Thirty-eight states and the District of Columbia have laws that call upon insurers to cover care delivered by telehealth services (for example, services delivered securely via smartphones, laptops, and other electronic devices).
Unfortunately, Pennsylvania does not yet have such a law. That's holding back the use of telehealth—and hindering expanded access to convenient, high-quality care for Pennsylvanians.
What's at stake?
Telehealth, also called telemedicine, has already contributed to big improvements in stroke care, burn care, pediatric oncology, neurology, and many other areas. Using telehealth technology, doctors whose patients have serious health problems can quickly consult with specialists, regardless of where they are located.
Hospitals and health systems want to do even more. Some have already started offering telehealth to consumers as an option for health care services such as:
What's the problem?
The complexity and diversity of insurers' contracts with hospitals and other providers is impeding greater use of telehealth. These insurance arrangements are all over the map. Every contract is different, with insurers willing to pay for some telehealth services but not others.
Pennsylvania hospitals and other providers want to expand their telehealth services. But that means investing in technology, equipment, and new ways of providing medical care.
It's difficult for hospitals to make those investments without knowing if insurance companies will pay for these services.
What's the solution?
About a month ago, the Pennsylvania Senate unanimously passed legislation (Senate Bill 780) to establish some ground rules. The legislation:
Senate Bill 780 gives consumers added consistency and protection when making use of telehealth services. Health care providers are assured payment.
Now it's up to the Pennsylvania House to pass Senate Bill 780.
Pennsylvania hospitals, health systems, and physicians, as well as the AARP, are all for this legislative solution.