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Here are a few thoughts from two of our providers.</div>
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Telehealth helped me in the following scenarios/Situations</p>
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<li style="font-size:11pt;font-family:Calibri, sans-serif;margin:0px">Family of 5 children, Dad works numerous hours, mom does not drive and has multiple medical conditions. Had been very difficulty to have routine follow up visits for the children with ADHD,
anxiety, asthma. Mom has been very responsive to telemed visits so I feel like I have still been able to care for the children when they otherwise would have been lost to followup.</li><li style="font-size:11pt;font-family:Calibri, sans-serif;margin:0px">Families with single parents working from home – in past would be difficult for that single parent to seek care with primary physician, would have over utilized ED services for acute illness
that did not need ED. Families much more willing to schedule appt during the day as they were already working at home and found this easier than leaving work.</li><li style="font-size:11pt;font-family:Calibri, sans-serif;margin:0px">I have seen several children where in their home environment the child felt much more comfortable than they did in the office. This helped to really observe the child in their home environment
to understand their circumstances.</li></ol>
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Hope these examples help.</p>
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Lori Gordley, DO</p>
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sick but well enough to do a telehealth med fu for ADHD where we changed the medication dosage benefitting the child.</span>
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Have kept multiple kids out of urgent cares while OOT.</div>
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<font face="Comic Sans MS"><span style="font-family:Arial,Helvetica,sans-serif">Theresa Von Hoene, CPEDC</span><br>
<span style="font-family:Arial,Helvetica,sans-serif">Anderson Hills Pediatrics</span><br>
<span style="font-family:Arial,Helvetica,sans-serif">Insurance Manager</span><br>
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<div id="divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" style="font-size:11pt" color="#000000"><b>From:</b> Ohioaap-practicemanagers <ohioaap-practicemanagers-bounces@lists.deltaforce.net> on behalf of jprice3 via Ohioaap-practicemanagers <ohioaap-practicemanagers@lists.deltaforce.net><br>
<b>Sent:</b> Saturday, April 24, 2021 11:45 AM<br>
<b>To:</b> Arthur Lavin <alavinmd@gmail.com><br>
<b>Cc:</b> Ohio AAP Prctc Mngr Listserv <ohioaap-practicemanagers@lists.deltaforce.net><br>
<b>Subject:</b> [ External ] - Re: [Ohioaap-practicemanagers] Keeping Telehealth Parity--help needed</font>
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<div dir="auto">Thanks Art.
<div>Private payers may want to drift back to covering telehealth at a lower rate than in person visits. Your case argues that tele was of equal value to the payer in avoiding a more expensive UC or ED visit (and of greater value to the family, even though
the payer may not care so much about that)<br>
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<div dir="ltr">Sent from my iPad</div>
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<blockquote type="cite">On Apr 24, 2021, at 10:32 AM, Arthur Lavin <alavinmd@gmail.com> wrote:<br>
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<div class="x_gmail_default" style="font-family:verdana,sans-serif">Thanks for this Jon,</div>
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<div class="x_gmail_default" style="font-family:verdana,sans-serif">What an urgently important need!</div>
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<div class="x_gmail_default" style="font-family:verdana,sans-serif">I would first put forward a fiscal argument. Take as a given that a pediatrician will need to meet with a child and/or their family to deliver necessary medical care.</div>
<div class="x_gmail_default" style="font-family:verdana,sans-serif">Now the only question that remains, will that medical service be delivered by televisit or in person? Either way, service will be delivered, and needs to be compensated. There is currently
no controversy about paying for covered service in person. My value proposition to all insurance payors is that the doctor is going to be paid by you for an agreed covered service in person, what is lost in agreeing to do so via video? I can see a concern
raised that if telehealth remains covered, utilization will soar. But the pandemic has proven that will not happen. Across primary care, even with the gates flung wide open to virtual care, utilization dropped, even during a time of tremendous health worry.
So let's cover telehealth, it does not cost more, it meets the current reality that this is how we communicate.</div>
<div class="x_gmail_default" style="font-family:verdana,sans-serif"><br>
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<div class="x_gmail_default" style="font-family:verdana,sans-serif">For concrete examples, I can present the case of a child who has a very worrisome rash, that came on suddenly, at day care, and the mother had limited means of transportation. The question
was very simple, should the child be brought to an emergency room or not? How urgent was the situation? Now, if the rash indicated a deadly disease, moments mattered. But rather than simply send all such situation immediately to a very expensive ER, the
option of telehealth allowed a very prompt evaluation to be given. I saw the rash, it was a heat rash, presented no health hazards, and so the family was reassured, their day not disrupted, very expensive care at an ER averted, and I got paid for my medical
services. Why wouldn't our insurer colleagues not want to continue coverage of such a service? Such examples have abounded in my practice since telehealth was covered.</div>
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<div class="x_gmail_default" style="font-family:verdana,sans-serif">Arthur</div>
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Arthur Lavin, MD, Fellow of the AAP<br>
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<div dir="ltr" class="x_gmail_attr">On Fri, Apr 23, 2021 at 1:20 PM Jon Price via Ohioaap-practicemanagers <<a href="mailto:ohioaap-practicemanagers@lists.deltaforce.net" target="_blank">ohioaap-practicemanagers@lists.deltaforce.net</a>> wrote:<br>
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<blockquote class="x_gmail_quote" style="margin:0px 0px 0px 0.8ex; border-left:1px solid rgb(204,204,204); padding-left:1ex">
The Chapter wants your best reasons to keep telehealth payment parity for children. Commercial insurance is under no obligation to keep parity for as long as Medicaid will. Give me any examples that might include engaging patients you weren’t able to reach
via in person visits, increased difficulty in executing a good telehealth visit for the average child vs average adult, etc. I’ll advance them when the Ohio Pediatric Care Council next meets with payers, sooner if necessary.
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