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How Emerging Telehealth Models Challenge Policymaking
Mitchell Tang1, Michael E Chernew2, Ateev Mehrotra2,3
1Harvard Graduate School of Arts and Sciences, Harvard Business School.
Current telehealth policy discussions overlook alternative models, focusing only on traditional synchronous visits. This analysis addresses policy challenges for diverse telehealth offerings, including payment and quality assurance for competing telehealth companies.
Area of Science:
- Health Policy
- Telehealth Services
- Healthcare Management
Background:
- Existing telehealth policy primarily addresses synchronous video/audio visits by traditional providers.
- Alternative telehealth models, including hybrid and telehealth-only companies, are rapidly expanding.
- These alternative models present unique challenges to current healthcare policy frameworks.
Purpose of the Study:
- To identify and analyze policy challenges associated with diverse telehealth offerings.
- To examine payment models, reimbursement rates, and quality assurance for alternative telehealth services.
- To inform policy development for a more comprehensive telehealth landscape.
Main Methods:
- Policy analysis of current telehealth regulations and discussions.
- Categorization of alternative telehealth offerings.
- Identification of key policy issues including payment, reimbursement, and quality.
Main Results:
- Current policies inadequately address the spectrum of alternative telehealth services.
- Significant challenges exist in establishing appropriate payment models and determining reimbursement levels.
- Ensuring consistent quality of care across varied telehealth delivery methods requires specific policy attention.
Conclusions:
- Telehealth policy must evolve beyond traditional synchronous models to encompass alternative offerings.
- Developing tailored payment strategies and quality metrics is crucial for equitable telehealth integration.
- Addressing these policy gaps will support innovation and competition in the telehealth market.
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