EPIC Retirement Plan Services
Randall & Hurley, Inc.
Loren D. Stark Company
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|Telehealth Commercial Coverage and Parity Laws: Trends, Challenges and Opportunities|
Foley & Lardner LLP
Sept. 1, 2015
"Many, but not all, of the 29 states with telehealth commercial insurance laws have equal coverage (some impose restrictions and limits resulting in less than coverage parity). Payment parity exists in a smaller subset of those states, which means that not only must the services be covered, but the rate the health plan pays the provider for telehealth services must be equal or equivalent to the rate the health plan pays that same provider for the in-person service.... In states that lack payment parity, many hospitals and providers receive less than the in-person payment rate for the same service. That creates a disincentive for providers to utilize telehealth service[.]"
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