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© 2016 by Dr Nancy Gahles.

 

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September 19, 2014

The ACA, in Sec. 5101, provides for a new national healthcare workforce to enter the mainstream healthcare delivery system.  They are identified as licensed complementary and alternative medicine providers (CAM) and integrative health practitioners. One of the areas where this workforce is included to practice is Community Health Centers.

The intent of the law was to level the playing field. The big idea is to incorporate those integrative therapeutic disciplines that are safe, cost effective and therapeutically efficacious into mainstream healthcare delivery so as to engage the people in substantive self-efficacy to increase health promotion and prevention. This is the order of the day in the European Union.  The US lags behind in implementation, however, recent studies quoted by Bill Reddy, L.Ac., of the Integrative Healthcare Policy Consortium, note that in the US, all CAM use by adults was estimated to be 36% in 2002 and 38% in 2007. Other sources suggest...

September 11, 2014

The Federation of State Medical Boards (FSMB), a national non-profit representing the 70 medical and osteopathic boards of the U.S. and territories, issued a long-awaited statement on 9/5/14 upon completion of the drafting process for model legislation to create an Interstate Medical Licensure Compact that would speed the process of issuing licenses for physicians who wish to practice in multiple states.

According to the press release, the interstate medical licensure compact model legislation “creates a new process for faster licensing for physicians interested in practicing in multiple states and establishes the location of a patient as the jurisdiction for oversight and patient protections.”

The implications for delivery of telehealth are profound.  As the healthcare landscape becomes broader with both expanded services available due to Internet technology and a diverse integrative practitioner population, the establishment of the location of the patient as the jurisdiction...

September 10, 2014

Which telemedicine bills are likely to gain traction this fall is the ubiquitous question among lobbyists and telehealth advocate groups such as the Integrative Telehealth Alliance and the Integrative Healthcare Policy Consortium.

Telemedicine/telehealth is a niche issue in the healthcare politico arena that is garnering enthusiasm by lobbying groups such as the recently formed Alliance for Connected Care. The leadership here are veterans of the industry, Former Majority Leaders Tom Daschle, Trent Lott and former Senior Sen. John Breaux, whose aim is to enable more telehealth to support new models of care.

POLITICO’s Morning eHealth (9/9/14) quotes Krista Drobac, Exec. Dir. of the Alliance for Connected Care, with a positive forecast relative to one payment model. “We think it’s absolutely possible and likely that we build the evidence and the coalition to completely transform the way telemedicine is looked at by Medicare.”

Players on the field are Reps. Mike Thompson (D-Ca.), Gregg Harpe...

September 3, 2014

Sen. Shirley Turner (D-15) joined the Northeast region trendsetting for access to telemedicine/telehealth.

Sen. Turner introduced bills , S2337 and S 2338, permitting coverage for private insurance, Medicaid and State employee health plans. These bills would prohibit health insurance plans from requiring in-person contact before a telemedicine encounter as a condition of payment.  New Jersey Medicaid’s decision to cover telehealth services in 2013 was the first of its kind in the history of the agency.

Ease of access to their doctor for those people with transportation challenges, movement disorders or complex chronic conditions can now provide an early intervention that should reduce health care costs. Prevention of disease and health promotion will be the natural sequelae of accessible services such as patient education and information prescriptions that telehealth can provide.

Whole medical systems such as Homeopathy, Acupuncture, Traditional Chinese Medicine and Ayurveda will lea...

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