 |
 |
2004
- 2005 Telehealth Grantee Directory
|
| |
OAT
grantee organizations were asked to identify major
sources of reimbursement for their projects available
in their respective states.
Their responses are indicated in this section.
ST |
Organzations |
Medicare |
Medicaid |
Private
Payor |
Other
Contract |
Other
Source
|
|
AK |
Alaska
Native Tribal Health Consortium |
x |
x |
Blue Cross/Blue Shield |
|
|
|
AL |
University
of South Alabama |
|
x |
|
Contract
with Alabama Department of Public Health for
HIV Consults |
Reimbursements
for Videoconferencing |
|
AR |
University
of Arkansas for
Medical Sciences |
x |
x |
Qualchoice,
Blue Cross, United Health, Health Advantage |
|
|
|
AZ |
Arizona
Board of Regents, University of Arizona |
x |
x |
|
Tobacco
Tax Funding Indian Health Services |
|
Banner
Health System |
|
|
|
|
Initial
support from Banner Foundation; now funded from
Banner facility |
|
Maricopa
County |
|
|
|
|
Maricopa
County Detention Fund |
|
CA |
Children's
Hospital – Los
Angeles |
x |
x |
Blue
Cross |
HMO
individually negotiated |
Philanthropy,
Whittier
Foundation |
|
Northern
California Telemedicine Network
|
x |
x |
Blue
Cross |
|
|
|
DC |
Foundation
For eHealth Initiative |
|
|
|
|
|
|
Taconic
Health Information Network & Community
|
N/A |
N/A |
MVP
Health Care |
N/A |
N/A |
|
Wisconsin
Health Information Exchange-- CCBH
|
|
|
(future)
insurance plans per member/per month fee |
CDC
and HRSA Bioterrorism Cooperative Agreements;
DOJ Urban grant |
In
kind by members |
|
Colorado Health Information Exchange (COHIE)
|
|
|
|
AHRQ
Contract; FeHI Contract (HRSA) |
|
|
SBCCDE,
Inc.
|
|
|
California
Health Care Foundation (CHCF) [Public/foundation
funding] |
Foundation
for eHealth Initiative (FEHI) via HRSA |
|
|
Massachusetts Health Data Consortium
|
x |
x |
All
Massachusetts-based health plans provide funding
(BCBSMA, Harvard Pilgrim Health Care, Tufts
Health Plan, Health New England, Fallon Community
Health Plan, Neighborhood Health Plan). |
CMS
pays membership dues; Medicaid pays membership
dues |
Partners
Healthcare System and MA Medical Society |
|
FL |
BayCare
Health Systems |
x |
x |
Aetna
Blue
Cross
Humana
Unicare
Cigna |
|
|
|
University of Florida College of Dentistry (UFCD)
|
x |
x |
|
|
Service
Contracts |
|
GA |
Ware
County Health Department |
x |
x |
Blue
Cross/Blue Shield of Georgia, Aetna Life, Children's
Medical Services, State Merit, TriCare Southeast,
CIGNA, Mail Handlers, Metral Health, The Principal
Ins. Group, Mass Mutual, Champus, John Hanckock
Ins., State Health Plan |
|
|
Sources
of
Reimbursement
(cont.)
| ST |
Organzations |
Medicare |
Medicaid |
Private
Payor |
Other
Contract |
Other
Source
|
|
HI |
Hawaii
Primary Care Association |
x |
x |
Blue
Cross-HMSA, AlohaCare, Quest |
|
|
|
Molokai
General Hospital |
x |
x |
Hawaii
Medical Service Association, MDX-Hawaii, Hawaii Management
Alliance
Association, University Healthcare |
|
|
|
IA |
Iowa
Chronic Care Consortium |
|
x |
Wellmark
(Blue Cross/Blue Shield) |
Iowa
General Assembly |
Mercy
Health Network, Iowa
Health System, Des
Moines University |
|
Mercy
Foundation |
x |
x |
Handled
by third party |
|
|
|
ID |
Idaho
State University |
|
x |
|
|
|
|
North
Idaho Rural Health Consortium (NIRHC)
|
|
x |
|
Schools |
|
|
IL |
Fermi
National Laboratory/ Northern
Illinois University
|
|
x |
Blue,
IL; Humana; Signa; Aetna |
|
HRSA |
|
Memorial
Health System
|
N/A |
N/A |
N/A |
N/A |
Physician
Association |
|
OSF
Saint James-John W.
