Pramod K. Gaur
Pace University, Sidenburg School of Computer Science, Pleasantvile, NY USA
Title: A new hybrid healthcare delivery model (in-person & telehealth) emerging post COVID-19 pandemic
Biography
Biography: Pramod K. Gaur
Abstract
Over the last three decades the telehealth industry has been evolving from technology driven industry to payer (reimbursement) driven to current provider driven industry. In the initial phase, emerging information and communication technologies were the driver to demonstrate telehealth capabilities. Once it was demonstrated that the telehealth services can be sustained and scaled, the next phase was focussed on reimbursement (“who pays for it”) for telehealth services. This phase led to both penalties (30 day readmission) and incentives (value based payments) for providers. As telehealth industry was moving towards the next phase of provider based models, COVID-19 pandemic related lockdowns accelerated the use of telehealth by patients and providers to access the care for all patients. Governments and payers provided a series of waivers to relax the requirements and parity of reimbursemnet with the in-person care.Now a new hybrid care delivery model is emerging where providers are incorporationg in-person and virtual appointments for care. Latest update from all key stakeholders (patients/caregivers, providers, payers and regulators) will be provided during this presentation