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Ramona Midkiff

Feb 23
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F.C.C. Broadband Plan Includes $50 Monthly Subsidy for Millions

By News

Credit…T.J. Kirkpatrick for The New York Times

By Cecilia Kang

The acting chairwoman of the Federal Communications Commission on Monday announced a proposal to use $3.2 billion in emergency funds to significantly subsidize broadband service for millions of households, an attempt to narrow the digital divide that has punished low-income families during the pandemic.

The chairwoman, Jessica Rosenworcel, announced that under her proposal, qualifying households would receive $50 a month in discounts for high-speed internet service. The discount would be $75 for households on tribal lands. Ms. Rosenworcel sent the proposal to the other three commissioners for a vote, but did not specify when that vote would take place for the program, which is called the Emergency Broadband Benefit.

Congress allocated the money last December as part of a Covid-19 relief bill. The money will be available to households at or 135 percent above the poverty line, those who qualify for free and reduced school lunch, or have experienced substantial loss of income since Feb. 29, 2020.

At least 14.5 million homes do not have access to high-speed internet. For many families, particularly in urban and suburban areas, the high cost of broadband has prevented them from acquiring the service. The consequences of the digital divide during the pandemic have been severe. Children have been cut off from online learning and adults have been unable to work from home or find vital health information.

“No one should have to choose between paying their internet bill or paying to put food on the table,” Ms. Rosenworcel said in a statement. “With the help of the Emergency Broadband Benefit, we have a new way for households to access virtual learning, for patients to connect to telehealth providers, and for those struggling in this pandemic to learn new online skills and seek their next jo

The digital divide has been one of the most stubborn problems for the federal government. Though federal subsidies worth over $8 billion are allocated each year to internet service providers to bring broadband to every American home, the adoption and access rates have improved at a crawl. Broadband maps, for instance, notoriously overcount how many households have access to the service. If an internet service provider such as Verizon or Comcast reaches just one home in a census block, the entire block appears connected on federal maps — even when in reality all homes aren’t given the option of broadband.

Last week, Ms. Rosenworcel announced a task force to study the agency’s tracking of broadband access data.

 

Feb 17
Love0

Debra Berlyn: Telehealth is Here Today and Here to Stay

By News

Broadband Breakfast

By:  

The COVD-19 pandemic has been an extremely difficult time for everyone and has led to the implementation of major changes in our daily behaviors. In order to overcome this adversity and adapt to living in a new age, great innovations have been advanced.

New tech devices and programs have offered many solutions to help solve some of our struggles during this pandemic and raise our spirts.

The pandemic has also highlighted how technology supports consumers who are homebound or living distant from essential services.  In a post-pandemic environment, we can already predict that many consumers, particularly older adults, will continue to rely on many tech services they have adopted during COVID-19.  Services such as online shopping and telehealth have been particularly indispensable during this era of stay-at-home orders, social distancing and quarantine.

The benefits of telehealth options for all consumers have been demonstrated during this pandemic. Telehealth has replaced many routine doctor’s visits, has been used for setting-up COVID testing appointments, and conducting all too critical mental health sessions during periods of isolation. It has also served to keep medical workers safe during the pandemic.

According to a Center for Disease Control report, there was a “154 percent increase in telehealth visits during the last week of March 2020, compared with the same period in 2019….”

During the emergence of COVID-19, both a majority of doctor’s offices were closed, and their patients were staying in their homes.  Options for medical appointments were limited to a telehealth visit only, and while most medical offices reopened with safety protocols in place, many consumers opted to continue with telehealth medical appointments.

The reduction of red tape and the number of doctors who quickly adapted to virtual services was one of the greatest developments of 2020; however, only those who have adequate access to broadband internet are able to take advantage of this tool, leaving out the unconnected population.

As we contemplate permanent integration of virtual care into our medical health system, we must acknowledge that consumer demand for telehealth requires access to ubiquitous high-speed broadband. In 2021, policymakers need to take aggressive steps to deliver broadband to those who do not have access, or who are unable to afford the service.

