ClickCare Café

4 Barriers to Telemedicine Are Starting to Crumble

Posted by Lawrence Kerr on Wed, Jan 28, 2015 @ 07:30 AM

It can be easy to feel that things are getting worse and worse in medicine. EMRs/EHRs that seem possessed by a demon, ever-shorter visit windows, and climbing stacks of paperwork all contribute to an atmosphere of "I thought things couldn't get worse. And then they did." 

But when it comes to telemedicine and medical collaboration, the trend is assuredly positive. Especially in the last few months, one obstacle to telemedicine after another is crumbling. Likely driven by incentives to cut costs while improving care, the government, insurance companies, and providers -- all of which are starting to move in the same direction and making choices to support telemedicine.

We believe medical providers need to pioneer their own telemedicine and medical collaboration practices, even without widespread support. But it certainly can't hurt if some of the obstacles are removed.

Here are our top favorites:

  1. Smartphones and tablets make adoption effortless (or close to it). 
    When clunky, expensive hardware was the only option, it was hard for medical providers to adopt telemedicine. Not only was it a pain to interrupt your day to go to the "videoconferencing room," these options also meant that providers had to wait for large budgets to act. “We’ve moved to a belief that you have to deliver this to a phone or tablet in order to get the adoption you want,” says Margaret Laws, the Innovations for the Underserved program director at the California Healthcare Foundation. And since using telemedicine or collaborating on a smartphone or tablet is easier than ever, there is good news for the spread of the practice.
  2. Regulations are starting to get smarter.
    In one example, a new bill would remove health software and clinical software from the FDA's jurisdiction. Is it possible that common sense might just be winning out?
  3. Reimbursements are finally coming together.
    As of last week, there are now 22 states that require telehealth visits to be reimbursed at the same rate as in-person visits. New York State's Governor Cuomo just signed a law that allows NY providers to bill for live video/audio, store-and-forward, and remote patient monitoring from private insurers and Medicaid. And other efforts continue to move forward, as well: a Colorado bill has just moved to the House that would prohibit health insurance plans from requiring in-person care. 
  4. New tools make workflow a snap.
    We've always believed that telemedicine is less about technology than it is about people and good workflow. When a telemedicine solution is easy to use and works with the schedule of the provider, then the technology can really be adopted. For instance, we've found that a Hybrid Store-and-Forward® solution removes the need for providers to play telephone tag, schedule video conferences, or wait for consults. 

So let this post be one vote for the "glass being half-full" -- and getting fuller every day. 


To learn more about Hybrid Store-and-Forward Telemedicine, get our free guide:


ClickCare Quick Guide to Hybrid Store-and-Forward

Tags: telemedicine, medical collaboration, hybrid store and forward medical collaboration, telemedicine solutions, regulations, hippa,, regulatory issues, workflow

3 Secrets Prisons Know About Telemedicine

Posted by Lawrence Kerr on Mon, Jan 26, 2015 @ 07:30 AM


Often, telemedicine is seen as the domain of the advanced, the technologically savvy, and the well-to-do. People assume that something so "sophisticated" as e-health, remote visits, or telemedicine-supported medical collaboration couldn't work for their clinic, their context, or their patients. 

In fact, we've had the experience that, as with many disruptive technologies, telemedicine has first benefitted the under-resourced, the underserved, and the marginalized. Our journey with telemedicine started in the late 90s, at one of the poorest elementary schools in our county. Originally, we were just looking for a simple way for kids -- whose parents couldn't miss hours of work and still pay the bills -- to get specialized medical care. We ended up using early digital cameras and distance learning lines to piece together a telemedicine program, in what would eventually become an early version of iClickCare.

All of which is to say that in our experience, telemedicine can be a simple thing. It can be a human thing. And it can certainly work in under-resourced environments.

So when we saw a recent article over at Fierce Health IT about how prisons are increasingly adopting telemedicine, it made perfect sense to us. Prisons, of course, have different parameters than most care settings. And they may even have different goals in the care of their patients. While they manage their lives, in a sense they are also providing managed care. But we all share common challenges in providing good, safe, efficient care for our patients -- and telemedicine is a great tool for many of us.

