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Senator pushes telehealth pilot incentives

By Diana Manos

Sen. John Thune (R-S.D.) has re-introduced the Fostering Independence Through Technology (FITT) Act, which would expand the use of telehealth technology under Medicare in rural and other underserved communities across the nation.

Thune said his budget-neutral legislation would enable home health agencies participating in the pilot program to receive annual incentive payments based on a percentage of the Medicare savings achieved as a result of telehealth services.

The bill was first introduced in 2009, but never made it out of committee consideration.

According to Thune, the bipartisan FITT Act of 2011, re-introduced March 8, would create a pilot program to provide incentives for home health agencies across the country to use home monitoring and communication technologies. These technologies would give seniors and other Medicare beneficiaries greater access to the care they need while enabling them to stay in their homes.

"Access to high-quality healthcare in rural areas can be costly and limited," Thune said in a statement released March 8. "Telehealth technology stands to bridge the distance gap between patients and specialized healthcare providers through new and innovative measures and can bring down the cost of health care in rural communities. Additionally, non-invasive telehealth technology like remote monitoring gives seniors the ability to stay in their homes longer, giving their loved ones peace of mind."

Sen. Amy Klobuchar (D-Minn.), lead co-sponsor of the bill, said telehealth technology helps ensure that people in rural communities have access to high-quality affordable healthcare.

"This is one of many ways that we can increase the efficiency of healthcare and reduce the increasing costs of health care for our families," she said.

[See also: USDA awards 44 rural healthcare organizations with telemedicine grants.]

Thune's bipartisan bill has the support of several prominent telehealth and home health advocates in South Dakota and throughout the country.

"Innovative technologies such as telehealth enhance long-term care services, give seniors more options and can reduce healthcare costs for consumers and government entities," said David J. Horazdovsky, president and chief executive officer for The Evangelical Lutheran Good Samaritan Society, the nation's largest not-for-profit provider of senior care and services."In rural areas in particular, the bill offers the ability to dramatically change the way seniors receive healthcare by making greater use of telehealth services and remote monitoring tools."

Horazdovsky said the use of these technologies will enable seniors to live as long as possible in their own homes, where they are most comfortable.

The National Association for Home Care and Hospice and its affiliated Home Care Technology Association of America said the associations support the legislation, according to Val J. Halamandaris, president of the NAHC.

Rich Brennan, executive director of the HCTAA, said the home care and hospice community of providers envisions a future where the widespread use of remote monitoring technologies enables greater access to healthcare professionals in rural and underserved urban areas.

"The FITT Act is a great initial step to ensure that these highly sophisticated health monitoring devices which capture vital clinical information are in use in homes across the country," he said.

The bill has been referred to the Senate Finance Committee for consideration.

[See also: Studies: Health IT has big impact on rural and minority communities.]