The $900 billion-dollar COVID Relief package approved by Congress in the final days of 2020 provides $7 billion to increase access to broadband. In addition, Telehealth expansion is included within the broadband funding priorities. The package more broadly includes overall support for these initiatives, with funding for:

  • Expanding telehealth access to mental health services for Medicare patients
  • Closing rural telehealth gaps to provide increased funding to the Health and Human Services agency’s Health Resources and Service Administrations pilot project for Telehealth Centers of Excellence, to access broadband capacity available to rural health providers and patient communities
  • The Federal Communications Commission to support the efforts of health care providers to address coronavirus by providing telecommunications services, information services, and devices necessary to enable the provision of telehealth services.

The FCC has made a broad commitment to telehealth programs, initially under the leadership of Chairman Ajit Pai, and now in the most capable hands of Acting Chairwoman Jessica Rosenworcel. The Chairwoman recently visited the Washington, D.C., Whitman-Walker Clinic, which provides community-based health and wellness services specializing in LGBTQ and HIV care.

Rosenworcel said: “Through expanded and affordable access to broadband for all, organizations like Whitman-Walker and clinics around the country can continue to grow their telehealth efforts to support their communities.”

The Acting Chair is committed to closing the digital divide and sees access to telehealth care services—especially for underserved and marginalized communities—as a top priority. The FCC has initiated a number of COVID-19 Telehealth Programs and the Connected Care Pilot Program to focus on implementing innovative telehealth initiatives.

Telehealth has met the demand of health care management during the pandemic and has become particularly essential for older adults unable to leave their homes for medical visits.  It is vital that programs and policies supporting this technology continue to be a significant priority. In addition, access and affordability of high-speed broadband must be ubiquitous and affordable for all.

Debra Berlyn is executive director of the Project to Get Older Adults onLine (Project GOAL), and president of Consumer Policy Solutions, a firm centered on developing public policies addressing the interests of consumers and the marketplace. This piece is exclusive to Broadband Breakfast.

Broadband Breakfast accepts commentary from informed observers of the broadband scene. Please send pieces to [email protected]. The views reflected in Expert Opinion pieces do not necessarily reflect the views of Broadband Breakfast and Breakfast Media LLC. 

Feb 16
Love0

Jim Clyburn to reintroduce broadband expansion bill

By News

WASHINGTON, D.C. — U.S. House Majority Whip Jim Clyburn of South Carolina is seeking to connect the whole country to the information superhighway.

A story from Cablefax.com indicates that Clyburn, a Democrat serving a large portion of the central eastern part of the state, including a part of Florence County and all of Williamsburg County, is preparing to reintroduce the Accessible, Affordable Internet for All Act within the next few weeks.

Minnesota Sen. Amy Klobuchar is expected to reintroduce an identical bill in the Senate.

Clyburn and 11 Democrats introduced a similar bill in 2020.

The previous bill called for $100 billion for infrastructure building, $80 billion for deployment of infrastructure, and $5 billion to finance deployment. The previous bill also called for discounts for qualifying people and grants for the expansion of broadband.

Feb 11
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Primary Care Needs Telehealth Reimbursement, Targeted Relief

By News

From continued telehealth reimbursement to more targeted federal relief, primary care practices need payment reform to survive the second year of the COVID-19 pandemic.

 By Jacqueline LaPointe

 

– Better-targeted federal relief, continued telehealth reimbursement, and help acquiring personal protective equipment are some ways primary care providers can maintain financial stability as the country enters the second year of the COVID-19 pandemic, industry experts are saying.

An already underfunded area of medicine, primary care has faced significant financial challenges throughout the first year of the pandemic, explained experts from the Robert Wood Johnson Foundation and Urban Institute in a new brief.

Funds from the federal government and telehealth reimbursement parity were key to surviving empty waiting rooms, higher PPE costs, and other changes in operations during the pandemic. However, experts found that policymakers still have much to learn from these sources of support.

“COVID-19 has created enormous challenges for primary care providers that could result in long term changes in the delivery of care,” Katherine Hempstead, senior policy adviser at the Robert Wood Johnson Foundation, said in an emailed statement. “We need to find out what practices need to succeed in this environment, and devise policies to help support this foundational part of our health care system.”

