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July 10, 2014

Telehealth is increasingly being recognized as a valid form of physician and practitioner service. The proof of the pudding, however, is in the eating, as the adage goes. CMS, the Center for Medicare & Medicaid Services released its proposed expansion of telemedicine services for 2015 on July 4th.  Let freedom ring! And let the rule stand!

The rule is revealed on page 140 of the 609 page document and includes annual wellness visits, both initial and subsequent, that include a personalized prevention plan. This is music to my ears as it has become a necessity to individualize plans in this population as the co-morbidities escalate.  Shifting personal responsibility to a self-care management model is an idea whose time has come.  The Medicare population is burgeoning and care-giver burnout has become a looming issue.

Expanding telehealth services to include wellness visits, psychotherapy, psychoanalysis and prolonged evaluation and management services will decrease...

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© 2016 by Dr Nancy Gahles.