Tell Me Something About Telehealth

Overview

Telehealth enables the delivery of health care services to patients that are not in the same physical location as the service provider. Over the past decade, telehealth has been used increasingly to complement face-to-face patient encounters, and is particularly important to addressing health care needs in rural areas. The COVID-19 pandemic has served as an extraordinary catalyst for telehealth adoption through the early part of 2020. As folks of all ages and morbidity profiles have been forced to shelter in place and maintain social distance, telehealth providers have quickly ramped up capacity to accommodate a remarkable surge in volume. Other regulatory catalysts, particularly in the Medicare Advantage program, have further served to elevate the visibility and importance of telehealth in the overall health care delivery system. Starting in 2020, Medicare Advantage plans can offer any clinically appropriate physician services through telehealth as part of the standard Medicare benefit. Network adequacy standards can also be met via telehealth providers within certain programs. This presentation will cover the basics of what constitutes telehealth, provide illustrations of current telehealth technology. We will cover the what, the why, and the where (anywhere) of telehealth in 2020 and beyond.

Agenda and Speakers

Moderator(s): Tim Murray, FSA, MAAA

Presenter(s): Terry Beck, VP, Teledoc Health; Tim Murray, FSA, MAAA; Jean Glossa, MD, MBA, FACP

Tim Murray, FSA, MAAA (Moderator)

Tim Murray, FSA, MAAA, is a Director & Senior Consulting Actuary out of the New York office of Wakely. He joined the firm in 2017 and has worked as a health actuary for more than 16 years. Over the course of his career, Tim has consulted to and served health plans on matters of pricing strategy, product design, forecasting, financial reporting, and Merger and Acquisition due diligence. Prior to joining Wakely, Tim spent 4.5 years leading the actuarial forecasting and budgeting functions of a Medicare Advantage-focused health plan, encompassing a wide array of traditional and less traditional project work. Tim also spent 2 years in an equity research role covering publicly-traded managed care and health care facility stocks, providing investment/industry guidance to institutional investors.

Terry Beck

VP, Teledoc Health

Terry brings 30 years of leadership, business development and marketing experience to Teladoc. With a broad background in healthcare software and services, Terry has focused his career on bringing enterprise solutions to address a wide range of healthcare payer challenges, including member engagement, pharmacy utilization and delivery, care management and claims & administration. As VP of Health Plan Sales, Terry is focused on implementing integrated virtual care strategies, enabling health plans to meet their quality, access and ROI objectives. Terry has served previously as President & CEO of QuiqMeds, EVP of Client Solutions at Audax Health Systems, SVP of Sales & Marketing for HealthEdge, and VP of Sales at MEDecision. He holds a B.A. from the University of Waterloo, in Waterloo, Canada, and is a published author.

Jean Glossa, MD, MBA, FACP

Jean S. Glossa MD, MBA, FACP Managing Principal for Clinical Services Dr. Glossa is an experienced physician and business leader focused on improving access to quality health care for underserved and low-income populations. She has a broad background of experience in a variety of settings in publicly financed healthcare across the safety net, public health departments, migrant clinics, Medicaid managed care companies, as well as graduate medical education and private practice. While at HMA, Dr. Glossa has been engaged in projects across the firm focused on delivery system and payment reform, implementation of technology-based solutions, primary care and behavioral health integration, responses to the opioid epidemic and care management best practices. Currently, Dr. Glossa is providing technical assistance for projects focused on the shift to virtual care as part of the response to the COVD pandemic. Projects include telehealth readiness assessment, evaluation, implementation and expansion. Prior to joining HMA, Dr. Glossa was the Medical Director for the Community Health Care Network clinics in Fairfax Virginia, under contract with Molina Health Care, which provided comprehensive health care for the uninsured. Additionally, she worked at the Molina corporate level on business development opportunities. She led the Molina Telehealth Strategy Group to support the assessment and implementation of telehealth solutions in the state health plans. She continues to use her managed care experience while at HMA contributing to projects on Medicaid procurements, digital health strategy, and care management. Dr. Glossa’s expertise is hands on and operational, as well as strategic and programmatic. Her business leadership and experience has been augmented by furthering her education with an executive MBA with a concentration in Health Care from Auburn University. Dr. Glossa has current board certification with the American Board of Internal Medicine and she is an NCCHC Certified Correctional Health Care Professional.

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