The Provider Relief Fund, for example, did little to help independent primary care practices, the brief explained.

Established by the Coronavirus Aid, Relief and Economic Security (CARES) Act in March 2020, the Provider Relief Fund (PRF) has given hundreds of billions of dollars in grants to healthcare providers. But the government’s distribution methods have favored large hospitals and health systems, leaving most practices with relatively small payments from the initial, automatic distribution.

Instead, primary care practices relied more on Paycheck Protection Program funding and advanced Medicare reimbursements, the brief found. But again, hospitals received more upfront Medicare reimbursements, which were essentially zero-interest loans if repaid in time, compared to physicians.

“Future outlays from the PRF should ideally be better targeted than past payments, in order to support those providers most in need,” the brief stated.

Additionally, federal support is likely needed to ensure primary care practices can access sufficient PPE and meet the demand for increased telehealth and audio-only services.

The brief found that practices shifted rapidly to telehealth and other modes of care delivery when delivering in-person care was not feasible or safe, and that transition was relatively seamless according to the practice leaders interviewed for the brief.

But practices could not have been successful with telehealth implementation if not for federal support for reimbursement from the CARES Act.

“Respondents generally felt that their shift to telehealth as a significant portion of their interaction with patients was only viable because of altered payment rules and increased reimbursement for telehealth services,” the brief stated.

However, the reimbursement policies are only temporary and private payers who jumped on the bandwagon can pull the plug on telehealth reimbursement parity at any time in most states. Additionally, only one state has required payers to waive cost-sharing requirements for telehealth visits during the emergency period although many payers have elected to adopt the policy internally.

The latter policy has particularly supported practices, according to a Massachusetts respondent, who described deductibles as “killing” practices financially even before the pandemic.

Primary care practices are already planning the future of telehealth now that they have implemented the technology to facilitate visits and have a better understanding of how telehealth can fit into appropriate care delivery.

Patients have also taken to virtual care and many have started to demand telehealth appointments, even too much in some cases according to some practice leaders.

However, respondents reported that some private payers are already scaling back telehealth reimbursement rates and reinstating cost-sharing requirements. This is leading to concerns among practice leaders that telehealth will not be financially stable.

Practice leaders also voiced concerns about payers encouraging patient use of telehealth-only providers even though these providers may not be invested in the long-term health of a patient and can result in overutilization.

Continued support for telehealth reimbursement would help struggling practices maintain patient volumes in the event of more COVID-19 waves as well as with sustaining care transformations beyond the pandemic.

Additionally, policymakers should address increasing levels of clinician and staff burnout to strengthen primary care, experts stated.

These policy considerations could help to support vaccination efforts.

A new survey from the Primary Care Collaborative, Larry A. Green Center, and 3rd Conversation found that primary care continues to be untapped as the government struggles to administer COVID-19 vaccines. In fact, eight in ten primary care practice leaders surveyed said their organization is ready and willing to assist with vaccine distribution despite ongoing staffing shortages.

However, 44 percent of respondents also reported that local health systems are getting the vaccine, while smaller and independent practices are not.

“Primary care can play a major role in targeting and encouraging their patients to get vaccinated, particularly people with chronic conditions, the elderly, and people who are hesitant to get vaccinated,” Ann Greiner, President and CEO of the Primary Care Collaborative, said in an announcement. “Patients trust primary care, and trust is a major factor in our ability to help patients overcome vaccine concerns.”

Feb 11
Love0

Telehealth Experiences Big Boom In Era Of Social Distancing

By News

Co-Founder & Co-CEO of hear.com, the largest online retailer of hearing aids in the world. Driven to help people hear well to live well.

By:  Paul Crusius at Forbes

Rapidly changing the landscape of healthcare, telehealth has gained widespread popularity in the past few years, giving millions of people around the world the ability to meet with their medical professionals from home via their computer, tablet or smartphone. And never has it been more necessary than it is now.

