Doctors Will Make Web Calls in Hawaii

American Well, a Web service that puts patients face-to-face with doctors online, will be introduced in Hawaii on Jan 15.

Its first customer, Hawaii Medical Service Association, the state’s Blue Cross-Blue Shield licensee, will make the Internet version of the house call available to everyone in the state, the company said.

The service is for people who seek easier access to physicians because they are uninsured or do not want to wait for an appointment or spend time driving to a clinic, said Roy Schoenberg, co-founder and chief executive of American Well Systems, which is based in Boston.

Dr. Schoenberg, a physician, said that American Well had piqued the interest of policy makers in Washington who want to expand access to health care. Insurers in other states will soon offer the service, he said.

Patients use the service by logging on to participating health plans’ Web sites. Doctors hold 10-minute appointments, which can be extended for a fee, and can file prescriptions and view patients’ medical histories through the system. American Well is working with HealthVault, Microsoft’s electronic medical records service, and ActiveHealth Management, a subsidiary of Aetna, which scans patients’ medical history for gaps in their previous care and alerts doctors during their American Well appointment.

The Hawaiian health plan’s 700,000 members pay $10 to use the service. The insurer also offers the service to uninsured patients for $45. Health plans pay American Well a license fee per member and a transaction fee of about $2 each time a patient sees a doctor.

Hawaii is particularly well suited for online medicine because the islands are remote, it takes time to travel among them and it is difficult for the state to recruit doctors to rural areas, said Mike Stollar, vice president of marketing for the Hawaii Medical Service Association.

However, some critics of doctor visits via webcam worry that doctors will miss important symptoms if they do not see patients in person. Others doubt that the poor and uninsured will have the broadband connection and webcams to use the service. .

“It’s a tool to help doctors do better, the way a stethoscope is a tool,” said Robert Sussman, a family practice doctor on Oahu. “You still have to use your common sense, your medical knowledge.”

This could be an exciting new approach for any area(s) that have a shortage of doctors etc.  How many patients really need to see a doctor in person??? There could be substantial savings which might see health care greatly expanded to those least able to afford it (or able to get to it).  Not perfect perhaps but a really interesting potential tool.  – IT

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Tags: access to health care, blue cross blue shield, electronic medical records, hawaii medical service, Innovation, well systems

This entry was posted on Tuesday, January 6th, 2009 at 4:07 pm and is filed under Innovation, NY Times. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.