{"id":1317944,"date":"2020-01-28T18:12:50","date_gmt":"2020-01-29T01:12:50","guid":{"rendered":"https:\/\/www.postindependent.com\/?p=993050"},"modified":"2020-01-28T18:48:11","modified_gmt":"2020-01-29T01:48:11","slug":"new-bill-would-let-health-centers-actually-get-paid-for-telehealth","status":"publish","type":"post","link":"https:\/\/alwaysmountaintime.com\/kske\/local-news\/new-bill-would-let-health-centers-actually-get-paid-for-telehealth\/","title":{"rendered":"New bill would let health centers actually get paid for telehealth"},"content":{"rendered":"<figure class=\"wp-block-image p402_hide\">\n<div class=\"caption-container\"> <img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"671\" src=\"https:\/\/cdn.postindependent.com\/wp-content\/uploads\/sites\/6\/2020\/01\/telemedbill-gpi-012920-1024x671.jpg\" class=\"attachment-large size-large wp-post-image\" alt srcset=\"https:\/\/cdn.postindependent.com\/wp-content\/uploads\/sites\/6\/2020\/01\/telemedbill-gpi-012920-1024x671.jpg 1024w, https:\/\/cdn.postindependent.com\/wp-content\/uploads\/sites\/6\/2020\/01\/telemedbill-gpi-012920-300x197.jpg 300w, https:\/\/cdn.postindependent.com\/wp-content\/uploads\/sites\/6\/2020\/01\/telemedbill-gpi-012920-768x503.jpg 768w, https:\/\/cdn.postindependent.com\/wp-content\/uploads\/sites\/6\/2020\/01\/telemedbill-gpi-012920-1536x1006.jpg 1536w, https:\/\/cdn.postindependent.com\/wp-content\/uploads\/sites\/6\/2020\/01\/telemedbill-gpi-012920-2048x1342.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\"><figcaption><strong>Mountain Family Health physician Chris Tonozzi speaks with a patient using telemedicine from his office in Glenwood.<\/strong><br \/><em>Chelsea Self \/ Post Independent<\/em><\/figcaption><\/div>\n<\/figure>\n<p>A new bill in the Colorado legislature could make telemedicine more accessible, and one local community health center is ready for it.<\/p>\n<p>Right now, federally qualified health centers, also known as community health centers, don\u2019t get paid for providing remote consultations to Medicaid patients.<\/p>\n<p>&nbsp;\u201cWe get an annual grant from the federal government to support care for uninsured people, and the other part of that is that we get reimbursement from Medicaid that covers what we spend on those visits,\u201d said Dr. Chris Tonozzi of Mountain Family Health Center in Glenwood Springs.<\/p>\n<p>\u201cWhat\u2019s been going on is that Colorado Medicaid hasn\u2019t been willing to reimburse in their usual way for (telemedicine), based on what it costs us,\u201d Tonozzi said.<\/p>\n<figure class=\"wp-block-pullquote p402_hide\" readability=\"3.5\">\n<blockquote readability=\"10\">\n<p>\u201cIt\u2019s a little bit of a niche bill for us, but we\u2019re super happy. We feel like telemedicine, telehealth, is the wave of the future.\u201d \u2014Dr. Chris Tonozzi, Mountain Family Health Centers<\/p>\n<\/blockquote>\n<\/figure>\n<p>In Colorado, Medicaid covers the costs of face-to-face visits, but <a href=\"https:\/\/www.macpac.gov\/wp-content\/uploads\/2017\/12\/Medicaid-Payment-Policy-for-Federally-Qualified-Health-Centers.pdf\">telehealth consultations by community health centers don\u2019t qualify<\/a>.<\/p>\n<p>That\u2019s where a new bill proposed in the Colorado Legislature comes in.<\/p>\n<p>The act would make a telemedicine service reimbursable at the same rate as an in-person, or so-called face-to-face visit.<\/p>\n<p>\u201cWe would get reimbursed in our usual way, which would make (telemedicine) much more easy for us,\u201d Tonozzi said.<\/p>\n<p>Telemedicine consultations are required to have video and audio, so in a sense the services would still be face-to-face, just through a screen.<\/p>\n<p>\u201cTelemedicine visits can lead to cost savings for the Medicaid system by improving access to primary care and helping to avoid unnecessary trips to emergency departments,\u201d according to the proposed bill\u2019s declaration.<\/p>\n<p>One place telemedicine consultations have been useful is in chronic disease management, Tonozzi said.&nbsp;<\/p>\n<p>For diabetes patients, for example, Tonozzi can schedule a follow-up with a patient and check in on many aspects of their diabetes control.<\/p>\n<p>Particularly if they\u2019re monitoring glucose levels on their own, \u201cI can review those and then make a plan for changes and referrals,\u201d Tonozzi said.<\/p>\n<p>Patients who struggle with hypertension also have benefitted from telehealth.