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Post by brotherm1 on May 27, 2017 9:22:47 GMT -5
Assuming we are working towards this, what are the hurdles?
Anyone know of any regulatory restrictions? Are there any states that cannot be crossed into (e.g., can a prospective patient call from any state to a doc in NY - that is set up to teledoc - for example, and be given a prescription for Afrezza? Can any diagnosed diabetic obtain a spirometry test, and conceivably call into a teledoc and obtain a prescription for Aftezza?
What needs to happen to make this happen?
This has tremendous potential to get the ball rolling quickly? If just one endo starts teledoc with Afrezza I would think others would see the business potential and jump on board or lose business?
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Post by sportsrancho on May 27, 2017 9:41:51 GMT -5
You can do it now. Already happening.
Although some doc's want you to become a patient first. That's the hurdle I believe.
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Post by akemp3000 on May 27, 2017 11:07:24 GMT -5
There is a shortage of doctors and nurses. Teledoc is the future and it's already begun. The future will consist of walk-in clinics staffed by full-time nurse practitioners who can see walk-in patients in person and write common prescriptions. CVS Minute Clinics are good examples already. It is a requirement that such a nurse practitioner facility be owned and managed under the supervision of a doctor who does not have to be present. Such facilities can also function as a teledoc to evaluate and write scripts for patients who, for example, might have travel restrictions. Scripts can be written in all states. Think of frequent flyers who accidentally forget and leave their medicines at home. One phone call and their doctor back home can write scripts and forward to a local pharmacy in any state. The evolution to Amazon drug deliveries is a logical extension provided Amazon retains prescriptions on file.
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Post by brotherm1 on May 27, 2017 11:58:16 GMT -5
OK I changed the thread title to telemedicine as it appears Teledoc is an independent company with telemedicine services. Highmark Blue Shield networks with Teledoc for example. Regardless, we are all still on the same page as we are all referring to telemedicine services.
I suppose VDEX can or is wrtiting Afrezza scripts through telemedicine services also?
Now I am trying to figure how an individual endo could possibly drum up his or her own telemedicine service for Afrezza. Could Mannkind perhaps list on their website endos that specialize in telemedicine services and of which prescribe Afrezza? Suppose an individual goes to their primary care physician, has a blood test done and is determined to be diabetc. What could be the best way for an endo specializing in telemediciine services to draw that individual's attention towards his/her business?
Did not have any coffee yet this morning and am trying to grasp the possibilities with Afrezza and telemedicine serviices.
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Post by lennymnkd on May 27, 2017 12:30:42 GMT -5
Brotherm your off to a good start ! Even without the coffee .. interested in what you come up with after your coffee ... telemedicine perscription straight to amazon ! Low cost cutting out layers of middle men DTC.. making onedrop / AFREZZA extremely affordable and .. uber convenient...
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Post by dreamboatcruise on May 27, 2017 13:54:42 GMT -5
In addition to state regulations there would be issues of what is considered acceptable standards of care, and the lawsuits that could be problematic if something is considered outside those standards... and associated with that might be issues of malpractice insurance. An insurance company might decline coverage or charge prohibitive rates for doctors doing telemedicine. Then there is the issue of patient health insurance coverage.
At least a few times in my life when I've moved or I've had to change doctors due to insurance issues, I've run out of refills and called my new docs office for the first time and asked if they could phone in a refill... every time I was required to go into the office for appointment even when the meds I needed were very common/safe. Which of all of these issues is in play that makes these doctors unwilling to prescribe by phone for a new patient? ?
I don't know much about all of these issues but I know they are ones that play a huge role in determining how healthcare is provided.
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Post by akemp3000 on May 27, 2017 13:55:19 GMT -5
With the future of telemedicine and Amazon, imagine the following: One morning a patient sees an Afrezza ad on TV directing them to go to Afrezza.com. The website directs the patient to a telemedicine doctor in their state or region. The patient contacts the doctor who performs a webcam video evaluation and consult. It could include a spirometry test with Mannkind or Amazon forwarding the device. Following the evaluation, the doctor enters the Afrezza script electronically at Amazon Pharmacy. Amazon Prime Pharmacy delivers Afrezza that afternoon via drone.
