There are many controversies regarding reimbursement for telemedicine services.

Question

1. There are many controversies regarding reimbursement for telemedicine services. Imagine that you are negotiating with an insurance carrier to obtain reimbursement for a store-and- forward telemedicine service that you have developed. The medical director of the second insurance payer states: “Telemedicine seems like ‘screening’ rather than a mechanism for delivering health care. This is because you are simply using technology to identify patients who need to be referred to a real doctor, rather than providing true medical care. Therefore we should only reimburse a very small amount for these screening services.” In your opinion, is this a legitimate argument? Explain.   

1. There are many controversies regarding reimbursement for telemedicine services. Imagine that you are negotiating with an insurance carrier to obtain reimbursement for a store-and- forward telemedicine service that you have developed. The medical director of the second insurance payer states: “Telemedicine seems like ‘screening’ rather than a mechanism for delivering health care. This is because you are simply using technology to identify patients who need to be referred to a real doctor, rather than providing true medical care. Therefore we should only reimburse a very small amount for these screening services.” In your opinion, is this a legitimate argument? Explain.   

Explanation / Answer

In your opinion, is this a legitimate argument? - NO

Please let me know in case of any clarifications required. Thanks!

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