Sustaining an Innovative Environment

The cost of innovation is often the determining factor when predicting the likelihood of sustainability. In regards to expanding telehealth capabilities, Nebraska’s Senator Nicole Fox, and many others, state that it is the cost saving capabilities of telehealth that should make it a priority in our government and healthcare organizations.2

Screen Shot 2016-04-15 at 10.27.32 AM
Retrieved from

In my discussions with Sen. Fox, her passion for promoting the use of telehealth was apparent; so, I felt obliged to ask her what was stopping bills that promote things like parity pay from passing in the legislature. Sen. Fox advised anyone who hopes to create sustainable change to first create awareness. She informed me that while she is a healthcare provider herself (hospital nutritionist) and has a basic understanding of reimbursement processes, many legislators do not have that personal experience or even knowledge of the ins and outs of healthcare reimbursement. She suspects that some people in leadership (i.e. decision-making) roles may not always understand the consequences of what they are turning down.2 Sen. Fox affirms that government leaders such as herself rely on advocates and experts to provide awareness and information regarding issues that need to be brought to their attention.2

Payers have long disputed the forecasted financial savings telehealth could offer them. The lack of firm data to support the savings made commitment to up-and-coming technology difficult. However, with time and experience, many payers are beginning to recognize the financial benefit for themselves, their rural members as well as the city-dwelling “Netflix generation, who expect on-demand services.”1  This financial benefit comes from reduced ED visits, hospitalizations, complications, and improved efficiency of care.

I argue that private payers must provide parity pay for telehealth services; however, it is certainly of mention that many healthcare organizations will remain slow to adopt telehealth capabilities until Medicare expands their coverage (only $17.6 million of their $634 billion was paid towards telehealth services).1 Medicare has expressed concern that telehealth services will only become an add-on to the current standard of care (rather than replacing irresponsible use of resources) thus costing them significantly more money rather than resulting in cost-savings.1

In addition to mandating private payer parity, making telehealth sustainable will require a more open line of communication between the payers, providers, and patients. Many healthcare providers who do not utilize telehealth services state that they have no idea which payers reimburse for telehealth services or at what rate so they avoid it all together.1 Similarly, many patients who pay for plans that provide telehealth services are not aware that telehealth is an option for them.1 It is thought that as more consumers experience telehealth, they will soon be demanding these services leading to quicker action.

Screen Shot 2016-04-15 at 10.57.49 AM
Retrieved from


It seems anytime government policy is discussed, the question arises of whose interest policymakers have at heart. Private payers (or CMS for that matter) have historically had a difficult time envisioning the savings this initial investment can offer. Unfortunately, their loud voices and deep pockets often stifle the concerns of the consumer (time away from work and family, travel costs, lost productivity, traffic, air pollution, etc.). As Senator Fox advised, we must speak up, advocate, and make our needs and desires known. As consumers or representatives of consumers, we must educate those in power of deciding what healthcare services we can receive.



  1. Herman, B. (2016). Virtual reality: More insurers are embracing telehealth. Modern Healthcare. Retrieved from
  1. Senator Nicole Fox, personal communication, February 9, 2016

One thought on “Sustaining an Innovative Environment

  1. I am glad you were able to connect with a senator in Nebraska. I think that like Arizona, Nebraska has many rural areas and in order to supply healthcare to patients, creative solutions must be considered. I am not surprised that cost is a major factor in decisions made by lawmakers. With unlimited funds, we could solve many problems, but that is not realistic. After listening to Representative Carter and now Senator Fox, it is clear to me that there must be a buzz to draw attention to a policy before any change can even be considered. Many of the lawmakers have easy access to medical care and may not be able to relate to others that may struggle to get to the nearest specialty. According to the National Health Policy Forum, reimbursement must be modified prior to any national implementation of telehealth (Sprague, 2014). There are many reasons why telehealth can help provide quality care to patients. They are management of chronic conditions, continuity of medical care and patient education, cost savings for patients that live long distances, and access to care especially in rural areas. The difficulty lies in training for physicians, privacy, reimbursement, clinician credentialing and licensing, and access to internet and equipment. I think it would have been interesting to discuss the successes the VA has had with telemedicine with Senator Fox (“US Dept of VA,” 2015). This is a concept that will not go away and has shown to improve patient outcomes and provide cost savings for patients and the healthcare system.

    Sprague, L. (2014). Telehealth: into the mainstream? [Issue Brief]. Retrieved from National Health Policy Forum:
    VA Telehealth services. (2015). Retrieved from


Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s