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Connected Care Update

October 5, 2020

Please find below updates on how the health care system is leveraging telehealth and remote patient monitoring - including research, data, and polling on its current use in response to COVID-19.

Legislative Activity

We are tracking these and other bills on the Alliance website.

Telehealth Improvement for Kids’ Essential Services (TIKES) Act: (10/1) – Reps. Blunt Rochester (D-DE) and Burgess (R-TX) introduced the Telehealth Improvement for Kids’ Essential Services (TIKES) Act of 2020 (H.R. 8476), which would provide for strategies to increase access to telehealth under the Medicaid program and Children's Health Insurance Program. View the press release, one-pager and bill text.

COVID-19 Telehealth Program Extension Act: (10/1) – Sens. Smith (D-MN) and Rounds (R-SD) introduced the COVID-19 Telehealth Program Extension Act (S. 4794), companion legislation to the Alliance-endorsed text introduced by Reps. Spanberger (D-VA) and six bipartisan cosponsors which would provide an additional $200 million for the Federal Communications Commission’s (FCC) COVID-19 Telehealth Program. View the press release and bill text.

H.R. 8528(10/2) – Rep. Williams (R-TX) introduced H.R. 8528, which would extend certain provisions relating to telehealth services. The bill text and press release have yet to be issued. 

Legislative Update

Top telehealth bills continue to attract attention and additional cosponsors in Congress:

  • The Protecting Access to Post-COVID-19 Telehealth Act (H.R. 7663) introduced by Reps. Thompson (D-CA), Matsui (D-CA), Johnson (R-OH), Schweikert (R-AZ) and Welch (D-VT) has a total of 22 cosponsors.
  • The Telehealth Modernization Act (S. 4375), introduced by Senate Finance Committee Chair Alexander (R-TN) earlier this year, now has four bipartisan cosponsors including Sens. Schatz (D-HI), Wicker (R-MS), Hyde-Smith (R-MS) and Blackburn (R-TN).
  • In addition, the CONNECT for Health Act (S. 2741/H.R. 4932) gained two bipartisan cosponsors in the Senate and four bipartisan cosponsors in the House last month. While we still support the CONNECT for Health Act, we believe Congress needs to go further than this legislation in order to hold on to the access created during the public health emergency.

Update on Veteran Telehealth Bills

The House passed several veteran bills with telehealth provisions, including:

  • The VA Mission Telehealth Clarification Act (H.R. 3228), which would authorize certain postgraduate health care employees and health professions trainees of the Department of Veterans Affairs to provide treatment via telemedicine. The bill now move to the Senate for consideration. View the press release and a press release with bill texts.
  • The Commander John Scott Hannon Veterans Mental Health Care Improvement Act (S. 785), which would improve mental health care provided by the Department of Veterans Affairs. The legislation also includes a section that requires the VA to award grants to entities for the expansion of telehealth capabilities and the provision of telehealth services to veterans. Having previously passed the Senate by voice vote, the bill now moves to the President for signature. Press release Bill text
  • The Dependable Employment and Living Improvements for Veterans’ Economic Recovery (DELIVER) Act (H.R. 7105), which includes nine bills to strengthen and expand services for homeless and unemployed veterans, including a provision on ensuring homeless veterans have access to telehealth. The bill now move to the Senate for consideration. Press release with bill texts

Federal Agency News

HHS Office of the Assistant Secretary for Planning and Evaluation (ASPE): (9/29) – HHS ASPE released a report on the impact of COVID-19 on Medicare health services and payments. HHS notes that most health care providers have faced a significant reduction in volume. Despite overall trends, HHS found substantial variation across services types and geographies. The report includes several findings on Medicare telehealth utilization during the pandemic, expanding beyond the ASPE report on Medicare telehealth utilization released in July. Of note, overall utilization of Medicare fee-for-service primary care visits, including telehealth have remained below pre-pandemic levels, demonstrating a substitution effect of telehealth. Summary with link to report

Department of Justice (DOJ): (9/30) – HHS OIG and the Department of Justice announced a health care fraud and opioid takedown of more than 340 defendants involved in more than $6 billion in alleged losses to federal health care programs. The DOJ noted that, “Telemedicine can foster efficient, high-quality care when practiced appropriately and lawfully.” Unfortunately, the fraudulent claims involved illegitimate and aggressive scammers. DOJ Press release HHS OIG Press release

Research, Surveys, and Telehealth News

Check out the Alliance for Connected Care studies and polling website for more resources.  

MedCityNews: (9/27) – Dr. Roy Schoenberg, president and CEO of Alliance Board Member Amwell discussed the future of telehealth in a discussion hosted by CB Insights Future of Health “The number of clinicians that started using telehealth and never stopped is the biggest change,” Schoenberg said. “That is the turning of a corner for telehealth that will become a resounding change in the way that healthcare is going to be structured in years to come.”

