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.
Digital Medicine Payment Advisory Group members
Joseph C. Kvedar, MD, FAAD (co-chair)
Vice president, Connected Health at Harvard Partners HealthCare
Ezequiel “Zeke” Silva III, MD, FACR, RCC (co-chair)
Director of interventional radiology, South Texas Radiology Imaging Centers
Diagnostic and interventional radiologist, South Texas Radiology Group, San Antonio, Texas
Michael Adcock, FACHE
Owner, Adcock Advisory Group
David Flannery, MD
Medical director, American College of Medical Genetics and Genomics (ACMG)
Robert Jarrin, JD
The Omega Concern, LLC
Peter A. Hollmann, MD
Chief medical officer, University Medicine at Brown University, Alpert Medical School, Department of Internal Medicine Faculty Practice
David Kanter, MD, MBA, CPC, FAAP
CPT Editorial Panel committee member
Vice president, medical coding, MEDNAX Services, Inc.
Katharine L. Krol, MD, FSIR, FACR
Former CPT Editorial Panel executive committee member; CPT liaison to the RUC Panel
John Mattison, MD
Chief medical information officer and assistant medical director, Kaiser Permanente
Jordan Pritzker, MD, MBA, FACOG
CPT Editorial Panel committee member; CPT liaison to the RUC Panel
Senior medical director for medical policy and operations at Aetna, Inc.
Peter A. Rasmussen, MD, FAHA, FAANS
Medical director for distance health and associate professor of neurosurgery, Cerebrovascular Center at the Cleveland Clinic, Cleveland, Ohio
Executive director, ACT | The App Association
Karen S. Rheuban, MD
Professor of pediatrics (cardiology), senior associate dean for continuing medical education and director of the Center for Telehealth, University of Virginia
Principal, Access Strategies, LLC
Lawrence Wechsler, MD
Professor of neurology and neurological surgery, University of Pittsburgh School of Medicine
Note: Each expert was selected based on individual expertise and experience, not as a representative of a specialty society, institution, association or company.