Telemedicine isn’t anything new. In fact, The National Center for Biotechnology Information reports that the initial form of it was first used in the 1950s and ’60s. But chances are, like many others, 2020 may have been your first hands-on experience with it.

According to Medical Economics, a recent study by Doctor.com showed that telehealth appointments were up 33% at the beginning of 2020 from 2019. Obviously, that percentage will have skyrocketed after last year’s pandemic statistics are folded in. As the leader of a global online hearing care company, I can attest to the fact that one of the areas that had to expand quickly to offer a telehealth solution was hearing care. Many medical professionals and organizations that hadn’t already made the shift to offering virtual medicine prior to Covid-19 found themselves scrambling in 2020 to figure out how to quickly and safely expand their service model.

Believing that teleaudiology was part of the future of hearing care, we’ve been experimenting with our virtual experience for the past five years. We found the hearing care environment in Asia was a great place to focus our early energy, as there was a shortage of audiologists and it was difficult for customers to travel to the limited locations. At the same time, in other markets, we discovered that customers weren’t comfortable receiving care or being seen on video. But in 2020, that changed, even for customers aged 60-plus. Perhaps the experience of using tools like FaceTime and Zoom to connect with their grandkids helped pave the way and break down those barriers.

Telehealth allows licensed providers to conduct certain tests virtually so that the patient never has to leave their home. Not only does this ensure the safety and health of the patient — notably during the age of social distancing — it also allows people all over the world who don’t have transportation or easy access to certain types of care to obtain the same level of care at home. While this was a big issue long before this pandemic, Covid-19 just happened to shine a brighter light on the issue.

Facing Telehealth Challenges Head-On

While I’m thrilled that providers can now use telehealth to help bridge the gap for those who need it most, there are still some challenges when it comes to serving a global community. We identified the following as two major hurdles early on. Other telehealth providers will likely face the same and need to implement solutions to ensure those who need care are never without access.

• Internet connectivity is one of the largest challenges telehealth providers around the world face today. Unfortunately, from a patient perspective, not everyone has access to high-speed internet and Wi-Fi to be able to connect from home. One way to tackle this across the globe is to send tablets that connect directly to cell service through the local wireless network, rather than operating solely through WiFi. This has been our approach, and our IT department is also able to remote into the tablet while the customer is using it to help them identify the best connection.

• The reality of telehealth is that some medical concerns do require in-person visits. There is an obvious loss of physicality with remote solutions where the doctor can’t touch or feel, or as in our industry, conduct certain aspects of a hearing test in person. For example, a comprehensive hearing exam requires a specialist to look inside your ear canal. Therefore, telehealth companies must create solutions that allow partner providers to conduct certain tests through tablets and digital tools that can be sent to customers in advance of their appointment.

We’ve discovered that by mirroring in-person visits as much as possible, telemedicine customers actually have more success from the comfort of their own homes. They’re more comfortable physically, allowing them to relax and open up to the provider. We continue to research and implement new ways to help everyone get access to the care they need to live well.

Health providers must be able to provide ease-of-use for consumers in order for them to feel comfortable and for remote solutions to be successful. By offering a telehealth solution and removing health care barriers — lack of transportation, distance to care, appointment wait times, travel time, fear of being exposed to sick patients — I believe people around the world will feel encouraged and motivated to pursue care at a faster rate in the years to come, so they can protect themselves and their loved ones. Telehealth truly is the future of care.

Feb 10
Love0

Markey urges bipartisanship in push to update broadband plan

By News

By Rebecca Klar – 02/08/21 05:11 PM EST

Sen. Ed Markey (D-Mass.) said Monday he is hopeful there is bipartisan support in Congress to take action on updating national broadband plans.

His statement underscored the urgency of modernizing the plan to expand internet access as the coronavirus pandemic continues to highlight the digital divide.

“I’ve always believed that, essentially, telecommunications policy is bipartisan — should be bipartisan. You have to work hard to make it ideological,” Markey said during the INCOMPAS Policy Summit.

“My hope is that we’ll be able to really move forward in a way that reflects the ultimate need for bipartisanship,” he added.

