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Marbury_Telehealth

Marbury_Telehealth

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Published by Donna Marbury

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Published by: Donna Marbury on Dec 17, 2012
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12/17/2012

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Story URL: http://news.medill.northwestern.edu/chicago/news.aspx?id=209633Story Retrieval Date: 11/5/2012 9:17:40 PM CST
Donna Marbury/MEDILLOkCopay.com is a Chicago-based website that allows users to bargain shop for medical procedures.
Telehealth: Health care is only a website away
by 
DONNA M. MARBURY
Oct 25, 2012 
On the website Vitals.com, people can read and write reviews about 870,000 doctors andthousands of insurance plans. They can also submit symptoms and then search for the type of doctor whocan treat them. Visitors get feedback from others who have had surgeries and other procedures to comparerest times and side effects. The site started almost five years ago and has more than 11 million visitors amonth.“There are certain places in life where you have to go from a novice to an expert really fast, and the world ofmedicine is like that. There are not many tour guides,” says Mitch Rothschild, CEO of Vitals.com. He saysmore people are getting suggestions about doctors, procedures and the costs of insurance online, adding tothe “Yelpification” of the health-care industry. “You can go online and know if a restaurant is good or if ahotel is good. But why not a doctor?”More people are using websites like Vitals.com to help them with health-care decisions. The buzzword forthis emerging online business is called telehealth or telemedicine. The industry includes web services thatprovide reviews and pricing information as well as connect patients with doctors. It also assists larger,established health-care providers communicate with their patients digitally. For example, a service calledRelayHealth allows patients to directly email their doctors with questions, request appointments or getprescription refills.For consumers, having healthcare information at their fingertips is often more convenient and engaging thanwaiting to hear from a doctor. According to a 2012 study by the New York-based consulting firm MakovskyHealth and Kelton, 90 percent of adults use personal computers to research health information online. Mostpoint to WebMD and Wikipedia as trusted sources for medical information. “Whether they want guidance foran informed conversation with their doctor or the support of a larger community coping with the sameillness, consumers seek trusted sources for health information,” said Gil Bashe, executive vice president ofMakovsky Health.
Telehealth: Health care is only a website awayhttp://news.medill.northwestern.edu/chicago/news.aspx?id=209...1 of 311/5/12 9:18 PM
 
A growing number of Illinois residents who go without or can't afford health insurance use telehealth tobargain shop. In July, Illinois implemented Medicaid changes that increased copayments, limitedprescriptions and payments to pharmacies while decreasing services such as preventative dentalscreenings for adults.In September, the unemployment rate in Illinois swelled to 8.8 percent, a percentage point higher than thenational rate, according to the Bureau of Labor Statistics. Nearly 17 percent of Illinois
ʼ
s workforce isclassified as underemployed--people who have low-paying hourly jobs with no insurance or have stoppedlooking for work. For these people, comparing prices for out-of-pocket health-care services online is often anecessity.Touré McCluskey is the founder of OkCopay.com, a website that prices medical services in Chicago andMilwaukee. He says the site attracts 25 to 35-year olds who are unemployed, have jobs that have gaps ininsurance or have no insurance at all. “In downtown Chicago someone could go to a hospital that willcharge them $2,300 for a MRI or could walk down the street and pay $350 for the same test,” saidMcCluskey. He worked in pricing, strategy and marketing at Eli Lilly Co. before launching OkCopay lastyear.Consumers also can search through cosmetic and dental surgeons, dermatologists and urgent care centersusing search tools on McCluskey
ʼ
s site and compare prices on services based on ZIP codes. He plans toexpand OkCopay.com throughout the Midwest. “Twenty years ago consumer products in health care weren
ʼ
tneeded. But now there is a lot more information for people to sift through,” said McCluskey. “The consumerempowerment trend is a lot more prevalent in health care because the financial risks to the consumer aregreater.”Telehealth is not without its drawbacks. There
ʼ
s a lack of common standards and concerns about security,privacy and medical liability. Government agencies, which account for 60 percent of health care spending,also have been slow to reimburse patients for many telehealth services. For example, Medicaid andMedicare will only cover technologies and procedures that are “reasonable and necessary,” and usuallyrequire face-to-face doctor appointments.“Payment has always been a struggle when it comes to telemedicine,” says Ben Forstag, spokesman for theAmerican Telemedicine Association in Washington D.C., which has 5,000 members. He says many elderlypatients or those who live farther from specialists often use the web to meet with doctors via Skype or otheronline videoconferencing services. “Medicare is often reluctant, but other government organizations arebeing more open. Private insurers see the advantages of expanding to include telemedicine because itbroadens their customer base,” Forstag said.A 2009 study by the U.S. Department of Commerce noted that if the telehealth industry could overcomethese barriers, it could balloon to $1.8 billion by 2013, growing 56 percent per year after that. “Telemedicineused to be a lot of smaller companies but much of the growth is due to international players like Siemensand Bayer and that makes it a win-win for providers and customers,” says Forstag. For example,health-care giant Bayer offers videoconferencing to doctors that can monitor vital signs, scheduling andother at-home care for patients.Jason Gorevic, CEO of Teladoc.com, says that telehealth websites are a solution for a shortage of primarycare physicians across the U.S. “There are downstream effects of a massive primary care physicianshortage and our website gives people high-speed access and alleviate cost pressures,” he said.For $38, people can log on to Teledoc.com at anytime and make an appointment with a doctor in their statewho will contact them within the half hour. Consultations take place via video conferencing or phone fornon-emergency medical issues including colds and flu, allergies, pink eye and ear infections. If needed,doctors can prescribe medicines. Gorevic sees the website as a cyber urgent care center. “A youngerpatient may be more apt to use our video conference features, but older patients still suffer from a lot ofthese relatively minor conditions where people end up going to the emergency room,” he said.Teledoc.com started in 2002 and now has 4 million members nationwide. Many of the doctors are licensedin multiple states and Gorevic says the website follows hospital-required security and privacy laws. The
Telehealth: Health care is only a website awayhttp://news.medill.northwestern.edu/chicago/news.aspx?id=209...2 of 311/5/12 9:18 PM

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