Epstein Becker & Green 2018 Telehealth Report

TBHI Summarizes Epstein Becker & Green 2018 Telehealth Report

Telehealth services became notably more popular amount clients/patients, practitioners, employers and legislators according to a  2018 telehealth report from law firm, Epstein Becker & Green. Their 3rd annual telebehavioral healthcare report focused on laws, regulations and policies. They also noted that adoption amongst insurance companies continues to lag.

Three trends fueled the 2018 expansion, according to the 2018 telehealth report:

1. Bipartisan support. Legislative action in the form of the Bipartisan Budget Act of 2018 expanded Medicare coverage for specific telehealth services delivered by practitioners participating in ACOs. Medicare’s trial funding will establish data to be used for future decision-making related not only to Medicare but to third-party carriers seeking detailed analysis and comparison with in-person costs and outcomes related to key issues such as service to the home.

2. Advocacy from Medicare and Medicaid. The Centers for Medicare and Medicaid Services Administration (CMS) encouraged states to use telehealth and telepsychiatry services to coordinate care for Medicaid recipients. An example is the Medicare’s Telehealth Expansion Waiver.

3. Opioid epidemic. Landmark legislation was passed by several states to expand the prescribing of controlled substances via telehealth for the treatment of substance use disorders (SUDs).

The Epstein, Becker Green 2018 telehealth report also identified these two barriers to telehealth expansion in 2019:

1. Lack of federal guidance on coverage and reimbursement. Although Medicaid relaxed restrictions on telehealth coverage, current implementation guidance is still vague for state Medicaid programs.

2. Limited coverage from third-party payers. Although the majority of states have passed telehealth parity laws of one form or another, the majority of public and private payers don’t yet offer meaningful telehealth reimbursement.

Prefer to see the 2018 telehealth report on your mobile device?

The 2018 Survey is also available for the first time, without charge, as an app for iPhoneiPad, and Android devices.

If you have a few minutes to review the law firm’s 2018 telehealth report, please comment below. We’d love to hear your perspectives on what’s happening with these issues in your geographic location and for your specific discipline.

For more information about other telebehavioral health and telemental health reimbursement, see the Telebehavioral Health Institute’s “Maximizing Telehealth Reimbursement: New Billing, Coding & Credentialing Strategies for 2019.” This online professional training event addresses a number of successful strategies to get paid for telepractice today as well as the 2019 CPT codes. It comes with a handout and CME or CE hour, valid toward licensure renewal for most healthcare disciplines.


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