On Sunday, Markey and Rep. Anna Eshoo (D-Calif.) reintroduced the National Broadband Plan for the Future Act, coinciding with the 25th anniversary of the 1996 Telecommunications Act which transformed broadband deployment.

Markey and Eshoo’s legislation calls for the Federal Communications Commission (FCC) to update the national broadband plan in a way that addresses concerns highlighted by the coronavirus pandemic.

It would require the FCC to assess the U.S.’s progress in deploying broadband infrastructure since the 25-year-old plan was created, and develop a new roadmap for closing the digital divide.

“I’m proud of the roadmap that my previous provision created and the amazing progress we’ve made over the last decade. However, we still have a ways to go before we finish the job. During the coronavirus pandemic, we are seeing more than ever how necessary robust and affordable broadband is to the future of American life, education, jobs, and medical care,” Markey said in a statement.

Eshoo similarly called attention to issues of the digital divide emphasized by the pandemic, as professional and personal life has largely shifted online.

“From telehealth to remote learning to teleworking, high-speed internet is essential in our day-to-day lives. We must make broadband affordable and accessible for all Americans. That’s why I’m proud to reintroduce the National Broadband Plan for the Future Act to ensure all Americans have broadband,” Eshoo said in a statement.

Sen. Roger Wicker (Miss.), the top GOP member of the Senate Commerce Committee, signaled Republicans are willing to reach across the aisle to update the 1996 law.

“.@SenatorWicker looks forward to working with his colleagues to modernize aspects of the law to accelerate broadband deployment to unserved areas and promote continued investment and innovation in the communications sector,” the committee Republicans tweeted.

Housed within the 1996 law is the controversial Section 230 of the Communications Decency Act, which provides a legal liability shield for tech companies over content posted on their platforms by third parties.

Section 230 has increasingly come under fire from both sides of the aisle. Democrats argue tech companies aren’t doing enough to combat misinformation and hate speech, and Republicans have issued unsubstantiated claims that tech giants are censoring content in a way that demonstrates an anti- conservative bias.

Feb 10
Love1

Stay Heart Healthy with Broadband Technologies and Apps

By News

Broadband and heart health go together like peas and carrots. And just like how vegetables are important for a healthy diet, broadband can play a valuable role in heart health. Did you know that heart disease is the leading cause of death for men and women in the United States? Fortunately, though, heart disease is often preventable. Knowing which digital tools are available can help you take steps toward preventing heart disease today.

 

PearYour phone can help you eat a healthy diet: The food you eat goes a long way in preventing heart disease. According to the American Heart Association, a heart-healthy diet should be high in fruits and vegetables, fiber-rich whole grains, fish, nuts, and legumes and low in saturated fat and sugar. There are many recipe apps for your mobile device that can help you plan and cook heart-healthy meals. If you don’t have time for a home-cooked meal, there are also apps that let you quickly look up nutritional information about prepared foods by scanning barcodes with your phone.

scaleCalorie counting apps can help you avoid packing on the pounds: Being overweight can increase your risk of heart disease. The best way to maintain a healthy weight is to balance the amount of energy you take in (calories) with the amount of energy you release (exercise). Keeping track of calories can be tricky, but there are apps to make this easier. Calorie-counter apps help you log the food you’ve eaten and then automatically total and compare to your recommended daily calorie count.

swimWearable fitness trackers motivate you to exercise regularly: As we all know, physical activity has many heart-related benefits. These include lowering blood pressure, reducing bad cholesterol, and helping to maintain a healthy weight. Wearable, watch-like devices that monitor activity and heart rate are becoming increasingly popular for fitness. Many users report that these trackers motivate them to be active, displaying activity data on their mobile phones. Some people even share the information through social media and compare with their friends as another accountability tool for reaching their personal fitness goals.

heartmonitorWireless devices can monitor your blood pressure at home: High blood pressure is a significant risk factor for heart disease, and it can often go unnoticed. Small, wireless blood pressure monitors let you easily and quickly check your blood pressure at home. These devices measure blood pressure from the arm or wrist and send the information to a mobile phone or computer. From there, you can keep track of the results over time and even share with your doctor. This makes it easier to detect a new blood pressure problem or monitor whether a blood pressure medication is working.

