Page 4 Telehealth and Remote Patient Monitoring RPM for Long Termand Post Acute Care A Primer and Provider Selection Guide 2013

3.2.2 Health and Wellness Monitoring Technologies .......................................................................9

3.2.3 Scope and Focus ..........................................................................................................................9

4 Potential Uses of Telehealth and RPM .......................................................................................................10

4.1 Patient Education and Self-Management .........................................................................................10

4.2 Pre- and Post-Acute Management of Chronic Conditions ............................................................10

4.3 Post-Acute Patient Stabilization .........................................................................................................11

4.4 Long-Distance Routine Check-Ups/Treatment ...............................................................................11

4.5 Specific Teleconsult ..............................................................................................................................11

5 Benefits of Telehealth and RPM .................................................................................................................12

5.1 Health Outcomes/Improved Management .......................................................................................12

5.2 Reduction in Hospitalizations and Hospital Readmissions ...........................................................12

5.3 Patient Self-Efficacy, Quality of Life and Satisfaction .....................................................................13

5.4 Physician Engagement Key to Success ..............................................................................................14

5.5 Caregivers’ Workload and Efficiencies ..............................................................................................15

5.6 Reduced Risk and Liability .................................................................................................................15

6 Potential LTPAC Provider Business Models ..............................................................................................16

6.1 Medicare Coverage ..............................................................................................................................16

6.1.1 Medicare Reimbursement of Home Telehealth .....................................................................16

6.2 Medicaid Coverage ..............................................................................................................................17

6.3 Private Health Insurance Coverage ...................................................................................................18

6.4 Medicaid Waiver Coverage .................................................................................................................19

6.5 Potential Affordable Care Act (ACA) Related Opportunities ........................................................19

6.6 Private Pay.............................................................................................................................................20

6.7 Standard of Care and Other Payment Sources .................................................................................20