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Virginia Telehealth NetworkCurrent Policy Issues Gary Capistrant April 5, 2011
Major Federal Issues Coordination Several roles Many agencies Federal reimbursement to support federal investment Reform health care delivery
Medicare Barriers Only rural counties  	(21% of beneficiaries)  No store & forward in “lower 48” No remote patient monitoring Limited originating sites Limited providers Only specific procedures
Priority 2011 Issues Advancing & using health tech Payment & service innovation   CMMI Care coordination – teams, HIE   Accountable care orgs   Independence at Home Medicare barriers
Other Federal Action Spending / budget Medicare privileging FCC telecomm 	wireless 	rural health FDA medical devices EHR meaningful use 2013
Major State Issues California report Medicaid 	health home Virginia model on telehealth-provided covered services Licensure
ATA Actions 6 ATeams on policy The HUB ATAwiki Congressional proposals Administration proposals Tampa – May 1-3 DC – July 27
www.AmericanTelemed.orgwww.ATAwiki.org Gary Capistrant Senior Director, Public Policy GCapistrant@AmericanTelemed.org 202-233-3333

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Telehealth Policy Issues

  • 1. Virginia Telehealth NetworkCurrent Policy Issues Gary Capistrant April 5, 2011
  • 2. Major Federal Issues Coordination Several roles Many agencies Federal reimbursement to support federal investment Reform health care delivery
  • 3. Medicare Barriers Only rural counties (21% of beneficiaries) No store & forward in “lower 48” No remote patient monitoring Limited originating sites Limited providers Only specific procedures
  • 4. Priority 2011 Issues Advancing & using health tech Payment & service innovation  CMMI Care coordination – teams, HIE  Accountable care orgs  Independence at Home Medicare barriers
  • 5. Other Federal Action Spending / budget Medicare privileging FCC telecomm wireless rural health FDA medical devices EHR meaningful use 2013
  • 6. Major State Issues California report Medicaid health home Virginia model on telehealth-provided covered services Licensure
  • 7. ATA Actions 6 ATeams on policy The HUB ATAwiki Congressional proposals Administration proposals Tampa – May 1-3 DC – July 27
  • 8. www.AmericanTelemed.orgwww.ATAwiki.org Gary Capistrant Senior Director, Public Policy GCapistrant@AmericanTelemed.org 202-233-3333

Notas del editor

  1. FY11 – now until 9/30 3/18Debt ceilingCong budget planFY12 – beginning 10/1 Biggest targets are unobligated moneyPPACA defund ACOs – any day waiver – 1834(m) I@H CMMI
  2. 6 policy ATeams + one SIG policy work group Medicaid remote prescribing coding – CPT/HCPCS telehealth data exchange teleICU 3 home telehealth & RPM telemental health SIGHill Medicare expansions Ways to package with payment innovationsCMS – 6 things the Admin can do