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Senate advances telemedicine payments

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State lawmakers aren’t sure whether they will expand Medicaid coverage, but if they do, they support at least one new tool to help health care providers care for the expected influx of new patients: telemedicine.

The Indiana Senate voted unanimously last week to require the Indiana Medicaid program to pay home health agencies, rural health clinics and federally qualified health centers for doing medical consultations, diagnoses and monitoring using videoconferencing, telephones or computers.

The move could open up greater access to specialist physicians, especially psychiatrists, in medically underserved areas, Kathy Norris, a fiscal analyst at the Legislative Services Agency, noted in a report on the bill. And it could save the state money, if it no longer has to pay for as much travel by health care providers to reach far-flung patients, Norris added.

While nearly every other industry has engaged in more communication at a distance in the past decade, health care has not made that transition because doctors are typically paid only when they see patients face to face.

“The technology is there. But reimbursement is lagging behind,” said Don Kelso, executive director of the Indiana Rural Health Association.

Mike Ripley, a lobbyist for the Indiana Chamber of Commerce, said his organization favors the bill because it could help the state deal with a rising number of patients.

“With an increasing demand on primary physician services, this provides a cost-effective means of providing services to the Medicaid population,” Ripley wrote in a legislative update on Friday.

President Obama’s 2010 Patient Protection and Affordable Care Act called for all states to expand their Medicaid programs for the poor by raising eligibility to all adults earning up to 138 percent of the federal poverty limit.

In Indiana, such an expansion would bring in more than 400,000 new people, according to estimates by Milliman Inc., the Seattle-based actuarial firm hired by the state.

Since consumers with insurance tend to use about twice as much health care services as those without insurance, the Medicaid expansion is expected to strain the ability of doctors, nurses and hospitals to care for the newly insured patients.

The measure, Senate Bill 554, is co-authored by Sen. Vaneta Becker, R-Evansville; Sen. Jean Leising, R-Oldenburg; and Sen. Jean Breaux, D-Indianapolis.

Also last week, the Senate passed Senate Bill 551, which instructs the state government to seek a federal block grant to expand Medicaid coverage via the Healthy Indiana Plan or a program similar to it. It is unclear if the Obama administration will OK such a grant.

 

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  1. Now if he'd just stay there...

  2. Daniel - what about the many US citizens who do NOT follow what the Bible teaches? The Hindus, Jews, Muslims and others who are all American citizens entitled to all rights as Americans?? This issue has NOTHING to do with "What the Bible says..." Keep all Churches separate from State! Pence's ongoing idiocy continues to make Indiana look like a backwards, homophobic state in the eyes of our nation. Can't we move on to bigger issues - like educating our kids?

  3. 1. IBJ should link to the referenced report. We are in the age of electronic media...not sharing information is lazy. Here is a link http://www.in.gov/gov/files/Blue_Ribbon_Panel_Report_July_9_2014.pdf 2. The article should provide more clarity about the make-up of this panel. The commenters are making this item out to be partisan, it does not appear the panel is partisan. Here is a list of the panel which appears to be balanced with different SME to add different perspectives http://www.in.gov/activecalendar/EventList.aspx?view=EventDetails&eventidn=138116?formation_id=189603 3. It suggests a by-pass, I do not see where this report suggests another "loop". 4. Henry, based on your kneejerk reaction, we would be better off if you moved to another state unless your post was meant as sarcasm in which case I say Well Done. 5. The article and report actually indicates need to improve rail and port infrastructure in direct contradiction to Shayla commentary. Specifically, recommendation is to consider passenger rail projects... 6. People have a voice with their elected officials. These are suggestions and do not represent "crony capitalism", etc. The report needs to be analyzed and the legislature can decide on priorities and spending. Don't like it, then vote in a new legislature but quit artificially creating issues where there are none! People need to sift through the politics and provide constructive criticism to the process rather than making uninformed comments in a public forum based on misinformation. IBJ should work harder to correct the record in these forums when blatant errors or misrepresentations are made.

  4. Joe ... Marriage is defined in the Bible ... it is mentioned in the Bible often. Marriage is not mentioned once in the US or Indiana Constitution ...

  5. Daniel - Educate me please: what does the Bible have to do with laws? If the government wasn't in the business of marriage to begin with, then it wouldn't have to "define" marriage at all. Marriage could be left as a personal, religious, or otherwise unregulated action, with no ties to taxes, legal status, etc. Then people could marry whomever they want, and all this silliness would go away. Remember to vote Libertarian in November.

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