So here are 3 reasons that prisons use telemedicine and that you might want to consider it, too:

  • Telemedicine removes downsides of travel. For prisoners, the ride to the hospital or to a specialist can be an expensive endeavor and present risk of escape. And while most patients don't have the escape-avoidance challenge, travel to faraway specialists and providers can be costly, mean missed work and school, and be highly disruptive of the healing process.
  • Telemedicine saves money. We've repeatedly seen high ROIs (both financially and in terms of quality of care) for organizations and providers that adopt telemedicine practices. As Dr. Michael Moore experienced: "During a 3 month period, 70 patients were treated solely using iClickCare with an overall healing rate of 93% and an estimated savings of $24,000 in transportation costs alone." The prisons are seeing the same impacts, which is why these programs are increasingly common across the country.
  • Telemedicine can make both the patient's and the provider's lives easier. Beyond just cost savings, the trauma and "run around" of caring for a chronic condition -- managing schedules, managed care, coordinating appointments, waiting for consults, and sharing information -- can be exhausting for both patient and provider. Telemedicine, especially a hybrid store-and-forward model that doesn't demand everyone be available at once, can make everyone's lives easier.


If you're wondering if Hybrid Store-and-Forward Telemedicine is right for you, get our free Quick Guide:


ClickCare Quick Guide to Hybrid Store-and-Forward



Image courtesy of franekn on Flickr, used under Creative Commons rights. 



Tags: hybrid store and forward medical collaboration, medical collaboration software, telemedicine roi, telemedicine solutions, regulatory issues, managed care

5 Ways Telemedicine Supports Health Spending Decrease

Posted by Lawrence Kerr on Mon, Dec 08, 2014 @ 07:00 AM



Anyone who has recently been sick knows that the cost of healthcare is high. In fact, healthcare spending in the United States is twice as much as it is in any other developed countries. And, as medical providers, we know that we're in no way benefitting from these high costs to consumers and the system. In fact, as overall costs rise, we as providers are simply increasingly squeezed to do more with less, faster.

So it is puzzling (and maybe hopeful) to read reports that health spending is actually slowing down significantly. The New York Times has been reporting that health spending in 2013 grew at the lowest rate since government officials started tracking it — back in 1960. The slowdown in health spending growth began over ten years ago, and has been especially pronounced in the last four years.

Some studies attribute this decrease in health spending to the overall recession, but many analysts say that it's not just about the economy. In fact, the New York Times, identifies several key components of this decrease, all of which are elements we see as strongly supported by medical collaboration and the use of telemedicine:

  • Decrease in hospital spending. It seems that instead of going straight to the hospital, people may be getting care in their doctor's office or other lower-cost settings. We've seen telemedicine support this kind of patient behavior, as providers can get consults from specialists or other providers without the patient having to make additional appointments.
  • Reduction in readmissions. Readmissions have long been singled out as a major opportunity for cost savings. And as we've looked at in other posts, medical collaboration (especially as supported by telemedicine) can be fundamental to managing readmissions.
  • Drop in errors. The final potential cause for the decrease in medical spending is a decrease in errors. Over and over again, we've seen errors decrease when providers can support each other in making good decisions, doing follow up care, and getting the help they need.

Of course, none of these reasons are proven or conclusive. But we do breathe a small sigh of relief that the efforts of so many in changing medicine may be starting to show results.

See how telemedicine can affect your ROI by giving it a try today: 

Try the iClickCare 14-day evaluation


Image courtesy of chazoid on Flickr, used under Creative Commons rights.

Tags: medical collaboration software, telemedicine roi, telemedicine solutions, decrease readmissions, health spending

How Telemedicine Can Help Your No-Show Rate

Posted by Lawrence Kerr on Thu, Nov 20, 2014 @ 07:30 AM



My daughter works in a busy (hectic might be a better word) public-health clinic in New York State. It's a challenging patient base -- one with complex diseases and more complex life contexts for each patient. Even with those tricky conditions, these providers have had such extraordinary results that their practices are used as a model across the state.

That said, even her clinic struggles with no-shows. Providers will squeeze patients into an already overfull schedule, only to have that individual no-show the next day. Or a patient will be missing at their appointment time, but ask to be seen several hours later. It's difficult, but it's not surprising: the New York Times cites a no-show rate of up to 55% for most providers.

Non-compliance, of which patients not showing up for appointments, tests, or treatment is one variety, is always vexing for providers. It's not only frustrating, it can be dangerous. Plus, as the New York Times quotes American Medical News: “Medical liability experts say missed appointments and failures to follow up pose some of the greatest legal risks for physicians.”

Strangely, we've actually found this very human issue to be one solved by technology. Telemedicine has proven invaluable in helping with patient compliance issues, specifically this problem of making sure that the patient sees the providers she needs to, in a timely fashion.

