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Trying to provide care for people is challenging and more so for people who live in rural or remote areas where there are few or no medical services. In many instances, the access needed is out of reach for much low income and rurally located people. Telemedicine is a lifeline for these people and has been around for decades. Telemedicine technology, in the beginning, was expensive. The service needed good access for transmission and availability.” technical advances in telecommunications have proven extremely useful in rural areas, allowing patients to have access to specialists and advanced healthcare technology without having to travel great distances”(Marta,2003,p.50). The cost is becoming more, and services have begun to a needed expansion in the health care community.” rural hospitals have turned to telemedicine as a tool for improving health care delivery despite limited payments”(Marta,2003,p.50). Since this article was written in 2003, there have been changes in the view of telemedicine’s value from many primary payers like the centers for (CMS) according to HCpro-Managed Care Contracting and Reimbursement Advisor(2015) “CMS will pay a monthly fee to physicians, nurse practitioners, physicians assistants, and others to manage the care of patients with two or more chronic conditions without face to face contact”(p.1). The march forward continues each year step by step toward care for all. In the state of California, telemedicine has been through some evolving changes with policy and state legislation over the past few years. “Some states have been proactive in their approach by enacting laws that mandate private insurance coverage of telemedicine”(lewis,2015.p.472). According to Chiron health.com(2019),” The aim of these changes for telemedicine was focused on providing to care for the aging population and to help find a way to bridge the growing provider gap. The California legislation considered telemedicine as a possible step in closing this gap for the care system”(p.1). California has a great need for health changes and understood this by the development of a telemedicine system by The University of California Davis in 1992(Chiron health .com,2019). California created the Telemedicine Act of 1996, which led to The Telehealth Advancement of 2011. In the state level of California, Assembly Bill1733 of 2013 was passed, providing 200million in funds for improvement and expansion programs. This led to Assembly Bill 809 in 2015, lifting the requirement for written consents, but verbal or written documentation must be recorded for patient services rendered(Chiron health.com,20119). The final analysis concludes that without changes to the policy in the state of California, the care of many in rural and underserved areas would not have been in a position to receive to care to this day.
Reference retrieved from Chiron Helath(2019)
Marta MR. (2003). Telemedicine payment: then and now. Hfm (Healthcare Financial Management), 57(7), 50–53. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106857499&site=ehost-live