HIV Specialist - March 2021 - 17

Key Challenges Accompany the
Implementation of Telehealth

Although providers and patients found a way
to make telehealth work in an unprecedented
public health crisis, it does not mean that
either party wants to use these same responses over the long term. We can wear masks,
practice social distancing, and avoid indoor
dining, but few of us would choose to keep up
all of these practices once there is a critical
mass of vaccination in our communities and
COVID-19 cases have declined substantially.
This raises questions about what are the
most pressing issues that must be addressed
to move telehealth from a necessary emergency response to a long-term component of
HIV care delivery models that improve engagement in care and satisfaction with care
for both patients and providers. Following are
three pressing issues to consider:

Navigating overlapping and competing regulation of telehealth:
Telehealth is regulated both at the federal and state levels, and
different programs such as Medicare, Medicaid, self-insured health
plans (sometimes called ERISA plans) and fully insured health plans
are subject to different requirements. In response to COVID-19, there
was relaxed enforcement of several restrictions in order to facilitate an increased use of telehealth. For example, the Department
of Health and Human Services (HHS) waived enforcement of the
Health Insurance Portability and Accountability Act (HIPAA) to allow commonly used communications platforms like Zoom and Skype
to be used for telemedicine visits even if they are not fully HIPAA
compliant, and states relaxed restrictions on provider licensing,
online prescribing and written consent.6 Many of these modifications, however, will expire when the public health emergency ends.
Resolving issues such as how to prevent inappropriate disclosure of
protected health information likely requires different responses for
the long term than simply not enforcing HIPAA. Further, untangling
overlapping regulations at the state and federal levels is complex and
time-consuming and will require broad stakeholder engagement and
significant policy dialogue.

WWW.AAHIVM.ORG

HIVSPECIALIST

MARCH 2021

17


http://WWW.AAHIVM.ORG

HIV Specialist - March 2021

Table of Contents for the Digital Edition of HIV Specialist - March 2021

HIV Specialist - March 2021 - Cover1
HIV Specialist - March 2021 - Cover2
HIV Specialist - March 2021 - 1
HIV Specialist - March 2021 - 2
HIV Specialist - March 2021 - 3
HIV Specialist - March 2021 - 4
HIV Specialist - March 2021 - 5
HIV Specialist - March 2021 - 6
HIV Specialist - March 2021 - 7
HIV Specialist - March 2021 - 8
HIV Specialist - March 2021 - 9
HIV Specialist - March 2021 - 10
HIV Specialist - March 2021 - 11
HIV Specialist - March 2021 - 12
HIV Specialist - March 2021 - 13
HIV Specialist - March 2021 - 14
HIV Specialist - March 2021 - 15
HIV Specialist - March 2021 - 16
HIV Specialist - March 2021 - 17
HIV Specialist - March 2021 - 18
HIV Specialist - March 2021 - 19
HIV Specialist - March 2021 - 20
HIV Specialist - March 2021 - 21
HIV Specialist - March 2021 - 22
HIV Specialist - March 2021 - 23
HIV Specialist - March 2021 - 24
HIV Specialist - March 2021 - 25
HIV Specialist - March 2021 - 26
HIV Specialist - March 2021 - 27
HIV Specialist - March 2021 - 28
HIV Specialist - March 2021 - 29
HIV Specialist - March 2021 - 30
HIV Specialist - March 2021 - 31
HIV Specialist - March 2021 - 32
HIV Specialist - March 2021 - 33
HIV Specialist - March 2021 - 34
HIV Specialist - March 2021 - 35
HIV Specialist - March 2021 - 36
HIV Specialist - March 2021 - 37
HIV Specialist - March 2021 - 38
HIV Specialist - March 2021 - 39
HIV Specialist - March 2021 - 40
HIV Specialist - March 2021 - 41
HIV Specialist - March 2021 - 42
HIV Specialist - March 2021 - 43
HIV Specialist - March 2021 - 44
HIV Specialist - March 2021 - 45
HIV Specialist - March 2021 - 46
HIV Specialist - March 2021 - 47
HIV Specialist - March 2021 - 48
HIV Specialist - March 2021 - 49
HIV Specialist - March 2021 - 50
HIV Specialist - March 2021 - 51
HIV Specialist - March 2021 - 52
HIV Specialist - March 2021 - Cover3
HIV Specialist - March 2021 - Cover4
https://www.nxtbook.com/ygsreprints/AAHIVM/hiv-specialist-march-2021
https://www.nxtbook.com/ygsreprints/AAHIVM/G121337_AAHIV_122020
https://www.nxtbook.com/ygsreprints/AAHIVM/G119632_AAHIV_092020
https://www.nxtbook.com/ygsreprints/AAHIVM/G118334_AAHIV_062020
https://www.nxtbook.com/ygsreprints/AAHIVM/G116663_AAHIVM_032020
https://www.nxtbookmedia.com