So if no-shows are something you struggle with in your practice, here are a few ways that telemedicine can help make a difference:

  • Patients struggling to travel to a specialist can still be seen. For instance, veterans are increasingly accessing therapy appointments via telemedicine.
  • A telemedicine consult can mean fewer appointments. Rather than patients bouncing from provider to provider to "collect" perspectives, a store-and-forward telemedicine platform can allow providers to synch up without the patient having to make an extra appointment.
  • Followup is integrated. As the New York Times article points out, providers are often too squeezed for time to be able to follow up with patients to ensure they do what they're supposed to. Telemedicine can create a simple way for providers to check in with each other and make sure (in a matter of seconds) that the patient followed through.
  • Providers can communicate without hassle. When doctors aren't playing phone tag, it's less likely that things (like appointments or referrals) can fall between the cracks. Telemedicine can make it easier for providers to communicate how and when is most convenient for them.
Ultimately, no-shows may not be providers' fault, but it is sometimes their problem. And we're glad that there's a tool that can help, even if just a little bit.
Want to learn more about telemedicine? Get our QuickGuide:
ClickCare Quick Guide to Telemedicine

Tags: hybrid store and forward medical collaboration, telemedicine roi, telemedicine solutions, telemedicine technology

Independence, Interdependence, and Medical Collaboration

Posted by Lawrence Kerr on Thu, Jul 03, 2014 @ 08:51 AM

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As our week tapers down toward the holiday weekend, we want to wish you all a happy and healthy Independence Day.

We often think of our country as a country of individualists: our national holiday is "Independence Day;" cowboys are national heros; and our constitution is about protecting individual freedoms. And that may seem contradictory to the focus of our company, which is about people working together in medical collaboration. 

The fact that ClickCare is an American company is no coincidence or mistake, however. The truth is that independence and freedom are closely related to collaboration. We cannot thrive as individuals -- individual providers, patients, or people -- if we don't work together. 

These days, more and more healthcare professionals are asserting their independence and freedom by bringing their own devices to use in the care of their patients -- what has become known as the BYOD movement. The trick is to actively support BYOD, guarantee the security of patient confidentiality and still be able to collaborate effectively in the diagnosis and treatment of the patient. 

To find out more about BYOD in healthcare, its advantages and concerns, as well as a real HIPAA secure solution to supporting BYOD, we invite you to download our whitepaper titled Healthcare BYOD and HIPAA Security: The Issues and a Solution.

                                           iClickCare IS BYOD Secure

There is evidence from psychological research, the "sharing economy," and throughout history, that when we work together, we all do better. And our experience confirms this. As providers, we've always felt freer, stronger, and more effective when we collaborate. We don't feel so isolated; we're better able to provide a high level of care; and we can count on the support of the people around us.

So, as we celebrate on July 4th, let's celebrate our interdependence as well as our independence -- because you can't have one without the other.

Let the fireworks begin!

If you have your own comments or stories to tell about independence and interdependence, or how BYOD is affecting you, please add your comments.

Tags: medical collaboration, coordinated care, good medicine, telemedicine solutions

What Does a Tattoo Artist Have to Do With Medical Collaboration?

Posted by Lawrence Kerr on Thu, Jun 12, 2014 @ 08:24 AM

Screen shot 2014 06 04 at 10.23.27 AM

When I saw a recent New York Times article and video about a tattoo artist that focuses on realistic nipple tattoos for women who have had cancer related breast reconstructions, I was skeptical. We certainly don't normally see a tattoo artist as part of the continuum of care or part of our community of medical providers, and I would have some hesitations about recommending this kind of post-surgery tattoo outside of the context of the surgeon's office.

I will say that while I have done nipple reconstruction, augmented by tattooing, since breast reconstruction started in the 70's, I have often wondered if the tattooing could not be done better by a tattoo artist. As a physician and surgeon, and student of anatomy, I have an appreciation of reconstruction, meaning restoration toward normal, its principles and indeed, its art (as is demonstrated in this tattoo artist's work). Nipple reconstruction is more than application of decoration. I also knew about the blood supply of the breast, where the implant may be working, and a surgeons commitment to sterility.

However, I also wondered, often, could more practiced hands and heavy duty equipment give a more long-lasting result, despite the fading all tattoos are subject to. I respect the commitment of this artist profiled in the article. Also, I have used medical tattooing as alternatives to things like eyebrow reconstructions.

