement incomes.

His goals are to guide federal employees to achieve their financial goals while maximizing their retirement incomes.

Contact Rick Viader

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