Want to Know More? The Connect2HealthFCC Task Force is working to raise consumer awareness about the value of broadband in the health and care sectors. Learn about the FCC’s Connect2Health Task Force and its work on consumer health issues at www.fcc.gov/health. For information about other communications issues, visit the FCC’s Consumer website at www.fcc.gov/consumers.

Download a printable version of this document.  (English) (Spanish)

For this or any other consumer publication in an accessible format (electronic ASCII text, Braille, large print or audio), write or call us at the address or phone number at the bottom of this page, or send an email to [email protected]

Feb 10
Love0

50-State Survey of Telehealth Commercial Insurance Laws

By News

09 February 2021

Health Care Law Today Blog

Authors: Nathaniel M. Lacktman Jacqueline N. Acosta Sarah J. Iacomini Sunny J. Levine

For years, Foley has monitored legal policy in the telemedicine and digital health industry, following how advances in technology have coupled with improved state regulations to supercharge the growth of telehealth and virtual care services in the United States. We now share the results of our 2021 50-State Survey of Telehealth Commercial Payer Statutes, which confirm significant legal advancements supporting the industry. The report provides a detailed landscape of the state telehealth commercial insurance coverage and payment laws, and is useful to healthcare providers (both traditional and emerging), lawmakers, entrepreneurs, telemedicine companies, and other industry stakeholders as a guide of telehealth insurance laws and regulations across all 50-states and the District of Columbia (D.C.).

Our first national telemedicine and digital health report was published seven years ago, with this report being our firm’s fourth publicly-available survey on telemedicine.  Our prior reports found one of the most significant barriers to adoption was limited or unclear reimbursement for telehealth and digital health services.  Enter the COVID-19 pandemic, which compelled state and federal policymakers to remove restrictions and expand reimbursement for telehealth and virtual care at a rate previously unseen. The new changes followed the previously established pathway of coverage, but the pace at which they were made was stunning. Medicare introduced nearly 100 telehealth service codes covered on a temporary basis until the Public Health Emergency expires, including payment for telephone-only consults.  States and commercial health plans followed suit.  Although some of the reimbursement expansions are temporary and slated to end when the Public Health Emergency expires, many have already become permanently codified into state law.

Foley’s 50-state survey of telehealth commercial insurance laws examines each individual state and D.C.. We provide the actual language of all the statutes and regulations and have created a multistate table and various heat maps to better illustrate the landscape and give policymakers and industry advocates a macro perspective. Our summaries and analyses reveal trends and patterns, and  highlight subtle but important differences between state law language.

Coverage Provisions

Coverage Provisions Map & Legend

While it is true that clarity of coverage and limitations on reimbursement remain  frustrations for telehealth growth, the legal landscape has materially improved. Currently, 43 states and D.C. maintain some sort of state telehealth commercial payer law; a sea change compared to a decade ago.

Reimbursement Provisions

Reimbursement Provision Map & Legend

In 2021, we anticipate more efforts among states to update their prior telehealth coverage laws to keep pace with the industry’s growth or make permanent those expansions temporarily adopted during COVID-19.

We extend our sincere gratitude to the telehealth advocacy groups, professional associations, academic medical centers, lawmakers, visionary start-ups, bold entrepreneurs, and all the individuals who have helped—and continue to help—make telemedicine and digital health what it is today.

To read the full survey, download the 2021 report.

Want to Learn More?

Visit foley.com/telemedicine for a complete list of events where members of the Foley Telemedicine and Digital Health Industry Team will be speaking.

For more information on telemedicine, telehealth, virtual care, remote patient monitoring, digital health, and other health innovations, including the team, publications, and representative experience, visit Foley’s Telemedicine & Digital Health Industry Team.