So, what does this have to do with medical collaboration? Everything, actually. This tattoo artist may not be a traditional member of the medical team, and I might some recommending this to a patient, but in this case, he is certainly providing care related to the healing process. How much of a smoother process would it have been if he could have used iClickCare (as one example of a telemedicine-based medical collaboration platform) to communicate with the patient's surgeon? How much less would her wait time have been? How much more confidence would she have had that this was an appropriate course of action and would fit in with the rest of her treatment? How many potential medical issues could be avoided if the traditional medical providers were able to share their information with the folks supporting the patient with less traditional medical issues?

As medicine shifts, so does the team of medical providers. Our job is to make sure that we have the tools to collaborate with every member of the medical team, traditional or nontraditional.

Of course, it's crucial to have a medical collaboration tool that allows you to respect HIPAA and communicate in a way that honors the patient. We've found that this means you need to be able to have a virtual consult that may "pick and choose" what information, pictures, or history that particular collaborator has access to. So this kind of collaboration is certainly to be handled with care, but as medicine evolves, I believe it is absolutely crucial to involve all members of the team caring for the patient. In this case, the person in question is a tattoo artist, but in so many other cases, the continuum of care for a given patient could include people like:

  • Acupuncturists
  • Therapists
  • Teachers
  • Caregivers
  • Family
  • Lactation Consultants
  • Etc.

Have you found the need to do medical collaboration with any nontraditional parts of the team? How have you facilitated communication and collaboration with them? We'd love to hear, in the comments below.

And for our "field guide" to medical collaboration, click here:

ClickCare Quick Guide to Medical Collaboration


Tags: telemedicine, medical collaboration, collaboration, communication with patients, telemedicine solutions, telemedicine and hippa, collaboration leadership, care coordination, store and forward medical collaboration

How Telemedicine Could Remedy the VA Backlog & Shortages

Posted by Lawrence Kerr on Tue, Jun 10, 2014 @ 08:49 AM

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On Friday, Eric Shinseki, the Secretary of the Department of Veteran Affairs, arrived at the White House, and when he left 45 minutes later he was no longer employed.

This resignation comes after weeks of controversy and outrage around underperformance and coverups at the Veteran Health Administration. The New York Times has a good infographic on the panoply of issues which include data falsification, marathon wait times even for urgent medical issues, coverups, and manipulation of care to artificially improve indicators.

Shinseki's resignation may imply that the problems at the VA derive from this administration or even this individual. Unfortunately, that's far from the truth. As Jon Stewart insightfully detailed recently, these issues extend far past Shinseki's tenure, earlier than the Obama administration, and earlier in fact, than even the wars in Iraq and Afghanistan. 

There is no excuse for the negligence that we, as a country, have demonstrated in caring for our Veterans. But politics aside, the difficult truth is that there are a number of intersecting issues that are creating the VA wait times and care backlog. On the supply side, there is a nationwide shortage of primary care physicians. And the veterans' demand for medical services is simultaneously soaring. As vets are more likely to live from catastrophic injuries, and with vets from Vietnam to Iraq to Afghanistan needing care, the number of outpatient visits to the VA has grown by 26% in the last 5 years (with medical staff growing by only 18%). Primary-care appointments have grown by 50%, while the department’s staff of primary care doctors has grown by only 9%. And across departments, doctors are supposed to be responsible for 1200 patients but are caring for 2000. (See article here.)

Of course, as the New York Times reports, "Republicans say the problem is not a lack of money — the department’s $154 billion annual budget has more than doubled since 2006 — but rather inefficiencies in the delivery of care. Democrats say that the problem is a serious shortage of doctors and not enough hospitals." Either way, the problems for the VA delivering timely and quality healthcare is related to medical providers being asked to do too much with too little (whether that lack is of time, support, or money). Which is something that all medical providers can surely empathize with.

So what are the VA and its committed medical providers to do? If anything, pressure is increasing for quick fixes to a problem that is constrained in large part by numbers of patients, number of doctors, and severity of medical issues. One fix that we see is to use telemedicine to leverage the time and energy of the providers that the VA has. 

