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Casey Langwith's avatar

Another point to dig into - WHY does CMS want to restrict telehealth in Medicare? There must be some rationale or interest they have in restricting telehealth payment. If we understand what that reservation is, then lobbying & public comment efforts could be more effective.

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Prameet Singh's avatar

By succumbing to the allure of tele therapy our profession is ignoring what we have learnt as a specialty over decades. That much is communicated by seeing a person in their entirety and not just a close up of a pimple on their face as they sit before a screen, TD ridden hands and legs flailing unseen. To see a patient in person once or twice a year is the very least we should expect. While you may say some treatment is better than no treatment , I would argue in psychiatry , with the perils and risks of unnecessary polypharmacy that in fact in many instances , no treatment causes less harm than some tele treatment. Just look at how many unnecessary BZDs and stimulants are prescribed over tele and you’ll see the damage our profession is causing to humankind.

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