already done similar projects in other states. Nesbitt shared that one challenge is that the different state-based stakeholders may have different missions, and that it may be difficult to get them together to enable legislation.

The Increased Costs of Telehealth

Stensland questioned whether telehealth could lead to increased costs, such as the replacement of a request by phone for a prescription refill with a billable consultation. Both Stensland and Oza suggested that telehealth might be better paid for as part of a per member per month payment, but Oza noted that physicians are skeptical about whether telehealth will increase or decrease their incomes. Oza added that is why they are starting with the PCMH, and using telehealth to increase capacity. Oza argued that if the incentives are aligned properly, telehealth can help physicians keep patients out of the ED.

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