Telehealth and telemedicine for coronavirus: What it is and how to use it now
What is telemedicine?
According to the American Academy of Family Physicians, telemedicine is defined as “the practice of medicine using technology to deliver care at a distance. A physician in one location uses a telecommunications infrastructure to deliver care to a patient at a distant site.”
Testa says his hospital is using telemedicine both within and outside the hospital to manage the influx of patients needing care. “We're using video visits inside of our hospitals, and inside of our emergency departments, to minimize exposure to our staff, as well as exposure to other patients who are immunocompromised,” he says.
How to use telemedicine
A good place to start is to check with your health care provider, provider system or hospital’s app for a telemedicine portal, download it and follow the prompts.
“We've been doing video visits for over a year and a half — we've already done about 15,000 of them,” says Testa. “What we've learned in interviewing our patients is that more often than not, they had plans to either go to their primary care doctor and it is off-hours, or they had planned to go to a brick-and-mortar urgent care. Virtual urgent care is just more convenient than those options.”
At NYU Langone, for example, Testa says these video visits are fully integrated into patients’ online health profiles, and visible to their primary care doctors who can easily see what labs or X-rays have been ordered.
If you don’t have a primary care doctor and prefer to use urgent care when you need it, virtual urgent care apps, like PlushCare, Doctor on Demand or MDLive, can give you virtual access to a doctor, 24/7.
Ryan McQuaid, CEO and co-founder of PlushCare, says that under normal circumstances, patients who use his telemedicine platform tend to use it as a primary care provider.
He says these patients usually fall into three buckets: They use telemedicine to manage ongoing conditions, like depression, diabetes or hypertension; everyday care issues like hair loss or birth control; and urgent care issues, like cold and flu, sinus infections or UTIs. And their patients aren’t just tech-forward millennials — McQuaid says elderly patients have begun to embrace telemedicine.
Confused About Health Insurance? These Tips Can Help!
Maintaining your health is imperative if you want to lead a rich, rewarding life. However, there is so much information on this broad subject that it can be hard to know what to study. That is why this article is a comprehensive compilation of facts and tips designed to help you to lead a healthy lifestyle.
If you do not currently have health insurance for yourself or any member of your family, you may want to check with your local or state human services office. They may be able to provide you with access to low cost insurance or medical care in the event your are sick or injured.
Even with health insurance, getting emergency care can be expensive. Use hospital emergency room facilities only for true emergencies. For routine but urgent health problems, you'll save money by going to a walk-in clinic. Some pharmacies also have mini-clinics where you can be seen, get evaluated and get a prescription. If needed, they can help you find more advanced medical help.
If you travel often, it is important to get medical coverage that can be used throughout the country. If you don't have this, you do not want to be visiting another state and get sick. If this were to happen, you would be stuck paying medical bills that your medical insurance would have covered, had you been in your home state.
For those whose vision is already impaired eye care coverage is a must. Some of your visits and eye care purchases, such as glasses or contacts, will be covered. You are not required to carry vision insurance, so if no one in your family suffers from an eye disorder, you can save money by foregoing it.
If you don't have health insurance or enough coverage to take care of your medical bills, some credit card companies have special plans specifically for health care. These cards can be used to pay your providers as needed and then you make monthly payments to the credit card company. Be sure to read the fine print, as some have introductory offers that may end before you pay off your debt.
You need to make sure that you have fully researched as many health insurance plans as you possible can. An insurance broker may be needed if you don't have the time or the desire to go through the large amounts of information. You can also look at websites that specialize in comparing and picking insurance policies that fit the customer's needs.
Make sure you know how much you're paying into your employer-supplied health insurance. If you end up losing your job and enrolling in COBRA you'll probably end up paying the full premium you pay now, so knowing how much you're already paying will prepare you for the worst when the time comes.
Ask for a free trial. As with most things in life, your insurance plan may come with a free trial period. If this is offered, take advantage of it. Normally. this doesn't mean that you get a free month, rather that you pay for a month and if you aren't satisfied you can get a refund. Make sure you follow the guidelines though, such as needing to ask for the refund in writing.
