Considering the new age house call, telemedicine appears to be a natural fit for providers who stand behind convenient care. Surprisingly, house-call doctors had one of the lowest rates of adoption amongst the provider types surveyed.
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When questioned about why they would not adopt telemedicine technology, the most common answer was “I don’t find video visits as capable of doing everything I need for my patients during a visit”. While some cases did require special attention, over 80% of house call providers said that homebound elderly patients receiving routine maintenance would benefit from telemedicine technology.
There appears to be a likely disconnect between the limitations of telemedicine and the services patients in this segment are in need of during a visit.
Reimbursement is often indicated as a major barrier to telemedicine implementation. With this in mind, we wanted to study how concierge, or capitation and cash based practices are utilizing telehealth.
Rates of interest in telemedicine utilization did not fall outside the expected range in comparison to all other practice types. Many concierge practices indicated small patient bases who expected a high level of quality in their care as the biggest barrier to engaging in telehealth.
More than 50% of the practices that we interviewed identified that few of their patients would benefit from virtual care, and utilization among practices engaging in telehealth was extremely rare.
The perception of reduced quality of care, as a result of video visits, seems to be a common misconception amongst practice types who choose to operate outside the conventional practice style of high-visit volumes with insurance reimbursement.