Telemedicine, telehealth, and mobile health applications that work: Opportunities and barriers

Research output: Contribution to journalArticle

158 Citations (Scopus)

Abstract

There has been a spike in interest and use of telehealth, catalyzed recently by the anticipated implementation of the Affordable Care Act, which rewards efficiency in healthcare delivery. Advances in telehealth services are in many areas, including gap service coverage (eg, night-time radiology coverage), urgent services (eg, telestroke services and teleburn services), mandated services (eg, the delivery of health care services to prison inmates), and the proliferation of video-enabled multisite group chart rounds (eg, Extension for Community Healthcare Outcomes programs). Progress has been made in confronting traditional barriers to the proliferation of telehealth. Reimbursement by third-party payers has been addressed in 19 states that passed parity legislation to guarantee payment for telehealth services. Medicare lags behind Medicaid, in some states, in reimbursement. Interstate medical licensure rules remain problematic. Mobile health is currently undergoing explosive growth and could be a disruptive innovation that will change the face of healthcare in the future.

Original languageEnglish (US)
Pages (from-to)183-187
Number of pages5
JournalAmerican Journal of Medicine
Volume127
Issue number3
DOIs
StatePublished - Mar 2014

Fingerprint

Mobile Applications
Telemedicine
Delivery of Health Care
Medical Licensure
Patient Protection and Affordable Care Act
Health Insurance Reimbursement
Community Health Services
Prisons
Medicaid
Medicare
Parity
Legislation
Reward
Radiology
Health Services
Efficiency
Growth

Keywords

  • Credentialing
  • Disruptive innovation
  • ECHO programs
  • Licensure
  • mHealth
  • Mobile health
  • Reimbursement
  • Rural medicine
  • Telehealth
  • Telemedicine
  • Telestroke

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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abstract = "There has been a spike in interest and use of telehealth, catalyzed recently by the anticipated implementation of the Affordable Care Act, which rewards efficiency in healthcare delivery. Advances in telehealth services are in many areas, including gap service coverage (eg, night-time radiology coverage), urgent services (eg, telestroke services and teleburn services), mandated services (eg, the delivery of health care services to prison inmates), and the proliferation of video-enabled multisite group chart rounds (eg, Extension for Community Healthcare Outcomes programs). Progress has been made in confronting traditional barriers to the proliferation of telehealth. Reimbursement by third-party payers has been addressed in 19 states that passed parity legislation to guarantee payment for telehealth services. Medicare lags behind Medicaid, in some states, in reimbursement. Interstate medical licensure rules remain problematic. Mobile health is currently undergoing explosive growth and could be a disruptive innovation that will change the face of healthcare in the future.",
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