Take your time when shopping for a new health insurance plan. The last thing that you want to do is rush this decision. It could end up costing you hundreds of thousands of dollars in the future if you rush to enroll in a program that is not right for you and your family.
Honesty is the best policy. Once you have found a suitable health insurance plan, take care when filling it out, and be honest. If you make mistakes, or are found to have filled anything dishonestly, your coverage will probably be denied. The best thing to do is take things slowly and think about how you answer each question.
It's a good idea for every pet owner to have insurance on their pet, even if you pet lives indoors. There are always going to be hazards like injuries and accidental poisons, basically anything may happen. Even while inside, you could notice a broken tooth or bone, and have to take your pet in to the vet.
Think twice before purchasing a supplemental policy, such as cancer insurance. Often the benefits from your cancer policy will go unused because your primary insurance policy already has you covered. In addition, most supplemental policies have very strict guidelines and limitations with regards to how they can be used.
Group insurance is almost always cheaper than personal insurance, so see if any organizations in your area offer it to members and then join the group. There are many groups that offer insurance to people who are self-employed, or alumni of a college, for example. Check around locally and you're bound to find many options to choose from.
If you have lost your job, you have two options when it comes to health insurance: opt for COBRA and pay the full premium your website employer was paying on your behalf, or sign up for your own personal insurance plan. Your COBRA insurance may be expensive, but you could face trouble qualifying for a new insurance plan.
With an employer-sponsored health plan insurance plan, your company has to accept you, despite your health status or pre-existing conditions. Without one, you have to seek private policies, which means your health will be rigorously evaluated. Many states have private health insurance policies that are underwritten about your medical history, smoking status, weight, and age.
Don't take the default health insurance plan your employer provides, instead look at all the options that are offered to you and choose the one which best fits your family's needs. Compare what you could get by signing up for private insurance with the offerings you're given at open enrollment time - it's possible you could find a better plan on your own!
It is important to verify that your physician records your health events correctly. This is due to the fact that health insurance can be expensive, but misdiagnoses can lead to increased health insurance premiums or even losing your coverage. If you are misdiagnosed with a fatal illness, your insurance coverage could be cancelled based on incorrect information.
These tips should help you when it comes to health insurance. It doesn't need to be a hard subject or one that intimidates you. Hopefully, after reading this article, you feel a little more prepared to face the world of health insurance, as well as, being better armed with the proper information.
Learn lessons of telehealth in this pandemic
Initially, skepticism abounded on both sides of the screen. Necessity — the strong desire to not get infected with COVID-19 — was as usual the mother of invention. But physicians and patients alike really doubted whether looking at and talking to each other through a computer screen — or even a phone! — could have anything like as good an outcome as an in-person visit could provide.
But anecdotal evidence — and some early studies — over the 23 months since state medical boards across the nation dramatically loosened regulations on telehealth shows that Americans who have visited healthcare providers virtually have overcome their skepticism.
They have met telemedicine, and they have decided it is good.
Now the nation must take advantage of a success forged in a deadly and tragic time and make sure that telemedicine is not allowed to slip away as we begin to come out of the pandemic.
Many states, including California, have generally relaxed all kinds of rules in order to allow for more video and telephone meetings with physicians and other providers. But many, including our own, have also made that contingent on a medical state of emergency being in place, and California’s is likely to expire some time in 2022.
Every effort should be made to see telemedicine not go away — and even be expanded — after the medical emergency is over.
Keep These Tips In Mind When Choosing Your Health Insurance Plans
The ins and outs of health insurance are hard to understand for some people. However, this is unnecessary. In the article that follows, you will read about health insurance, and be given tips to help you understand this topic better. You should use this knowledge to your advantage.
Bear in mind that the costs for individual policies are usually higher than those of group insurance offered by employers. You may find yourself needing to plan for a higher deductible or reduced coverage to bring your policy cost down. Shop around in order to get good rates and the best coverage.
