Mr. Speaker, we in this country, unfortunately, don't always do what's good for us. The benefits of a regular check up are well known, but for one reason or another millions of Americans will only visit their physician when they think…
Mr. Speaker, we in this country, unfortunately, don't always do what's good for us. The benefits of a regular check up are well known, but for one reason or another millions of Americans will only visit their physician when they think something is serious enough that they feel they have no choice.
I can only imagine how the reluctance to visit a doctor is exacerbated for the millions of people in the United States with chronic conditions--such as diabetes, congestive heart failure and arrhythmia--who need to see their physicians on a regular basis. The situation is even worse for seniors who have difficulties moving around or lack the means or resources to make frequent trips to the doctor.
Government statistics show that maintaining mobility is a serious challenge for many seniors: Over 20 percent of people 65 and older have difficulty going outside the home; approximately 17 percent of men and 28 percent of women find it very difficult or are unable to walk just three city blocks; every 10 years after reaching the age of 65 the odds of losing mobility double.
People who live in rural areas can face serious health care consequences because of the lack of easily accessible services. One out of every five Americans lives in rural areas; however, only one out of every 10 physicians practices in rural areas. Forty percent of our rural population lives in a medically underserved area, with access to care an average of 30 miles away.
I'm proud to stand here as a lead sponsor of the Remote Monitoring Access Act of 2006 because I believe this legislation will promote technologies that have the potential to transform how health care providers and their patients--particularly seniors with chronic conditions--communicate and manage their conditions.
Remote monitoring technologies collect, analyze and transmit vital patient information to health care providers hundreds of miles away, allowing physicians to manage a patient's condition in a more consistent and real-time fashion. This technology can not only improve the quality of care given to patients, it also reduces the need for frequent visits to the doctor's office, costly emergency room visits, and unnecessary hospitalizations.
Remote monitoring technologies allow patients to be in constant contact with their doctors without leaving the comfort of their homes. For seniors who find travel difficult or hard to afford, this will provide welcome relief. Beyond improving quality of life, remote monitoring technologies also improve quality of care, as physicians will be able to more closely monitor their patients and, by receiving more up-to-date information, detect and treat their patients' conditions earlier.
Remote monitoring technologies will bring 21st century health care to every individual regardless of their location, mobility, or age. The expertise of physicians and specialists and the resources of health care institutions will no longer be limited by geographic location but can be harnessed to help many more patients.
Currently, Medicare payments are primarily provided for face-to-face meetings between physicians and patients. The current system offers no incentives for physicians to adopt remote monitoring technologies even though they may provide better clinical information and save physicians time.
In addition, the payments often do not pay for the clinician time involved in non-face-to-face interactions that are necessary for interpreting and responding to data received via remote monitoring technologies.
Consequently, the Medicare payments may not adequately reflect the value of patient management services involving remote monitoring technologies.
The Remote Monitoring Access Act of 2006 will fix this gap in the Medicare payment system. This bipartisan legislation would provide reimbursement under the Medicare physician fee schedule for remote patient management services used to manage specific medical conditions such as diabetes, cardiac arrhythmia, congestive heart failure and sleep apnea, as well any other condition the Secretary of Health and Human Services determines appropriate.
This bill also requires the HHS Secretary to develop standards of care and quality for the remote management services provided for each medical condition covered.
Cardiac arrhythmia, or abnormal heart rhythm, is just one of the chronic conditions that can be better managed through remote monitoring technologies. Cardiac arrhythmias affect more than five million people nationwide, and result in more than 1.2 million hospitalizations and 400,000 deaths each year in the United States atrial fibrillation, the most common form of cardiac arrhythmia, is also a leading indicator of stroke, with about 15 percent (or 105,000) of strokes occurring in people with atrial fibrillation.
The Remote Patient Monitoring Act will promote greater adoption and use of remote monitoring technologies so that patients suffering from cardiac arrhythmias, with their physicians, will be able to better manage this chronic condition.
I would like to thank my colleagues, Representative Eshoo, Representative Hayworth, and Representative Tanner, for joining with me to support this important legislation. I look forward to working with other Members of the House to ensure passage of this measure which will help millions of patients in the United States have better access to the latest medical technology and information.