If the VA shortage of providers and resources resonates with you, these are some ways that telemedicine may be able to help: 

  • Telemedicine can drop readmissions and length of stay. Surprisingly, medical collaboration -- like that facilitated by telemedicine -- can improve numbers on both readmissions and length of stay
  • Telemedicine can save providers' time they're spent on care coordination. Most providers will tell you what this study proves: huge amounts of time are spent outside of patient care, coordinating care and waiting for patient data. Telemedicine, particularly hybrid store-and-forward telemedicine, can slash those wasted minutes and get you the data you need when you're ready to receive it.
  • Telemedicine can loop in providers that are outside the system, but within a single patient visit. Of course, the most obvious use of telemedicine -- to enable consults with other providers even within a single visit -- is still a fantastic way to leverage provider time.
  • Telemedicine can enable more providers to collaborate on complex cases, efficiently. Especially with the complexity of cases that the VA is seeing, multiple specialists and providers across the continuum of care are needed to care for a single patient. A medical collaboration platform will help you integrate all of these voices so that patients don't have to bounce from visit to visit with long wait times between each.

Looking for a telemedicine solution in your organization? We can help you sort through the options:

ClickCare Quick Guide to Telemedicine


Image courtesy of dvids on Flickr, used under Creative Commons rights.

Tags: telemedicine, medical collaboration, medical responsibilities, medical collaboration software, telemedicine roi, telemedicine solutions, decrease readmissions, decrease length of stay

Is Telemedicine The Key to Global Health Equity?

Posted by Lawrence Kerr on Wed, May 21, 2014 @ 10:38 AM

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This post comes to you from Baltimore, MD, where we are participating in the American Telemedicine Association's annual meeting of policy-makers and innovators from the telemedicine community.

We've been playing a part in the ATA meetings since 1995, when we were just beginning to pilot iClickCare in underserved school-based health settings. One reason we've always found this conference fascinating and helpful is because of its "social impact" orientation. For us and for the ATA...

Telemedicine is not about making money on a new technology (although the ROI effects are impressive). It is about making positive change for patients and for providers.

This year, that mission orientation was especially salient, with the selection of anthropologist, physician, and humanitarian Paul Farmer of Partners in Health to give the keynote speech yesterday. We loved Dr. Farmer's talk and have deep respect for his practical, bold work. In particular, a couple of comments stood out to us:

  • Because there is a lot of variation in health outcomes within a particular country, it's less helpful to speak of "international health" than it is to consider "global health equity." 
  • Technology is an exciting opportunity because it helps medical providers reach others, in rural or urban places, that don't have health equity. For instance, the national nursing hospital that Dr. Farmer and his associates re-built is based on the idea that specialists can be "brought in" through telemedicine.
  • One key principle in his work in Boston, in Haiti, and in Rwanda is treating some conditions in hospital settings, but often treating chronic disease at home.
  • A disease may not incurable. But without a delivery system, many people become "too poor to treat."

Many of our iClickCare users are based in the United States and don't tend to see themselves as in a development context, or as part of a global health equity movement, as Paul Farmer does. However, we have seen countless examples of how iClickCare has been used for social impact, international health, and advancing global health equity. For example:

  • Connecting surgeons in Kenya with colleagues in the United States to contribute experience around orthopedic issues. 
  • Providing remote followup care (from the US to Iraq) to an Iraqi boy who received pro bono reconstructive facial surgery in the US.
  • Giving school-based nurse practitioners in an under-resourced school a quick and efficient link to pediatricians who can "round out" school-based care.
  • Linking medical residents in the Dominican Republic and medical residents in Rhode Island to each other, to share diagnoses and treatment ideas on unusual diseases.
  • Connecting wound care nurses in NYC to specialists just 5 miles away -- but 90 minutes in city traffic.

Even by experimenting with telemedicine and medical collaboration, you are part of the global health equity movement -- all it takes is action, small or large.

If you're curious about other applications of telemedicine, we put together a free overview of options, here:

ClickCare Quick Guide to Telemedicine


Tags: international health, medical collaboration, telemedicine roi, good medicine, telemedicine solutions

Key Things Smart Buyers Look for in Telemedicine Solutions

Posted by Lawrence Kerr on Wed, May 07, 2014 @ 09:11 AM

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When it comes to using technology -- for medical collaboration, communication, meaningful use of medical records, or any other crucial function -- there are a lot of considerations that come into play.

In our relationships with current and prospective iClickCare users, we've seen decision parameters run the gamut from savvy to uninformed. And we were intrigued to see a recent report on key features that home health agencies look for in software, from Software Advice, a company that reviews medical software. In 385 interactions with home health software buyers, they found:

  • 97% of buyers prefer a cloud-based system over an on-premise solution.
  • Field support (mobile and remote access) was the most requested feature to better track care in the patient’s home.
  • First-time buyers want the benefits of going digital, and top reasons for purchasing included improving efficiency (58%) and “going paperless” (35%).