When considering a health care insurance plan from your employer, be weary of certain incentive based plans that attempt to lure you. These may seem attractive at first, but there may be hidden costs or loss of previous benefits. Always read the contract thoroughly and do not be afraid to ask questions about anything you are uncertain about.
For those whose vision is already impaired eye care coverage is a must. Coverage could include your physical exams as well as portions of the cost for spectacles and contacts. You do not have to have vision insurance, and some choose to save money by not buying this coverage.
Let your medical insurance company know that you are traveling. Some companies will not provide any coverage to you or your family in a foreign country unless you purchase extra coverage. You may not end up needing it, but it is always better to be safe than sorry when you are traveling.
Having health insurance is important. Health care costs can be expensive, especially if you need an emergency surgery or are in an accident. Routine visits can also add up quickly. Health insurance gives you piece of mind, knowing that if something happens, your insurance will help cover the out-of-pocket expense.
Consider opening a healthcare savings plan. These plans are typically for people with high deductibles and allow you to deposit funds for later use on prescriptions and other medical costs not covered in your policy. The deposits you make are usually tax-deductible, so take advantage of this offer if your insurance company provides it.
Get to know the three major types of health insurance policies: the HMO, the POS, and the PPO. Research these three types to find out how their coverage, policy rates and programs differ. Use this information to figure out which one would be best for you and your family.
Even if you think you have found the perfect health insurance company, it does not hurt to look around for others. By shopping around, you may find that there is an even better health insurance company for you and your specific needs. You may even save money by looking around.
States have different regulations about health insurance coverage. You can easily find this information online. Before applying for health insurance, make sure you know what kind of coverage is recommended and if there are any forbidden practices in your state. If you move to a new state, you might need to switch to another insurance company.
Before agreeing to sign with any health insurance provider, establish their policy on any pre-existing conditions you may have. With certain pre-existing conditions and certain insurance providers, insurance coverage will be much more expensive or even impossible for you to obtain. Doing your homework is the best way to obtain the best possible premiums.
When choosing a health insurance plan or coverage make sure your doctor is included in the network. You wouldn't want to sign up for insurance because the cost is low only to find out your doctor isn't included in the plan. It's best to check this out before getting the policy.
If you are unemployed and have medical issues, you should subscribe to COBRA. COBRA allows you to stay on your employer's plan, even after they fire you. You will have to pay for the coverage: this is the right decision if your employer offers a plan you are satisfied with.
To lower the cost of your health insurance plan, pay your premiums annually. Most insurance companies add on a service charge to each monthly payment you make. If you pay annually, you can often reduce or omit these service charges. In addition to the cost savings, paying annually means you only have to budget for health insurance costs once per year.
When moving states, check with the state's insurance website to see what the rules are there and which companies are offering health insurance. read more You should also find out if the state offers a discount insurance option to low-income families, if you qualify. Don't forget to ask your current insurer if your coverage will go with you if you move!
When you are purchasing health insurance, make sure you are familiar with the rules and regulations about it. You should find out quite a few things, including if the local legislation has any protection for people who have preexisting conditions. Knowing about regulations like these is important so that you can identify if your health insurance company is trying to deny you legally proper coverage.
When budgeting health care costs, take into consideration where you live. If you are in an urban area you can expect to pay more for hospital and physician care. You will also see a higher cost for prescriptive drugs. Incorporate this knowledge into your costs and adjust according to where you live. The lower costs are normally associated with suburban and rural areas.
Take notes whenever you are talking with your insurer or with your provider. Having a written document of who, what, when, where, and why may be what saves your skin if you have to appeal a claims decision. If talking with your insurance company, you can also ask them to have the call recorded for additional backup.
If you are dissatisfied with your health insurance company, and the customer service office gave you no satisfaction, bring your complaint to the consumer affairs division of your state's insurance department. This division can investigate the problem and can offer help in finding a resolution for your complaint. Sometimes getting a state agency involved can get the insurance company to cooperate.
