Contact Virtual Doctor and Telemedicine
The COVID-19 pandemic has confronted the healthcare system with daunting challenges and tragically exposed significant problems. But with these great trials came the opportunity for our medical professionals to meet adversity with innovative solutions that widen our healthcare horizons.
On
that score, the easing of outdated telehealth restrictions was a slam dunk.
Among the most pressing concerns we had to face during this pandemic was how
routine and elective care could be delivered while people were being encouraged
to stay home.
To
flatten the curve while also making sure basic healthcare needs were still
being met, physicians had to rethink the way they delivered care. There was
just one problem: Archaic laws prevented telemedicine,
technologies that have been around for decades, from being widely accessible.
But
with help from state and federal officials, outdated laws were temporarily
relaxed to allow more people access to groundbreaking technology that let them
consult their doctors from the safety of their own homes.
It
also helped save patients precious time and money in the process, so consumer
adoption climbed sharply — from 11% in 2019 to 46% today. And consumers were
open to even greater possibilities than just replacing canceled in-person
visits, as 76% expressed an interest in telehealth generally. Healthcare
providers have scrambled to see dozens of times the number of patients via
telehealth than before the pandemic.
Nearly
a decade before the current crises, I recognized that there were more efficient
and effective ways to deliver care and end healthcare disparities. This
revelation led me to co-found Sharecare, a company that is helping to pave the
way in telemedicine reform by
“bringing the exam room to your living room,” something that is needed now more
than ever.
Early
in the pandemic, Sharecare surveyed 115,000 people and found that 38% of
respondents said COVID-19 had negatively affected their access to healthcare.
When asked if they were postponing in-person doctor visits to lessen the spread
of coronavirus, 27% said yes.
With
regulatory barriers now out of the way, Sharecare is helping physicians help
these patients.
The
platform utilizes guided search and decision-support technology to help users
identify potential problems, then connects them with a doctor via live video
chat, allowing them to bypass risky office visits and lessen the spread of the
virus.
Telemedicine might be commonly
associated with video calls or texts to physicians, but it comes in many forms.
When COVID-19 was disrupting supply chains, Zipline provided on-demand drone
delivery of essential medical supplies.
For
patients who are admitted to “hospital at home” programs, Zipline delivers
medications and supplies when the patient needs them. If you have a virtual doctor to appointment with,
who then prescribes medication, Zipline ensures delivery within 30 minutes.
Ventec
Life Systems is another major telehealth player, producing compact, easy-to-use
portable ventilators that provide hospital-level care at home. During a time
when access to lifesaving ventilators has become a grave concern, Ventec Life
Systems is partnering with General Motors to accelerate the manufacturing of
their ventilators to provide respiratory support to those who need it.
These
companies are doing incredible work. But they are only now beginning to scratch
the surface of what can be done. Prior to the pandemic, the total annual
revenues of U.S. Telehealth players were an estimated $3 billion, but with the
extension of telehealth beyond virtual doctor,
that could reach $250 billion.
So,
how do we continue to build on this momentum now that we’ve had a glimpse of
the future? We should start by making these temporary reforms permanent. Soon,
short-term solutions that relaxed regulatory burdens on the delivery of telemedicine will expire, and many
patients will lose access to this avenue of care.
We
should not let this happen. At the federal level, the Centers for Medicare and
Medicaid Services has already approved 80 new services and removed restrictions
such as outdated regulations on the originating site of the consultation, as
well as granting payment parity between telehealth and in-person clinical care
for Medicare.
But
the main barriers are not at the federal level. Medicaid and commercial
reimbursement, as well as credentialing, are controlled by the states and only
20% require payment parity between telemedicine
and in-person services.
We
don’t know when this pandemic will be over, and the need for telehealth will
undoubtedly increase as we continue practicing social distancing measures.
There
will always be some emergencies that require an in-person visit. But in medical
school, future physicians are taught that conversing with a patient and
learning their medical history is among the most essential aspects of a visit. Telemedicine still allows for this
critical dialogue to occur.
As
we take stock of what worked and what didn’t during this crisis, loosening
unnecessary restrictions on telemedicine
will surely stand out as the no-brainer we should have supported much sooner.
We’ve
now seen the potential for telemedicine
to help far more patients than before. It’s time to move forward and make these
reforms permanent.

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