1. Tele-Neuropsychology: From Science to Policy to Practice.
- Author
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Sperling, Scott A, Acheson, Shawn K, Fox-Fuller, Joshua, Colvin, Mary K, Harder, Lana, Cullum, C Munro, Randolph, John J, Carter, Kirstine R, Espe-Pfeifer, Patricia, Lacritz, Laura H, Arnett, Peter A, and Gillaspy, Stephen R
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POLICY sciences , *HEALTH services accessibility , *HEALTH equity , *MEDICAID , *COVID-19 pandemic , *SINGLE-payer health care , *TELEMEDICINE - Abstract
Objective The primary aim of this paper is to accelerate the number of randomized experimental studies of the reliability and validity in-home tele-neuropsychological testing (tele-np-t). Method We conducted a critical review of the tele-neuropsychology literature. We discuss this research in the context of the United States' public and private healthcare payer systems, including the Centers for Medicare & Medicaid Services (CMS) and Current Procedural Terminology (CPT) coding system's telehealth lists, and existing disparities in healthcare access. Results The number of tele-np publications has been stagnant since the onset of the COVID-19 pandemic. There are less published experimental studies of tele-neuropsychology (tele-np), and particularly in-home tele-np-t, than other tele-np publications. There is strong foundational evidence of the acceptability, feasibility, and reliability of tele-np-t, but relatively few studies of the reliability and validity of in-home tele-np-t using randomization methodology. Conclusions More studies of the reliability and validity of in-home tele-np-t using randomization methodology are necessary to support inclusion of tele-np-t codes on the CMS and CPT telehealth lists, and subsequently, the integration and delivery of in-home tele-np-t services across providers and institutions. These actions are needed to maintain equitable reimbursement of in-home tele-np-t services and address the widespread disparities in healthcare access. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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