It is important to understand your options when selecting a healthcare plan. With healthcare now being required for every citizen in the United States there will be many options available on the market. Be sure to consider your overall health, your age, and your family's immediate and future needs when selecting a healthcare plan.
People with disabilities left behind by telemedicine and other pandemic medical innovations
Divya Goel, a 35-year-old deaf-blind woman in Orlando, Florida, has had two telemedicine doctors' appointments during the pandemic. Each time, she was denied an interpreter.
Her doctors told her she would have to get insurance to pay for an interpreter, which is incorrect: Under federal law, it is the physician's responsibility to provide one.
Goel's mother stepped in to interpret instead. But her signing is limited, so Goel, who has only some vision, is not sure her mother fully conveyed what the doctors said. Goel worries about the medical ramifications — a wrong medicine or treatment — if something got lost in translation.
"It's really, really hard to get real information, and so I feel very stuck in my situation," she signed through an interpreter.
Pandemic-fueled shortages of home health aides strand patients without care
Pandemic-fueled shortages of home health aides strand patients without care
Telemedicine, teleworking, rapid tests, virtual school, and vaccine drive-throughs have become part of Americans' routines as they enter Year 3 of life amid Covid-19. But as innovators have raced to make living in a pandemic world safer, some people with disabilities have been left behind.
Those with a physical disability may find the at-home Covid tests that allow reentry into society hard to perform. Those with limited vision may not be able to read the small print on the instructions, while blind people cannot see the results. The American Council of the Blind is engaged in litigation against the two dominant medical testing companies, Labcorp and Quest Diagnostics, over touch-screen check-in kiosks at their testing locations.
Sometimes the obstacles are basic logistics. "If you're blind or low-vision and you live alone, you don't have a car," said Sheila Young, president of the Florida Council of the Blind, pointing to the long lines of cars at drive-through testing and vaccination sites. "Who can afford an Uber or Lyft to sit in line for three hours?"
One in 4 adults in the US have some sort of disability, according to the Centers for Disease Control and Prevention. Though barriers for the disabled have long existed, the pandemic brings life-or-death stakes to such long-running inequities.
Hard Time Understanding Health Insurance? This Guide Is For You!
For many Americans choosing the right health insurance to purchase often boils down to the most affordable policy they can get. In this day and age, that is a critical consideration. However, there are other factors that all health insurance purchasers should consider based on their individual needs. Some of those considerations are discussed below.
Living in the suburbs can have a significant impact on health insurance savings. The cost of medical care is generally lower in areas of lower population. Dense populations tend to put a strain on the health care facilities available and thereby drive the cost up. Living in a suburban area can not only reduce the cost but also increase the quality of care
One of the most basic tips about insurance is quite simple: never, ever put yourself in a situation where you have no insurance at all. Even if it means paying extra to your former employer to stay on COBRA, you never want to be without health insurance. Too many contingencies could come up that would very quickly put you in a precarious situation. The same is true for auto insurance: never drive uninsured. It's against the law in many states, so it isn't just a bad idea; in many places it is actually a crime.
Take out health insurance to protect yourself against financial ruin. If you take ill you may have to leave your job and without a regular income medical bills could easily bankrupt you. Just be sure to research any health insurance plan fully before you sign anything so you are aware of which health conditions it covers.
Getting health insurance after the fact is not really a great way to handle sickness or injury, but in some states in the country, you can actually get an insurance policy after you've fallen ill to help take the edge off of the bills. This is one of the new mandates with America's new healthcare legislation, and it can definitely help you out.
One of the simplest and yet valuable tips you can get about finding a health insurance policy for you and your family is making sure that you get one that you can afford to pay the premiums for. If you are on a tight budget, it is better to get a policy in which you can pay the premiums for than losing the policy due to non-payment.
If you need more health insurance, do not take out a second policy. Instead, add a "rider" to your current policy. This is usually far less expensive. Only in some instances, is it more cost efficient to take out a second policy. If the person is in excellent health, you may want to shop around.
When getting dental insurance, do not get features that you do not think you are going to use. For instance, many dental plans are packed with additional discounts for prescription drug plans. If you feel like you do not need it, don't get it. It will just end up costing you more.