Health Leaders: (9/28) – Health Leaders featured an article on Alliance Board Member Intermountain, noting pre-pandemic infrastructure and partnerships, pandemic efforts, and ER video handoffs have led to an acceleration of virtual care past a million telehealth interactions by the beginning of June 2020.

mHealthIntelligence: (9/28) – Xtelligent Healthcare Media’s Healthcare Strategies podcast, featured Sri Bharadwaj, the Indiana health system’s vice president of digital information, who explained how they use a connected care platform to bring the care team into one room, from where they can meet with and collaborate on care for any number of patients in their own rooms. The recording is linked below in past events.

Healthcare IT News: (9/28) – More than a dozen Chief Information Officers offer insight into what they want to see from telehealth apps. Some suggestions include seamless workflow integration, better patient engagement, artificial intelligence utilization, multidisciplinary group chat and others.

Healthcare IT News: (9/29) – In a recent video, Sen. Wyden (D-OR) discussed the importance of telehealth in the Medicare population during the COVID-19 pandemic. "I want to zero in on expanding telemedicine's role in Medicare, because we know that's a flagship health program … and when you get it there, almost always, you have an opportunity to have it replicated in the private sector," he said.

mHealthIntelligence: (9/29) – Brigham and Women’s Hospital is launching an mHealth program to track medication adherence for patients who have been prescribed opioids.

Flathead Beacon: (9/29) – VA Secretary Wilkie spoke in Montana this week to highlight the agency’s increased use of telehealth during the coronavirus pandemic. “If anything is going to come out of the response to this crisis that will stay with us, that is the value of telehealth when it comes to addressing mental health issues.”

Wall Street Journal: (9/30) – Starting October 1, some private health insurers will no longer cover cost-sharing for telehealth visits, something they had been doing during the COVID-19 pandemic. Doctors and hospital officials say the complex rules are leading to confusion—and the cost-sharing charges create concern that patients, faced with an increased financial burden for telehealth, might delay or avoid visits.

Healthcare Dive: (10/1) – Amwell announced a partnership with Tyto Care. Together they are pairing the TytoHome handheld examination device with Amwell’s telehealth platform, with the goal of improving provider examinations and diagnoses of patients during virtual visits conducted on Amwell's platform.

Modern Healthcare: (10/1) – Medicare Advantage insurers unveiled new benefits, including broader access to telehealth for more types of services. For example, UnitedHealthcare is giving all Advantage members who aren't in special needs plans access to virtual behavioral health visits without a copay.

University of Wisconsin-Madison School of Medicine and Public Health: (10/1) – A new research study at the University of Wisconsin School of Medicine and Public Health seeks to reduce COVID-19 spread in Wisconsin nursing homes by collaborating with community and academic partners to expand telehealth infrastructure.

mHealthIntelligence: (10/1) – Utah Governor Herbert announced that the state will continue to extend measures for telehealth coverage and access through the end of the nationally declared COVID-19 public health emergency.

Healthcare Dive: (10/1) – A new survey of 4,300 individuals released this week found that overall customer satisfaction with telehealth is high, but barriers to access remain. According to the 2020 U.S. Telehealth Satisfaction Study from J.D. Power, Alliance Board Member Amwell ranked highest in telehealth satisfaction among direct-to-consumer brands.

MEDTECHDIVE: (10/2) – AdvaMed released a white paper outlining recommendations to modernize Medicare coverage and payment policies so that beneficiaries can have greater access to the latest digital health innovations.

Modern Healthcare: (10/3) – Modern Healthcare interviewed healthcare experts on how the industry can do better at handling a pandemic situation, including utilizing technology capabilities like remote patient monitoring tools and virtual visits.

Notable Telehealth Commentary

In a recent video, Sen. Wyden (D-OR) discussed the importance of telehealth in the Medicare population during the COVID-19 pandemic. "I want to zero in on expanding telemedicine's role in Medicare, because we know that's a flagship health program … and when you get it there, almost always, you have an opportunity to have it replicated in the private sector," he said.

During a Select Subcommittee on the Coronavirus Crisis hearing, HHS Secretary Azar noted that telehealth is not an additive service, he said telehealth improves quality and decreases costs.

Upcoming Events

October 7 – ASAE Government Relations and Advocacy Professionals Advisory Council, “Telehealth in Times of COVID-19 and Beyond.”

October 21 – Primary Care Collaborative, “Making the Call on the Best Use of Telehealth in Primary Care.”

Past Events

Recording of Xtelligent Healthcare Media, Healthcare Strategies podcast, “Your Patient Will See You Now: Multi-Specialty Rounding Via Telehealth.” The podcast series Sri Bharadwaj, the Indiana health system’s vice president of digital information, explained how they use a connected care platform to bring the care team into one room, from where they can meet with and collaborate on care for any number of patients in their own rooms.

Urge your Representatives to Cosponsor H.R. 7663: Ask your Member of Congress to support and cosponsor commonsense legislation that would ensure Medicare beneficiaries may continue to access care through telehealth after the current health crisis has passed. The Protecting Access to Post-COVID-19 Telehealth Act of 2020 (H.R. 7663) would do just that. 

Please subscribe to this newsletter and send any news or events to crystal.wallace@connectwithcare.org for inclusion.

Alliance for Connected Care

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