We think that this orientation toward cloud-based, efficient, adaptable systems that allow remote access is right on.

This is a smart way for home health agencies -- any group, really -- to make the most of their technology dollars, comply with regulatory issues, and positively impact patient and provider satisfaction. That's one reason we had concerns about a report that Time Warner Cable and the Cleveland Clinic are collaborating on a pilot project installing video conferencing hardware in patient's homes to lower hospital readmissions. This kind of focus on expensive hardware installations can actually make outcomes for patients worse. By not using simple software, cloud-based systems that can be accessed from anywhere, and leveraging hardware that providers already have (like the smartphone in their pocket), a lot of resources tend to be wasted. For that reason, we recommend keeping the following things in mind in any big health IT investment: 

  • Keep hardware investment to a minimum. Always see whether you can use existing hardware -- whether computers, smartphones, or other resources -- and invest your dollars in good software and systems. Hardware can easily go obsolete, while software can be updated.
  • Make sure it's easy to use. Medical providers have enough on their plate without having to learn complicated systems or having to operate completely new hardware. Look for something that leverages what people already know... and demand a well-designed, easy-to-use interface.
  • Prioritize flexibility and collaboration. Some systems can only be used or shared with providers that are "in the network." Look for a service that allows you to get consults and support from any provider, regardless of their status with your service.
  • Invest in systems that can be used from anywhere. As the study above shows, savvy buyers are looking for cloud-based services (SaaS) that can be accessed from anywhere -- that kind of flexibility tends to pay off in the long run.
And for our summary of telemedicine options and pros and cons, click here: 
ClickCare Quick Guide to Telemedicine

Tags: medical collaboration, telemedicine roi, patient satisfaction, provider burnout, assisted living facilities, telemedicine solutions, healthcare collaboration, decrease readmissions, decrease length of stay

Can Medical Collaboration Help Affordable Care Act Compliance?

Posted by Lawrence Kerr on Thu, Apr 24, 2014 @ 08:25 AM

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As of counts in the last couple of weeks, 9.5 million people are insured for the first time under the Affordable Care Act. These formerly uninsured patients tend to have clusters of medical issues, little or no treatment or care in the past, and tend to have concommitant socioeconomic challenges. 

For patients, coverage -- and the resulting medical care -- is a great thing. For providers, it is both an opportunity and a challenge. In the above New York Times video, Maria Catalano, a Nurse Practitioner at Family Health Centers, explains: "It seems like we're seeing a lot of newly eligible Medicaid patients who have not had established healthcare in many years. It's great that they're finally having access to insurance, but it can really expand the visit and try to do a lot in one visit."

This influx of patients creates a challenge in terms of the quantity of care that needs to be provided, as well as the pressure to comply with the regulatory issues related to the Affordable Care Act. Additionally, these patients present with medical issues that need collaboration and care from several different providers. All of this adds up to interconnected challenges that can be mitigated -- if not solved -- by medical collaboration through telemedicine solutions. 

The deluge of newly insured patients under the Affordable Care Act present challenges that can only be met through medical collaboration: 

  • When time-per-patient is short, and patients are presenting with multiple interconnected issues, medical collaboration -- especially the kind of efficient collaboration that happens with hybrid store-and-forward telemedicine -- becomes a must-have. 
  • Medicaid demands accountability for Length of Stay and Readmissions. Medical collaboration has been proven to improve both of these metrics.

  • The ACA makes it easier than ever to be reimbursed for telemedicine. With this infux of patients, efficient reimubrsement is essential.

  • Meaningful Use of medical records is even more important under the ACA, and telemedicine-supported medical collaboration can facilitate just that. 

Maria Catalano confirms both the ways that these new ACA patients present both difficulty and gift: "We're lucky in that a lot of our patients before now weren't getting Medicaid. So now we can start getting reimbursed for the care we weren't getting paid for before if they were a no-insurance patient. But I would say the most concerning thing is -- how can we accommodate so many new patients with so many different problems, and still function at the end of the day?"

For an medical collaboration inspiration and tools, get our free guide: 

ClickCare Quick Guide to Medical Collaboration

Tags: coordinated care, provider burnout, telemedicine solutions, improving patient satisfaction, affordable care act compliance

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