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Telemedicine plays important role in providing access to care for Medi-Cal members

Published on July 13, 2010 at 2:16 AM · No Comments

According to US Department of Health and Human Services, compared with urban Americans, rural residents have higher poverty rates, have fewer doctors, hospitals, and other health resources, and face more difficulty getting to health services. Beginning 2014, when health care reform becomes effective, an estimated 2.4 million Californians will be newly-eligible for Medi-Cal. However, many families who reside in rural areas and depend on state funded programs may still feel left out of the health care system. That's where telemedicine can play an important role.  

For more than 12 years, Anthem Blue Cross has focused on providing access to care for Medi-Cal members through the use of telemedicine – a technology that allows urban specialists the ability to consult with rural patients via computers, cameras, and encryption software remotely. And today, with improved technology and more telemedicine sites readily available in Anthem's network, residents in rural areas can get the benefit of a virtual consultation, without traveling a long distance or waiting for months to be seen in-person.  

"We've long understood the needs of providing our Medi-Cal members in rural areas with access to care," said Kevin Hayden, president of Anthem Blue Cross' State Sponsored Business. "We know our members in these areas need access to specialty care and sometimes driving a long distance or taking time off from work just isn't a viable option." For more than a decade, Anthem has invested in building its telemedicine program and collaborating with specialists and leading medical centers to help bring state of the art medicine to their members with great results.

Another example of the success of telemedicine, are the benefits the program has offered through Anthem's PPO plans with CalPERS.  It has allowed many rural State and local public agency employees to access specialist health care in underserved communities. CalPERS was the first commercial payer that boldly changed its Anthem benefit plan payment structure to assure their members have access to these remote specialists for their health care needs.

Today, Anthem's program boasts more than 65 presentation sites and 15 specialty centers that include medical centers such as Loma Linda University Health Care and the University of California San Francisco. This collaboration has resulted in more than 25,000 clinical consults with members for cardiology, endocrinology, dermatology and neurology medical needs. In the past two years the program has grown to include 31 specialists who elect to participate in the network of physicians--offering members greater access to highly specialized medicine.

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