Policy

From Dr. Steven Hansen’s Arizona Humane Society office, you may have heard a sigh of relief when Arizona Gov. Katie Hobbs signed Senate Bill 1053 into law on May 9. Beginning in August, veterinarians licensed in the state will legally be able to provide veterinary care through telemedicine, a care alternative many have become accustomed to on the human side of healthcare.

Currently, there’s a six-week waiting list for pet owners who need the Humane Society’s subsidized services at their clinics in Maricopa County. Bringing telemedicine into the picture will make a difference.

It’s tough to believe that almost 10 years ago, we began to realize a substantial cure for hepatitis C was just around the corner. When the ION-3 study results came out about the medication combination sofosbuvir/ledipasvir, there was a tangible sense that we were about to have an achievable cure.

Step forward to the present day. A handful of innovative new treatments have come and gone, leaving us with powerful options including two that can cover all the virus’s genotypes in one fell swoop.

The remarkable lifelong health benefits of breastfeeding for both a breastfeeding parent and their child are well-known, and include a reduced risk of obesity, diabetes, breast cancer, early childhood illnesses and autoimmune diseases, to name just a few. Most new parents intend to breastfeed their child, and 83.2% of newborns in the US start out receiving some breastmilk initially, but according to the CDC’s 2022 Breastfeeding Report Card, only 24.9% of infants in the United States are exclusively breastfed at 6 months of age as recommended by the American Academy of Pediatrics.

Five Key Telehealth Takeaways from the Consolidated Appropriations Act of 2023  

On Thursday, December 29, President Biden signed into law H.R. 2716, the Consolidated Appropriations Act (CAA) for Fiscal Year 2023. This legislation provides more than $1.7 trillion to fund various aspects of the federal government, including a 2-year extension of the major telehealth waivers that were initiated during the federal public health emergency (PHE). 

The full text of the legislation, which comes in at 4,155 pages, is available here. The most pertinent section of the new law that relates to telehealth is under:

Carol Yarbrough recognizes that compliance can be a scary avenue for many in the healthcare industry.

“When I was a compliance officer type person, people would avoid me on the street … they don't do that anymore,” Yarbrough joked during a recent webinar discussion on billing practices for hospital and clinic professionals.

Yarbrough, a specialist in federal and state regulatory billing and reimbursement guidelines, recently led the virtual webinar for the Southwest Telehealth Resource Center.

For decades, the Centers for Medicare and Medicaid Services (CMS), only permitted telehealth in particular geographic settings with numerous restrictions surrounding originating sites, providers, services, modality, and access options. However, the COVID-19 pandemic led to a Public Health Emergency (PHE) that relaxed these restrictions and opened the doors to the use of telehealth in the home, among other measures, which have contributed to Medicare beneficiaries utilizing telehealth in droves with an increase from 840,000 in 2019 to 52.7 million in 2020.

Medicare and Medicaid – two important programs for paying for health care for American Indian and Alaska Native (AI/AN) people. As we near the end of the COVID-19 Public Health Emergency (PHE), it’s going to be important to understand the differences between these programs and how they may impact reimbursements for telehealth services moving forward. Understanding these differences will be important for understanding the next steps for continuing to get reimbursed and any challenges that may be encountered in that process.

According to a recent study, one in five adults polled about health care during the coronavirus pandemic said that they or someone in their household delayed receiving medical care or were unable to get care, due to office closures or shutdowns.

Although the pollsters focused questions about doctor or dental appointments, providers across the board experienced disruption in their specialty areas, including Peggy Stein, OTD, OTR/L, CHT, an Occupational Therapist in Oregon.

In hopes of sparking renewed commitment to applying improvement science to telehealth, we offer this Telehealth QI and QA Miniseries. Today is the fourth in the series.

Require expertise and excellence in telehealth service delivery. Expertise with telehealth requires deliberate practice which builds on or modifies existing skills, usually with the help and guidance of a coach or teacher with targeted feedback on what to improve and how to improve those skills.

In hopes of sparking renewed commitment to applying improvement science to telehealth, we offer this Telehealth QI and QA Miniseries. Today is the third in the series.

Recall that data can come in many forms and doesn’t have to be a report out of your electronic medical record (EHR). It can be hashmarks, start-end times, glass globs in a jar and more. I’m not kidding about glass globs. Once when I visited the Institute for Healthcare Improvement (IHI) there were two jars; one was labeled “Having a good day” the other was labeled “Having a bad day”. Each person who checked in at reception put a glob in the jar that reflected how their day was going.