Albrecht Medical Center
|
x |
x |
OSF
Health Plans |
|
|
|
Southern
Illinois
University
School of Medicine
|
x |
x |
Multiple
private insurers |
Veteran's
Hospital, Mental Health
Hospital |
Children's
Miracle Network |
|
IN |
James
Whitcomb Riley Hospital for Children
Clarian Health Partners
|
|
|
Anthem |
|
In
kind initially with reimbursement. |
|
KS |
University
of Kansas Medical
Center
|
x |
x |
Blue
Cross |
|
|
|
KY |
University
of Kentucky
Research Foundation Kentucky TeleCare
|
x |
x |
Atena,
Anthem Blue Cross Blue Shield, Beechstreet PPO,
UKHMO, CHA Health, Bluegrass Health Network,
C&O Employee’s Hospital Association CCN
PPO, CHAMPVA/Tricare, Cigna, Cooperative Care
Bluegrass Care Alliance, Community Health Partnership,
Cumberland Health Care, Inc., Direct Care America,
Harrod Community Health Plan, Hospice of the
Bluegrass, Humana, National Provider Network
PPO, One Health Plan, PPO Next/Healthstar/PHN,
United Healthcare |
Federal
Prison, State Public Health Dept. for TB Clinic
Consultation |
Medicare/Medicaid
reimbursement only for certain CPT codes
All
private payor/commercial insurance companies
are mandated by State of KY to reimburse for telehealth consultations
in same manner as face–to-face consultations |
|
Kentucky
TeleCare St.
Claire Regional Medical Center |
x |
x |
All
private payor/ commercial insurance companies
are mandated by State of KY to reimburse for telehealth consultations
in same manner as face-to-face consultations. |
|
Medicare/Medicaid
reimbursement only for certain CPT codes |
|
Kentucky
TeleCare Lewis County Primary Care Clinic
|
x |
x |
All
private payor/ commercial insurance companies
are mandated by State of KY to reimburse for telehealth consultations
in same manner as face-to-face consultations. |
|
Medicare/Medicaid
reimbursement only for certain CPT codes |
Sources
of
Reimbursement
(cont.)
| ST |
Organzations |
Medicare |
Medicaid |
Private
Payor |
Other
Contract |
Other
Source
|
|
LA |
Lake
Charles Memorial Hospital |
|
x |
|
|
|
|
Woman’s
Hospital |
x |
x |
Aetna,
American Lifecare, Blue Cross/Blue Shield of
Louisiana, ChoiceCare Network, CIGNA, Community
Care Network, Coventry HealthCare, First Heath
Network, Humana, Multiplan, PPO Plus, Private
Healthcare Systems, United Healthcare of Louisiana |
|
Tricare
Prime, Tristan |
|
MA |
Baystate Medical Center,
Inc.
|
x |
x |
|
|
|
|
UMass
Memorial Medical Center, Inc.
|
|
|
|
|
|
|
ME |
Regional Medical Center
–
Lubec |
x |
x |
Anthem
(specific projects) Cigna, Guardian |
Correctional
Facilities |
Office
for the Advancement of Telemedicine Funding |
|
MI |
Hillsdale
Community Health Center |
x |
x |
Blue
Cross |
|
|
|
Marquette
General Health
System |
x |
|
Blue
Cross, Upper Peninsula
Health Plan |
Behavioral
Health Contract |
|
|
Western
Michigan University |
x |
x |
|
|
Private
Pay |
|
MN |
Fairview Health Services |
x |
x |
Blue
Cross, CIGNA, Health Partners, PreferredOne,
MassHealth, MHP, Ucare United Healthcare, Wausau |
|
|
|
Fairview Lakes Regional
Medical Center |
x |
x |
Blue
Cross of Minnesota, Self Pay, Other Commercial
Insurers (minor) |
Chisago
County Prison, State of MN Prison |
|
|
Fairview Ridges Hospital |
x |
x |
Blue
Cross of Minnesota,
Medicare, PreferredOne. |
|
|
|
University of Minnesota |
x |
x |
Blue
Cross/Blue Shield of MN, Preferred One,
Health
Partners,
Workers
Compensation,
Medica,
Circle of Health, Ucare Minnesota |
|
|
|
MO |
The
Curators of the University of Missouri |
x |
|
Am.
