The Digital Medicine Payment Advisory Group is a collaborative initiative—convened by the AMA—that engages a diverse cross-section of nationally recognized experts.
Digital medicine presents an opportunity to improve access and to offer cost-effective medical care to a large swath of patients with diverse needs.
Increasing coverage requires a concerted effort by knowledgeable professionals as well as input, such as pertinent use cases and clinical data that demonstrate the efficiencies and clinical benefits of digital medicine.
Creating a Clear Pathway for Integration of Digital Medicine Technologies Into Clinical Practice
Here are some of the areas of focus for the advisory group:
- Create and disseminate data supporting the use of digital medicine technologies and services in clinical practice.
- Review existing code sets (with an emphasis on CPT and HCPCS) and determine the level to which they appropriately capture in current digital medicine services and technologies.
- Assess and provide clinical guidance on factors that impact the fair and accurate valuation for services delivered via digital medicine.
- Provide education and clinical expertise to decision makers to ensure widespread coverage of digital medicine (e.g., telemedicine and remote patient monitoring), including greater transparency of services covered by payers and advocacy for enforcement of parity coverage laws.
- Review program integrity issues including, but not limited to, appropriate code use, and other perceived risks unique to digital medicine. Develop guidance and clarity on issues to diverse stakeholder groups.