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Post by dreamboatcruise on May 27, 2017 14:02:04 GMT -5
With the future of telemedicine and Amazon, imagine the following: One morning a patient sees an Afrezza ad on TV directing them to go to Afrezza.com. The website directs the patient to a telemedicine doctor in their state or region. The patient contacts the doctor who performs a webcam video evaluation and consult. It could include a spirometry test with Mannkind or Amazon forwarding the device. Following the evaluation, the doctor enters the Afrezza script electronically at Amazon Pharmacy. Amazon Prime Pharmacy delivers Afrezza that afternoon via drone. Are you imagining that we have single payer healthcare by then so that the doctor gets paid and "fighting for 2 months with insurance company over prior auth" isn't part of that scenario? |
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Post by brotherm1 on May 27, 2017 14:07:51 GMT -5
In addition to state regulations there would be issues of what is considered acceptable standards of care, and the lawsuits that could be problematic if something is considered outside those standards... and associated with that might be issues of malpractice insurance. An insurance company might decline coverage or charge prohibitive rates for doctors doing telemedicine. Then there is the issue of patient health insurance coverage. At least a few times in my life when I've moved or I've had to change doctors due to insurance issues, I've run out of refills and called my new docs office for the first time and asked if they could phone in a refill... every time I was required to go into the office for appointment even when the meds I needed were very common/safe. Which of all of these issues is in play that makes these doctors unwilling to prescribe by phone for a new patient? ? I don't know much about all of these issues but I know they are ones that play a huge role in determining how healthcare is provided. I wonder what the standard of care is in other countries and perhaps those with a single payer system? UAE for example? |
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Post by nylefty on May 27, 2017 14:12:57 GMT -5
With the future of telemedicine and Amazon, imagine the following: One morning a patient sees an Afrezza ad on TV directing them to go to Afrezza.com. The website directs the patient to a telemedicine doctor in their state or region. The patient contacts the doctor who performs a webcam video evaluation and consult. It could include a spirometry test with Mannkind or Amazon forwarding the device. Following the evaluation, the doctor enters the Afrezza script electronically at Amazon Pharmacy. Amazon Prime Pharmacy delivers Afrezza that afternoon via drone. The most obvious flaw in your scenario is the spirometry test. Mannkind or Amazon would "forward" this comparatively expensive device? Who would pay for it? And the patient would administer the test to himself/herself? And you seem to say that all this would happen on the same day -- I'm afraid not. |
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Post by lennymnkd on May 27, 2017 14:15:15 GMT -5
Insurance companies are not involved with the AFREZZA/ one drop amazon plan ! Dtc / spiomertry test would be conducted elsewhere.. VDEX , rite aid .. so on.
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Post by seanismorris on May 27, 2017 14:18:44 GMT -5
I'd assume you'd need an initial consolation with a doc, and follow ups could be made with a teledoc, otherwise insurance coverage would be problematic. It's an interesting idea, and perhaps a bridge to Afrezza OTC. I don't see Afrezza OTC happening anytime soon...
A teledoc would be very useful for updating/changing prescriptions... it would certainly save everyone a lot of time and money. If it takes off, it might be worth looking into as an alternative investment. The problem is the big boys: ExpressScripts, CVS, etc. could jump in with very little barriers to entry... though, a company offering teledoc services could be an acquisition target..
One Drop / Amazon would have huge potential as a platform for teledocs. Amazon Cloud already has the tools for videoconferencing, etc.
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Post by brotherm1 on May 27, 2017 14:26:59 GMT -5
Insurance companies are not involved with the AFREZZA/ one drop amazon plan ! Dtc / spiomertry test would be conducted elsewhere.. VDEX , rite aid .. so on. I thought I heard from someone that One Drop will either have docs set up in their network or perhaps would be able to guide patients to docs for prescriptions? I don't want to start any rumors, just wondering if anyone else might have read or heard something similar? |
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Post by dreamboatcruise on May 27, 2017 14:37:07 GMT -5
Insurance companies are not involved with the AFREZZA/ one drop amazon plan ! Dtc / spiomertry test would be conducted elsewhere.. VDEX , rite aid .. so on. I didn't realize we'd already made that decision. Who is leading our planning committee? Is our business plan to simply cater to those who can afford to pay out of pocket? Does that get around the prohibition on a drug company paying a doctor (which I believe is related to accepting Medicare/Medicaid rather than FDA), or would the patient still need to pay out of pocket for the telemedicine consult and the spirometry? Those details would matter to the business plan. |
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Post by lennymnkd on May 27, 2017 14:38:55 GMT -5
Have not heard anything to that effect / but sounds like a great idea ... and to think of the aggravation of doctor office visit being eliminated .. as long as you don't end up sitting in front of a screen waiting for a late tele visit. .
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