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Information provided by Center for Connected Health Policy

Telehealth policy changes occurring within the COVID-19 environment have been rapidly developing on almost a daily basis.  CCHP is committed to keeping you updated on these important changes both federally and on the state level.  Watch our latest COVID-19 policy update videos.

TO VIEW RECENT STATE ACTIONS AS A RESULT OF COVID-19 CLICK HERE!

Timestamp: March 31, 2020 – 12 pm PT

As things rapidly develop regarding what we know about COVID-19, policies around telehealth have also been developing alongside of it.  Below is a summary of what is covered by various public and private payers with the information that has been released. Keep in mind that events are evolving and to consider this a living document that could change frequently as new information and new policies become available/are enacted.  CCHP will continue to make updates when they become available.

Below is information regarding current policies and the changes made due to passage of HR 6074 and HR 748 as well as recently released CMS guidances.  Note that HR 748 removed significant sections that HR 6074 had put into law.

Download the information below in the form of an easy to read fact sheet here!

Click here to see informative tables and options for additional information 

In response to the COVID-19 pandemic, the FCC has issued a second order waiving additional universal service rules to assist entities that participate in its Rural Health Care Program. The new order extends the filing deadline for the 2020 funding year, liberalizes the competitive bidding requirements for “evergreen” contracts and extends several procedural deadlines. It follows an earlier order waiving the “gift rule” to allow service providers to offer free or reduced-price services to recipients of Rural Health Care Program funding.

• Extension of application window: The order extends the window for health care providers to apply for the 2020 funding year. The new deadline is June 30; the original deadline was April 30. The new deadline applies to both the Telecom Program and the Healthcare Connect Fund Program.
• Evergreen contracts: The rules for the Rural Health Care Program allow funding recipients to avoid rebidding their services every year if they enter into contracts that specify the service being provided, what the services will cost, where the services will be provided, and the term of the agreements. Once the specified term ends, the funding recipient must rebid the contract. The order allows Rural Health Care Program recipients to extend any contracts that expire in funding year 2019 to funding year 2020 by waiving two rules – one that prevents an extension of contracts past their terms and another that limits the total length of contracts to five years. This is a one-time waiver, and it applies only to contracts that expire during funding year 2019, which runs from July 1, 2019, to June 30, 2020.
• Procedural deadlines: The order extends a series of procedural deadlines for the Rural Health Care Program:
• • Responses to information requests: The normal deadline for applicants to respond to information requests from the Universal Service Administrative Company is 14 days; the order extends that deadline to 28 days. The waiver will apply to any information requests issued on or before September 30.
  • Service delivery deadline: Normally, all services must be delivered by the end of the funding year to be eligible for support under the Rural Health Care Program. The order waives this deadline for funding year 2019 for non-recurring services (that is, services purchased on a one-time basis), and will allow reimbursement for such services if they are delivered by June 30, 2021.
  • Invoice filing deadline: The rules for the Healthcare Connect Fund generally require funding recipients to provide invoices for reimbursement within six months of the end of the funding commitment. The order extends that period for 180 days for funding year 2019, so that funding recipients will have just slightly less than one year to provide invoices.
  • Appeals and requests for waiver: The FCC’s rules require any party that requests review or a waiver of a Universal Service Administrative Company decision to submit the appeal or waiver within 60 days. The order extends that period to 120 days. The extension applies to all deadlines for requests for waiver or review from March 11 to September 30.

VIEW ENTIRE ARTICLE HERE

Several health systems in South Carolina are offering free virtual screenings for the coronavirus (COVID-19)

If you are experiencing fever, sore throat, cough, or shortness of breath, you can have a virtual screen with a trained medical professional. This will allow our community to receive a screening for COVID-19 and the appropriate care without exposing themselves or others to further sickness. This will help us to prevent the spread of infection.

• McLeod Health
• Prisma Health
• MUSC Health
• Roper St. Francis

A group of senators has submitted a bill that proposes to use data mapping to identify rural regions where lack of broadband access and high poor maternal health overlap – and where telehealth could make a difference.

January 08, 2020-A group of lawmakers wants to bring telehealth to bear on the nation’s high maternal mortality rate, with a bill that aims to improve broadband connectivity in rural regions where new and expecting mothers lack access to care.

The Data Mapping to Save Moms’ Lives Act (S. 3152), introduced this week by US Sens. Brian Schatz (D-HI), Jacky Rosen (D-NV), Deb Fischer (R-NE) and Todd Young (R-IN), would use data mapping to identify regions of the country where high rates of poor maternal health overlap with lack of broadband access. The government would then help to boost broadband resources so that health systems could establish  telehealth programs to improve care.

“In rural areas especially, lack of access to medical services can lead to severe complications and worse outcomes for pregnant women,” Rosen said in a joint press release. “This legislation would work to map out areas with a need for both increased maternal care and access to internet. With this information, we can better target where telemedicine and technology infrastructure improvements can be most effective to improve outcomes for moms, and to save lives.”

“Telehealth technology can help track the health of mothers who don’t have easy access to routine checkups,” Fischer added. “But first, we need to ensure there’s adequate internet connectivity.”

The bill targets a hot-button item that connected health could certainly address.

READ ENTIRE ARTICLE HERE

The Medical University of South Carolina is partnering with the state’s Public Employee Benefit Authority to extend free, non-acute telehealth care to some 550,000 state employees and their dependents.

