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A32    FEATURE
                Thursday 7 February 2019

            Telemedicine’s challenge: Getting patients to click the app



            By TOM MURPHY                                                                                                       Doctors  have  used  tele-
            Associated Press                                                                                                    medicine for years to moni-
            Walmart  workers  can  now                                                                                          tor patients or reach those
            see  a  doctor  for  only  $4.                                                                                      in remote locations.
            The  catch?  It  has  to  be  a                                                                                     Now  more  employers  are
            virtual visit.                                                                                                      encouraging  people  cov-
            The  retail  giant  recently                                                                                        ered  under  their  health
            rolled  back  the  $40  price                                                                                       plans to seek care virtually
            on  telemedicine,  becom-                                                                                           for several reasons.
            ing the latest big company                                                                                          Telemedicine  can  reduce
            to  nudge  employees  to-                                                                                           time  spent  away  from  the
            ward  a  high-tech  way  to                                                                                         job,  and  it  also  can  cost
            get diagnosed and treated                                                                                           half  the  price  of  a  doc-
            remotely.                                                                                                           tor’s  visit,  which  might  top
            But  patients  have  been                                                                                           $100  for  someone  with  a
            slow  to  embrace  virtual                                                                                          high-deductible plan. How-
            care. Eighty percent of mid-                                                                                        ever, those savings can be
            size and large U.S. compa-                                                                                          negated  if  telemedicine’s
            nies  offered  telemedicine                                                                                         convenience  causes  peo-
            services to their workers last                                                                                      ple to overuse it.
            year,  up  from  18  percent                                                                                        Walmart said it cut the cost
            in  2014,  according  to  the                                                                                       for  virtual  visits  to  give  an-
            consultant  Mercer.  Only  8                                                                                        other  care  option  to  the
            percent of eligible employ-  In this Jan. 14, 2019 photo, Caitlin Powers sits in the living room of her Brooklyn apartment in New   more than one million peo-
            ees  used  telemedicine  at   York, and has a telemedicine video conference with physician, Dr. Deborah Mulligan.   ple  covered  by  its  health
            least once in 2017, most re-                                                                       Associated Press  benefits.
            cent figures show.           an in-person visit.          mall. “I don’t buy anything  an antibiotic.               Employers  aren’t  the  only
            “There’s an awful lot of ef-  “Going  to  the  doctor’s  of-  online either.”          Caitlin  Powers  tried  tele-  ones  pushing  the  technol-
            fort  right  now  focused  on  fice  is  a  big  event  in  their  But the practice does gain  medicine  recently  after  ogy.The  drugstore  chains
            educating  the  consumer  life  and  something  they  fans once patients try it.       hearing about it through a  CVS Health and Walgreens
            that there’s a better way,”  look forward to,” said Geof-  Julie Guerrero-Goetsch has  friend.  The  Columbia  Uni-  are promoting apps that let
            said Jason Gorevic, CEO of  frey  Boyce,  CEO  of  InSight  opened  her  MDLive  tele-  versity  graduate  student  customers connect to doc-
            telemedicine provider Tela-  Telepsychiatry,  which  pro-  medicine app several times  was  feeling  stuffed  up  tors.
            doc Health.                  vides  virtual  mental  health  since  first  using  it  about  a  and  worried  she  might  be  Some  insurers  like  Oscar
            Widespread     smartphone  services.                      year ago to get help for a  coming  down  with  the  flu.  Health  are  offering  it  for
            use, looser regulations and  Tom  Hill  is  among  that  sinus infection.              She  said  her  appointment  free to customers as a first
            employer  enthusiasm  are  crowd.      The   66-year-old  The  Fallon,  Nevada,  resi-  started  on  time,  lasted  10  line of treatment.
            helping  to  expand  access  from  Mooresville,  Indiana,  dent was skeptical, but she  minutes, and she spoke by  Boyce said people also like
            to telemedicine, where pa-   said  he’s  never  used  tele-  didn’t  have  time  to  go  in  video with a doctor in Flori-  the  anonymity  of  a  virtual
            tients interact with doctors  medicine and has no plans  person. MDLive connected  da while never leaving her  visit.
            and  nurses  from  afar,  of-  to.                        her to a doctor soon after  Brooklyn apartment.           Mental  health  visits  were
            ten through a secure video  “I  believe  in  a  handshake  she  opened  the  app.  She  “As a student, I don’t really  the  most  common  use  of
            connection. Supporters say  and  looking  a  guy  in  the  said he started asking ques-  have  time  to  spend  three  telemedicine  by  patients
            virtual  visits  make  it  easier  eye,”  said  Hill  during  a  re-  tions about symptoms “just  hours waiting to see a doc-  until primary care overtook
            for patients to see a thera-  cent  shopping  break  at  as if I was sitting in a doc-  tor,  and  this  was  so  easy,”  that  specialty  a  few  years
            pist or quickly find help for  a  downtown  Indianapolis  tor’s office” and prescribed  she said.                   ago,  Harvard’s  Dr.  Ateev
            ailments  that  aren’t  emer-                                                                                       Mehrotra  and  other  re-
            gencies.  But  many  still  fall                                                                                    searchers found in a recent
            back to going to the doc-                                                                                           study  of  claims  data  from
            tor’s  office  when  they’re                                                                                        a  large  insurer.  Research
            sick.                                                                                                               firm  IHS  Markit  estimates
            Health  care  experts  have                                                                                         that  telemedicine  visits  in
            long  said  that  changing                                                                                          the U.S. will soar from 23 mil-
            behavior  can  be  hard.  In                                                                                        lion in 2017 to 105 million by
            telemedicine’s  case,  pa-                                                                                          2022.  But  even  then,  they
            tients  might  learn  about  it                                                                                     will  probably  amount  to
            from  their  employer  and                                                                                          only about one out of every
            then forget about it by the                                                                                         10  doctor  visits,  said  senior
            time they need care a few                                                                                           analyst Roeen Roashan.
            months later. Plus emotions                                                                                         MDLive  CEO  Rich  Berner
            can  complicate  health                                                                                             said  telemedicine  is  like
            care  decisions,  said  Mer-                                                                                        the  digital  video  recorder
            cer’s Beth Umland.                                                                                                  TiVo,  which  took  a  while
            “My  little  kid  is  sick,  I  want                                                                                to  catch  on  with  viewers.
            them  to  have  the  best  of                                                                                       “People  were  so  used  to
            care  right  away,  and  for                                                                                        doing things the other way
            some  people  that  might                                                                                           that it just took a little while
            not  register  as  a  telemedi-                                                                                     to  kind  of  really  go  main-
            cine call,” she said.                                                                                               stream,” he said. “But when
            Some  patients,  especially   In this Jan. 14, 2019 photo, Caitlin Powers sits in the living room of her Brooklyn apartment in New   it  did,  it  went  mainstream
            older  ones,  also  just  prefer   York, and has a telemedicine video conference with physician, Dr. Deborah Mulligan.   big-time.”q
                                                                                                               Associated Press
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