1. Telemedicine: Fostering Innovation Through Challenges, Trends, and Opportunities
Latoya S. Thomas
March 16, 2017

2. About ATA
The American Telemedicine Association (ATA) is the leading international resource and advocate promoting the use of advanced remote medical technologies.
ATA and our members work to fully integrate telemedicine into transformed healthcare systems to improve quality, equity and affordability of healthcare throughout the world.
Established in 1993
Over 8,000 members world-wide

3. About ATA
Convener
13 Special Interest Groups (SIGs)
3 Regional Chapters
4 Corporate Councils
51 State Forums
Telehealth Conferences
Annual Meeting: Orlando – April
Telehealth Capitol Connection (TCC) Congressional Briefing Series
Accreditation Program
Practice Guidelines
14 e.g. urgent care, mental, rehabilitation, diabetic retinopathy
Public Policy
Multi-state
Federal

4. 21st Century Landscape

5. Opportunities & Goals Knock down government barriers
Coverage & Payment
Clinical Practice & Licensure Portability
Provider & Care Networks
Knock down government barriers
Promote “value” innovative payment and service models
Address care delivery problems: Cost, access, outcomes, productivity

6. Delivery Delivery Models Hub & Spoke Integrated care
Statewide and regional specialty networks
Care coordination
ECHO
Medical Homes
Health Homes
LTPAC
On-demand services
Network adequacy
Triage
Emergency and Disaster response
Linguistic and cultural competency
VOLUME to VALUE

7. Policy Policy Reforms Service coverage and reimbursement
State regulated health plans
Federal programs
Comparable clinical practice standards
Licensure portability
Pilots/demonstrations
State taskforces and workgroups

8. Interstate Licensure Models
National Reciprocity
No bills pending
Expedited
Federation of State Medical Boards (FSMB) – 18 states joined
Pending: Arkansas, Michigan, Nebraska, North Dakota, Rhode Island, Tennessee, Texas, and Washington
Mutual Recognition
National Council for State Boards of Nursing (Enhanced NLC) – 11 states joined
Pending: Colorado, Georgia, Illinois, Iowa, Kentucky, Maryland, Mississippi, Montana, Nebraska, Nevada, New Jersey, North Dakota, South Carolina, Utah, and West Virginia
Pending: Iowa, North Dakota, and West Virginia (APRN Compact) – 2 states joined
Association for State and Provincial Psychology Boards (PSYPACT) – 1 state joined (Needs 7 states)
Pending: Illinois, Missouri, Rhode Island, Texas and Utah
Federation of State Boards of Physical Therapy – 5 states joined (Needs 10 states)
Pending: Colorado, Florida, Kentucky, Mississippi, New Hampshire, New Jersey, North Carolina, North Dakota, Oklahoma, Texas, Utah, and Washington

9. Payment Payment Models Fee-for-service Capitation
Episodic and Bundled payment
Shared savings
Patient and Provider Incentives
VOLUME to VALUE
Payment

10. Challenges Licensure portability Broadband
Interoperable health information exchange
Privacy and cybersecurity
Educating stakeholders
Policymakers
Clinicians
Health and Tech ecosystem
***Policies not unique to telehealth***

11. Moving Forward
Delivery Innovation
Policy
Payment Innovation

12. ATA State Telemedicine Gaps Analyses

13. ATA State Policy Resources
2016 ATA Policy Priorities
State Policy Toolkits
State Gaps Analyses
State Legislative Matrix
(Members Only)
State Legislative and Regulatory Trackers
Monthly State Webinar
State Policy Checklist
ATA Wiki
Telemedicine Practice Guidelines
State Medicaid Best Practices
Telemental and Behavioral
Remote Patient Monitoring and Home Video Visits
Store-and-forward
School-based
Managed Care
Telestroke
High-risk Pregnancies
Telerehabilitation

14. Director, State Policy Resource Center
AmericanTelemed.org
ATAwiki.org
Latoya S. Thomas
Director, State Policy Resource Center