By Eric Wicklund

January 10, 2020 – Some 550,000 South Carolina state employees and their dependents now have access to free telehealth services under a deal forged with the Medical University of South Carolina.

State officials announced this week that the university’s MUSC Health Virtual Urgent Care platform is now open to members of the South Carolina Public Employee Benefit Authority (PEBA). The virtual care platform, offering care for more than 40 health issues, can be access by on-demand video or phone or through asynchronous (store-and-forward) telehealth channels that include texting and online questionnaires.

“We know how hard it can be to take time away from work to address urgent health issues, and when care is hard to access, takes too long or is too expensive, a patient may wait to address an issue until its much worse or harder to deal with,” Patrick J. Cawley, MD, MUSC Health’s CEO and the university’s Vice President of Health Affairs, said in a press release. “That’s not good for patients, their families, their employers or the long-term health and wellness of our state. I’m very excited that PEBA has partnered with us on improving access to effective and efficient care, and these state employees will, in turn, benefit from the quality, expertise and convenience that comes from being connected to one of only two telehealth centers of excellence in the nation.”

MUSC – one of two designated national Telehealth Centers of Excellence – joins a growing number of health systems and health plans looking to boost connected health adoption by offering free direct-to-consumer telehealth services for non-acute concerns, such as colds, viruses and infections.

The service also targets access barriers, giving state employees the opportunity to access care from the mobile device of their choice and at the time and place of their choosing, rather than going to the doctor’s office, retail health clinic or hospital.

“This new benefit for our state employees and their families brings the doctor straight to your phone, instead of them having to spend the time and money they may not have,” Gov. Henry McMaster said in the press release. “This is another innovative tool to keep people healthy and address health issues earlier than they might otherwise. This means a healthier, more prosperous South Carolina.”

VIEW ENTIRE ARTICLE HERE

Top mHealth trends in 2019 included remote patient monitoring, telehealth reimbursement, substance use disorder care, chronic disease management, and direct-to-consumer mHealth technology.

As 2019 comes to an end, healthcare organizations are reflecting on the trends and stories that most influenced their behaviors in the past year. Based on our most clicked stories in 2019, those trends included remote patient monitoring, telehealth reimbursement and coding, behavioral health/substance use disorder care, chronic disease management strategies, and direct-to-consumer mHealth technologies.

In the following article, mHealthIntelligence.com will break down these trends, as well as the strategies and best practices industry leaders developed in response.

Remote patient monitoring

In 2019, healthcare organizations looked to invest in remote patient monitoring (RPM) solutions to transition to value-based care. Many healthcare leaders expected these solutions to support high-risk chronically ill patients whose conditions are considered unstable and at a risk for hospital admission.

Specifically, 88 percent of providers who were surveyed by health IT thought leaders earlier this year had invested or were evaluating investments in RPM technologies.

RPM solutions have been proven to be clinically effective as an early symptom management tool for chronically ill patients, who represented about 45 percent of the US population according to the survey. These solutions allowed risk-bearing organizations to remotely monitor patients with chronic conditions to help control healthcare costs, improve care quality, and increase access to care for patients in underserved areas.

In addition, these solutions helped manage value-based risk associated with large patient populations with chronic conditions.

“The ability of the device to simultaneously record multiple variables such as heart rate and accelerometer data allowed us to more accurately determine the patient’s state, whether he/ she is active, sedentary, asleep, or not currently using the device,” the researchers reported.

Because remote patient monitoring is becoming more widespread, more healthcare organizations are implementing RPM into their health systems. Recently, Humana announced a partnership with Philips Health to launch a remote member monitoring pilot for certain Medicare Advantage members with severe congestive heart failure (CHF).

“Our goal is to continue to find ways to help our Medicare Advantage members stay longer and safer in their homes,” Susan Diamond, president of Humana’s Home Business segment, said in a press release.

READ ENTIRE ARTICLE HERE

Sherlonda Adkins has opened her own internet-based independent practice, PsychConnect, where she will see patients across the state. Brad Nettles/Staff

• By Mary Katherine Wildeman [email protected]
• Dec 31, 2019 Updated Jan 9, 2020

With American workers increasingly choosing to work from home, one South Carolina woman is following suit, though in a profession still trying to find its place online.

Sherlonda Adkins, a Charleston-area physician assistant, began a psychiatry practice tailored to exist almost entirely on the internet.

Solutions that allow patients to access health care from the privacy of their homes or just about anywhere else are on the rise. Hospitals are developing ways to connect specialists to other medical centers, schools and patients’ phones. Urgent care visits via a laptop have seen widespread adoption by the likes of pharmacy giants CVS Health and Walgreens. And inmates in South Carolina can see a mental health care provider from inside prison walls.

It’s not just patients whose routine may be changing because of the telehealth trend. For Adkins, having the option on the table also gave her new flexibility in her job.

She graduated from the Medical University of South Carolina’s physician assistant program in 2014 and went to work for a local psychiatry practice. Her patient base began to grow, she said, in part, because of the long wait times for psychiatrists in Charleston. In 2019, she came up with the idea to begin her own practice, called PsychConnect Health, which lives on the web.

“As long as I have internet, I can see patients,” Adkins said.

READ ENTIRE ARTICLE HERE