This blog is made available by Foley & Lardner LLP (“Foley” or “the Firm”) for informational purposes only. It is not meant to convey the Firm’s legal position on behalf of any client, nor is it intended to convey specific legal advice. Any opinions expressed in this article do not necessarily reflect the views of Foley & Lardner LLP, its partners, or its clients. Accordingly, do not act upon this information without seeking counsel from a licensed attorney. This blog is not intended to create, and receipt of it does not constitute, an attorney-client relationship. Communicating with Foley through this website by email, blog post, or otherwise, does not create an attorney-client relationship for any legal matter. Therefore, any communication or material you transmit to Foley through this blog, whether by email, blog post or any other manner, will not be treated as confidential or proprietary. The information on this blog is published “AS IS” and is not guaranteed to be complete, accurate, and or up-to-date. Foley makes no representations or warranties of any kind, express or implied, as to the operation or content of the site. Foley expressly disclaims all other guarantees, warranties, conditions and representations of any kind, either express or implied, whether arising under any statute, law, commercial use or otherwise, including implied warranties of merchantability, fitness for a particular purpose, title and non-infringement. In no event shall Foley or any of its partners, officers, employees, agents or affiliates be liable, directly or indirectly, under any theory of law (contract, tort, negligence or otherwise), to you or anyone else, for any claims, losses or damages, direct, indirect special, incidental, punitive or consequential, resulting from or occasioned by the creation, use of or reliance on this site (including information and other content) or any third party websites or the information, resources or material accessed through any such websites. In some jurisdictions, the contents of this blog may be considered Attorney Advertising. If applicable, please note that prior results do not guarantee a similar outcome. Photographs are for dramatization purposes only and may include models. Likenesses do not necessarily imply current client, partnership or employee status.

Authors

Nathaniel M. Lacktman

Partner

Jacqueline N. Acosta

Special Counsel

Sarah J. Iacomini

Associate

Sunny J. Levine

Associate

Feb 08
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These were the specialties that used telehealth the most in 2020: study

By News

by Robert King

A study released this week in the journal Health Affairs gives a look at who flocked to telemedicine from January to June 2020 and what types of patients employed the technology. (Getty/airdone)

Endocrinologists and gastroenterologists were the specialty clinicians that used telemedicine the most last year during the onset of the pandemic, a new study found.

The study, released Tuesday in the journal Health Affairs, gives a look at who flocked to telemedicine from January to June 2020 and what types of patients employed the technology. The COVID-19 pandemic and new flexibility from the federal government led to massive increases in telemedicine use across the healthcare industry.

“Telemedicine use during COVID-19 varied across different clinical settings and patient populations, with lower use found among insurance enrollees in disadvantaged areas,” the study said.

Before COVID-19 hit the U.S., fewer than 2% of clinicians in each of the specialties examined used telemedicine. There was an exception among mental health clinicians like psychologists (4.4%) and psychiatrists (5.5%).

Researchers analyzed outpatient visit volume for telehealth from Jan. 1 to March 17 and from March 18 to June 16—when COVID-19 had spread—last year.

In the COVID-19 period, telemedicine was used at least once by 67.7% of endocrinologists who were surveyed, making them the clinicians that used the technology the most. Gastroenterologists (57%), neurologists (56%) and pain management physicians (50%) also were specialists that used telehealth frequently.

The specialty that used telemedicine the least was optometry, with 3.3% of clinicians using it at least once, and physical therapy was low as well at 6.6%.

Researchers also looked at the characteristics of patients who got care via telemedicine during the period. There were more than 16 million people in the sample. Nearly 80% of the patients were commercially insured, and nearly 90% of them lived in an urban area.

The study also found that telemedicine use was lowest in communities that had a higher poverty rate, with 27.9% of patients in those communities not using it. However, 31.9% of patients that did use telemedicine were from a community with a low rate of poverty.

“There are concerns that increased use of telemedicine during the pandemic may exacerbate health disparities because of the ‘digital divide’ defined as the absence of necessary broadband or smartphone technology among disadvantaged populations,” the study said.

The study comes as the healthcare industry moves to make permanent the explosion of telehealth use caused by the pandemic. Healthcare groups are pressing Congress to make some of the flexibility given by the federal government permanent.

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