You have to take into account all the people that you want to have on your insurance plan and plan accordingly. If you have a bigger family you might want to try and find a job that offers insurance plans. Just make sure you find insurance that is affordable and that you do get insurance, because if anyone gets sick then you'll be glad you got some insurance.
Self-employed workers can claim their health insurance premiums as a deductible expense on income tax. Medical expenses can only be taken if they exceed 7.5% of your already adjusted gross income amount, while your premiums can be taken right out of your gross income no matter how much they add up to.
Think twice before purchasing a supplemental policy, such as cancer insurance. Often the benefits from your cancer policy will go unused because your primary insurance policy already has you covered. In addition, most supplemental policies have very strict guidelines and limitations with regards to how they can be used.
Shop around different providers if you do have health problems that could be considered a risk for them to insure. Insurance company requirements vary and if you take the time to shop around, you may find that you are not high risk through one company but that you are through another.
When changing to a new health insurance plan, be aware that it may have a different network than your old one. Before switching, see if your usual doctor and other medical professionals are a part of the possible new policy's network. If not, you may be able to find one that will allow you to continue seeing them. If a change is going to mean you see different medical professionals, make sure to note some specific information so that your medical records can be easily connected to you.
You should not underestimate how much medical spending can amount to. Even a very minor intervention can cost thousands of dollars. This is why you need a health insurance, and this is also why you should be careful about how much your insurance will cover for. Certain plan seem to cover a high amount of expenses, but you can reach this limit rather quickly.
You should check your health insurance policy for lifetime maximums. Some health insurance companies have lifetime maximum amounts they will pay for certain coverage and treatment. You should make sure you are aware of them, and see if you may need to get a policy more suited to your personal needs.
Think about using a health insurance comparison website to choose the right plan and rates for you. Contacting each company individually can take a lot of time and quickly become confusing. Using a plan comparison site will allow you to enter your information one time, and then compare many quotes more easily on the same website.
Health insurance is an important thing for every person to have. Hospital bills can be absurdly expensive for some treatments and can absolutely ravage a person's finances, especially in the case of serious diseases such as cancer. Similarly, hospitalizing a person who has been in a serious car crash can be extremely expensive. Health insurance cuts down the cost of treatment significantly.
Ask your local physician about your medical records before applying for health insurance. Many private health insurance providers check here will review your 10 year medical history before allowing you to purchase a policy, so make sure that your medical records are up-to-date and discuss any health issues that insurance companies might red flag with your physician.
As was stated in the beginning of this advice, making sure your health insurance is providing you with comfort is important. By reading this article and using the advice given to you, you will make sure that you are getting the most you can out of your health insurance, thus giving you a feeling of peace.
Safety for Essential Providers Using Telemedicine and Telehealth
It is no longer necessary for patients to drive or commute to an appointment, which can be difficult for some patients with no immediate access to transportation. Thus, healthcare workers have more time on-site for appointments with patients who require a physical checkup in-office.
Patients often visit providers when feeling sick, so it can be a risk to everyone at a healthcare provider’s office, including staff and the other patients. Implementing telehealth means providers can limit the spread of infection of not just COVID-19 but other infectious diseases as well.
Telehealth technology can also be utilized for the prescreening of patients prior to their appointment and visitation to the office. With a prescreen, providers can ascertain as to whether it is necessary to conduct an on-site checkup, thereby reducing patient numbers attending the office.
Enabling providers to see the patient’s home environment can also help facilitate diagnosis. For example, a patient with certain allergies could be suffering from a chronic condition due to unknown variables within the home environment.
Providers can determine the issues within the home that could be exacerbating patient symptoms. Patients can also better explain to doctors their daily routine using their home environment and, therefore, acquire a more accurate diagnosis.
Telehealth saves healthcare provider costs while also saving patients money. Patients no longer need to travel, thereby reducing money spent on transportation, and the ability to take a consultation from home or even at work, limits the sick days or amount of time patients need to be absent from work.