Family, Bankers Life, Blue Shield Alliance,
Cigna, Gencare, General American, Health Data
Svcs. Claim, Healthlink, Healthnet, John Deer
Health Care, Missouri Care MC+, Metropolitan,
Mercy Health Plan, Preferred Health Plan, Prudential,
United Health Care, Ethix PPO, Time Insurance
Co., Cooperative Benefit, First Health, Healthsmart
Preferred, Humana, National Telephone, NRECA,
Proamerica, Waldsworth Publishing |
Fort
Leonard Wood, Clark Mental
Health Ctr. |
|
|
MT |
Benefis
Healthcare Foundation
|
x |
x |
Blue
Cross/Blue Shield, MT |
|
|
|
Deaconess
Billings Clinic
Foundation
|
x |
x |
Blue
Cross/Blue Shield of Montana,
EBMS, New West Health Services |
|
|
|
Rocky
Mountain Technology
Foundation |
x |
x |
|
|
|
|
St.
Vincent Healthcare
Foundation |
x |
x |
Blue
Cross/Blue Shield of Montana/EBMS/
Intermountain |
|
|
|
University
of Montana – Missoula |
|
|
Blue
Cross/Blue Shield of Montana |
|
Patient
pay, donations from drug companies & patients |
Sources
of Reimbursement (cont.)
| ST |
Organzations |
Medicare |
Medicaid |
Private
Payor |
Other
Contract |
Other
Source |
|
NC |
East Carolina University
|
x |
x |
Blue
Cross/Blue Shield, HealthSouth, Cigna, etc. |
State
Agencies School for Deaf, Home for Med Retarded,
Mental Hospital, Fed Prison |
University
Health Systems of Eastern
North Carolina |
|
ND |
Minot State University
|
|
|
|
Enable,
H.I.T., Hav-it, ECT |
NDCPD |
|
North Dakota State
University
|
x |
x |
Blue
Cross, Blue Shield of North
Dakota |
|
|
|
Northland
Healthcare
Alliance Inc. |
x |
x |
Blue
Cross, Blue Shield of North
Dakota. Also have been paid by other commercial
payers on a case by case basis. |
|
|
|
NE |
Mid-Nebraska
Telemedicine Network, Good Samaritan Hospital Kearney NE
|
x |
x |
Blue
Cross, Equitable Life, Three Rivers Benefit
Corp, Physicians Mutual, Pioneer, Mutual Protective,
Midlands Choice, Union Banders, AARP, TriCare,
Cigna, Bankers Life, UniCare Life & Health,
CBSA, Midwest Select, Mutual Protective, Thrivent
Options |
|
|
|
University of Nebraska Medical
Center |
N/A |
N/A |
N/A |
N/A |
Tuition
paid by Students |
|
Rural
Health Telemedicine Program
|
N/A |
N/A |
N/A |
N/A |
N/A |
|
NV |
Nevada Rural Hospital Partners Foundation |
|
|
|
|
Member
dues, fee for service, grants |
|
University of Nevada Reno - School of Medicine |
|
|
|
|
Recharge
from user grants |
|
NY |
Daemen College |
|
|
|
|
Tuition |
|
Institute
for Urban
Family Health |
x |
x |
More
than 25 plans, including Oxford,
United Health Care and Blue Cross. |
|
2
federal grants |
|
Montefiore Medical Center
& The Children’s
Hospital at Montefiore
|
x |
| | | | |