Between the years 2000 and 2050, the number of people aged 60 years or older is expected to increase from 605 million to 2 billion. The rapidly increasing elderly patient population have become one of the main beneficiaries of telehealth. Companies like Comarch, American Well, and Global Med are building doctor video chat platforms targeted at the elderly.
Telehealth Reimbursement Medicaid: According to Chiron Health, Medicaid systems in 48 states will reimburse for telehealth provided via live video systems while 19 state Medicaid programs will pay for RPM. 12 state programs will finance store and forward telehealth and seven states allow payment for all three telehealth categories. But even though Medicaid is more accommodating of telehealth than Medicare, rules governing payment through state Medicaid programs vary considerably. For instance, some states require patients to be in a medical facility and not at home while receiving telehealth care, and others require a licensed provider to be co-located with patients while they are receiving telehealth services.

Telemedicine services can range widely by specialty. A surgeon might use telemedicine to do post-operation check-ins with patients, to make sure their wound is not infected. A gynecologist might use a live telemedicine solution to provide birth control counseling. An endocrinologist may do live videochats with patients to discuss recent lab results and answer questions.

Equipping nursing homes and hospital rooms this way would enable a variety of practitioners to provide bedside care more conveniently—for the patient and the provider. Patients wouldn't have to be transported, and practitioners could see more patients without disruption. In addition, the primary care provider, family, and friends located elsewhere could link into the video consultations, enhancing communication between all parties involved in the patient's care.


Telemedicine services can range widely by specialty. A surgeon might use telemedicine to do post-operation check-ins with patients, to make sure their wound is not infected. A gynecologist might use a live telemedicine solution to provide birth control counseling. An endocrinologist may do live videochats with patients to discuss recent lab results and answer questions.
“I woke up Sunday morning with a dry cough and terrible headache,” Ben said. “Realizing I didn’t feel up to going to a clinic, I logged on to Medical City and selected the virtual option. Using the interface was straightforward. I answered several easy questions about my current condition and minutes later I received an email that my info was being examined. I was instructed to set up an account. A second email contained my prescription and expected recovery time. I sent the prescription to the pharmacy next to my house and good to go. In no time, I had the medication and was on my way to feeling better.”
A landmark 2010 report by the World Health Organization found that telemedicine – literally meaning “healing from a distance” — can be traced back to the mid-1800s, was first featured in published accounts early on in the 20th Century, and adopted its modern form in the late 1960s and early 1970s, primarily through the military and space industries. Owing to the fact that much of the technology encompassed in today’s telemedicine platform wasn’t around back then, and noting a 2007 study that found 104 different peer-reviewed definitions for the word, the WHO settled on its own broad-based definition:
Telenursing refers to the use of telecommunications and information technology in order to provide nursing services in health care whenever a large physical distance exists between patient and nurse, or between any number of nurses. As a field it is part of telehealth, and has many points of contacts with other medical and non-medical applications, such as telediagnosis, teleconsultation, telemonitoring, etc.

Lab work and scheduling will be handled virtually on Doctor On Demand’s mobile app. Between Quest and LabCorp, patients should be able to visit a lab in-person and continue care via the app with their assigned doctor. It’s a move that will allow the tele-provider to move beyond urgent care into preventative care and encourage more regular virtual visits.


Any technology that is used to store, share, or analyze health information can be referred to as “health information technology” or healthIT. This broad category includes things like practice management systems and online patient portals. Telehealth, or telemedicine, is a group of technologies within health IT that is used to provide clinical care, health information, or health education at a distance. Telehealth technology includes both software and hardware.


The technological advancement of wireless communication devices is a major development in telehealth.[19] This allows patients to self-monitor their health conditions and to not rely as much on health care professionals. Furthermore, patients are more willing to stay on their treatment plans as they are more invested and included in the process, decision-making is shared.[20][21] Technological advancement also means that health care professionals are able to use better technologies to treat patients for example in surgery. Technological developments in telehealth are essential to improve health care, especially the delivery of healthcare services, as resources are finite along with an ageing population that is living longer.[19][20][21]