<\/p>\n<p>\u201cThere\u2019s a new movement to have patients do more blood pressure measurements at home, because they\u2019re often unusually high when they come into the doctor\u2019s office,\u201d Tonozzi said.<\/p>\n<p>\u201cThose home blood pressures are really good to have, especially if they\u2019re taking good blood pressures at home, being able to review those with patients at telehealth visits can be really useful.\u201d<\/p>\n<p>And during flu season, it would be nice to have the option of remote consultation, so patients aren\u2019t exposed, or don\u2019t expose others, to a virus.<\/p>\n<p>The bill came about after Rep. Perry Will (R-New Castle) visited the Rifle Mountain Family Health Center.<\/p>\n<p>Tonozzi wasn\u2019t involved in that meeting, but said that others brought up the issue of telehealth billing.<\/p>\n<p>Sen. Bob Rankin (R-Carbondale) joined the bill as a senate sponsor, and the bill also attracted two sponsors from the Democratic caucus: Sen. Kerry Donovan (D-Vail) and Rep. Yadira Caraveo (D-Thornton).<\/p>\n<p>The bill is scheduled for a hearing in the House Committee on Public Health Care &amp; Human Services Feb. 5.<\/p>\n<p>Tonozzi noted that the telemedicine bill in Colorado isn\u2019t a big change to healthcare, but it would be helpful to community health centers.<\/p>\n<p>\u201cIt\u2019s a little bit of a niche bill for us, but we\u2019re super happy. We feel like telemedicine, telehealth, is the wave of the future, and can provide a lot of convenience for patients in particular, and help us get more care out to people in a more convenient way,\u201d he said.<\/p>\n<p>One of the larger problems for Mountain Family and other health providers is that Garfield County has one of the highest rates of uninsured in the state.<\/p>\n<p>A total of 40 percent of Mountain Family\u2019s patients are uninsured, while another 30 percent use Medicaid. The remaining are on a variety of insurance options, Tonozzi said.<\/p>\n<p>Across the state, community health centers provide care for 40 percent of uninsured persons.<\/p>\n<p>\u201cWe\u2019ve been struggling to figure that out, and help more people get insured,\u201d Tonozzi said.<\/p>\n<p><em><a href=\"mailto:tphippen@postindependent.com\">tphippen@postindependent.com<\/a><\/em><\/p>\n<p><a href=\"https:\/\/www.postindependent.com\/news\/new-bill-would-let-health-centers-actually-get-paid-for-telehealth\/\" target=\"_blank\" rel=\"noopener noreferrer\">via:: Post Independent<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mountain Family Health physician Chris Tonozzi speaks with a patient using telemedicine from his office in Glenwood.Chelsea Self \/ Post Independent A new bill in the Colorado legislature could make telemedicine more accessible, and one local community health center is ready for it. Right now, federally qualified health centers, also known as community health centers, [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[160],"tags":[],"class_list":["post-1317944","post","type-post","status-publish","format-standard","category-local-news"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-09-06 03:26:12","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"distributor_meta":false,"distributor_terms":false,"distributor_media":false,"distributor_original_site_name":"KSKE Ski Country","distributor_original_site_url":"https:\/\/alwaysmountaintime.com\/kske","push-errors":false,"_links":{"self":[{"href":"https:\/\/alwaysmountaintime.com\/kske\/wp-json\/wp\/v2\/posts\/1317944","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/alwaysmountaintime.com\/kske\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/alwaysmountaintime.com\/kske\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/alwaysmountaintime.com\/kske\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/alwaysmountaintime.com\/kske\/wp-json\/wp\/v2\/comments?post=1317944"}],"version-history":[{"count":1,"href":"https:\/\/alwaysmountaintime.com\/kske\/wp-json\/wp\/v2\/posts\/1317944\/revisions"}],"predecessor-version":[{"id":1317948,"href":"https:\/\/alwaysmountaintime.com\/kske\/wp-json\/wp\/v2\/posts\/1317944\/revisions\/1317948"}],"wp:attachment":[{"href":"https:\/\/alwaysmountaintime.com\/kske\/wp-json\/wp\/v2\/media?parent=1317944"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/alwaysmountaintime.com\/kske\/wp-json\/wp\/v2\/categories?post=1317944"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/alwaysmountaintime.com\/kske\/wp-json\/wp\/v2\/tags?post=1317944"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}