Because of telemedicine, patients who previously had limited access to health care services can now see a physician without leaving their home. Seniors who would prefer to age in place can now do so with the use of medical streaming devices. The spread of disease is reduced as individuals with contagious diseases don’t have to expose it to others in crowded waiting rooms.
These emerging models produce virtual communities of learning and practice that embrace all members of the healthcare team. They are the latest point on the telemedicine continuum that began with the point-to-point connection achieved by Einthoven's pioneering electrocardiogram. Building out the connection established under telemedicine into an ever-expanding knowledge-sharing network can create new potential to improve health and save lives.
Originally, health professionals developed this technology to reach remote patients living in the rural areas. But with time, medical staff and the U.S. government saw the big picture – the potential to reach urban populations with healthcare shortages, and to respond to medical emergencies by sharing medical consults and patient health records without delay. In the 1960s, heavy investments from the U.S. Government, including the Public Health Department, NASA, Department of Defense, and the Health and Human Sciences Department drove research and innovation in telemedicine. Sending cardiac rhythms during emergencies started at about this time. For instance, in Miami, the university medical center worked together with the fire rescue department by sending electro-cardiac rhythm signals over the voice radio channels from the rescue sites.
Billions of investment dollars have been poured into apps and websites that offer this virtual consultations with physicians, ranging from Doctor on Demand to American Well. The theory behind them is that millennials would opt for a digital alternative to an in-person physician's visit, if the option were available. And patients in remote, rural areas who are miles away from the nearest doctor would have few alternatives.
The company employs its own doctors and staffs its video consultation service 24 hours a day, seven days a week, Ferguson says. Despite the workload — which sees the company’s virtual doctors consult with four patients each hour on average — the company’s 14-day readmission rate (a standard measure of effective diagnoses) is on par with brick and mortar services, Ferguson says.
The Satellite African eHEalth vaLidation (SAHEL) demonstration project has shown how satellite broadband technology can be used to establish telemedicine in such areas. SAHEL was started in 2010 in Kenya and Senegal, providing self-contained, solar-powered internet terminals to rural villages for use by community nurses for collaboration with distant health centres for training, diagnosis and advice on local health issues[92]
“Our executive leadership have been strong supporters of telemedicine at UPMC for more than a decade,” said Sokolovich of the University of Pittsburgh Medical Center. “With the initial success of tele-stroke and tele-behavioral health services, leadership recognizes the potential of telehealth in implementing new models of care that enhance the patient experience, support access to quality care regardless of geographic location, and maximize efficiencies.”
This term has a narrower scope than that of telehealth. It refers more specifically to education over a distance and the provision of health care services through the use of telecommunications technology. Telemedicine refers to the use of information technologies and electronic communications to provide remote clinical services to patients. The digital transmission of medical imaging, remote medical diagnosis and evaluations, and video consultations with specialists are all examples of telemedicine.
This isn't to say that you should jump right in and begin providing services via telehealth. You'll first need to consider federal and state legislation and regulations that govern your practice, risk management implications, billing and coding issues, and hardware/software requirements. The resources below aren't meant to give you detailed instructions on developing and using telehealth in your practice, but they identify areas most important for you to investigate and consider.
In 1964, the Nebraska Psychiatric Institute began using television links to form two-way communication with the Norfolk State Hospital which was 112 miles away for the education and consultation purposes between clinicians in the two locations.[9] The Logan International Airport in Boston established in-house medical stations in 1967. These stations were linked to Massachusetts General Hospital. Clinicians at the hospital would provide consultation services to patients who were at the airport. Consultations were achieved through microwave audio as well as video links.[5][9]
But getting doctors to jump on board is easier said than done, and takes time. Many are afraid of liability, as it's possible to miss something during a remote visit. And for years, it wasn't clear whether they would get paid as much as an in-person visit. Reimbursement questions are still getting resolved across different states, but most of the commercial and government plans are on board with the idea of telemedicine -- at least in specific circumstances.

As a caregiver for a loved one, you have enough to worry about. That’s why Teladoc® gives you a convenient and affordable way to provide care, letting you arrange a 2- or 3-way video or phone visit with a licensed doctor 24/7 for just $45/visit. Add the individual you care for to your Teladoc® account, even if they’re not covered by your health plan.
Devices are also being used to track blood glucose levels and report high or low levels to patients and providers. In partnership with Stanford, Apple is testing whether its Apple Watch can be used to detect irregular heart patterns, and AliveCor’s KardiaBand allows Apple Watch wearers to perform electrocardiograms in 30 seconds that can easily be transmitted to physicians. Patients often go months without seeing their providers. RPM can allow for earlier detection of complications and identify patients who need to seek medical attention prior to in-person appointments. Moreover, chronic conditions can be more readily and efficiently managed resulting in higher quality care and outcomes as well as reduced costs.
States may submit a coverage SPA to better describe the telemedicine services they choose to cover, such as which providers/practitioners are; where it is provided; how it is provided, etc. In this case, and in order to avoid unnecessary SPA submissions, it is recommended that a brief description of the framework of telemedicine be placed in an introductory section of the State Plan and then a reference made to telemedicine coverage in the applicable benefit sections of the State Plan. For example, in the physician section it might say that dermatology services can be delivered via telemedicine provided all state requirements related to telemedicine as described in the state plan are otherwise met.
But investors had other worries that weren't related to the broader market. Teladoc Health CFO and COO Mark Hirschhorn sold more than $700,000 of his stock right after the company's third-quarter earnings update. A short-seller posted an online article predicting that sales for one of Teladoc's fastest-growing businesses would soon fall. These two stories hit on the same day. As you might imagine, Teladoc stock tanked in response.
Online doctor consultation are rapidly gaining popularity these days as more health insurers offer telemedicine services to help cut costs. Studies have shown that virtual care may effectively used to treat common problems such as flu, acne, deer tick bites, sinus and urinary tract infections. Video doctor consultations can save patients a lot in time and convenience. 
Remote patient monitoring, which is sometimes called self-monitoring or self-testing, is a means of monitoring patient health and clinical information at a distance. It helps to simplify patient compliance with testing and it lowers the cost of frequent monitoring. It is frequently used in the treatment and management of chronic illnesses like asthma, cardiovascular disease, and diabetes.

There certainly has been a lot of excitement around how novel digital technology can change the patient-provider relationship. A recent survey found that 64% of patients are willing to have video visits with their physicians, and the telehealth industry is expected to expand 10-fold by 2018. Apps like Doctor on Demand could play a major role in bringing telehealth mainstream; notably, Richard Branson (the man behind the Virgin Group empire), has recently invested in Doctors On Demand. The biggest benefits of virtual health apps are in lowering costs and saving time, particularly for those who cannot access care nearby. In a disease like diabetes, where blood glucose data can be analyzed remotely, there certainly is a lot of potential for technology to improve care. For more information on the role of virtual health in diabetes, check out our conference pearls from AADE 2014. –AJW/KC/AB

If you’re not ready to make the jump to do a televisit with Statcare’s doctor on call, you can still visit one of our urgent care locations to get the same excellent care. We have locations in Brooklyn, Hicksville, The Bronx and Astoria where we welcome walk-ins seven days a week, 365 days a year. Statcare urgent care is the only walk-in urgent care to have earned The Joint Commission Gold Seal of Approval in 2012 and have worked to maintain the excellence you’ve come to expect over the years. Read more about our locations, our services and how you can contact us here.
×