we have four different grant programs, telehealth network grant program, that telehealth resource centers, a new program for veterans and we have partnerships. these programs work together hand in glove to improve access to health care for people through technology. i'll toggle a bit about the licensure affordable to grant program. this grant program has awarded two, three-year grants to one to the federation of state medical boards, and went to the association of state and provincial psychology boards. the purpose of these grant programs or to reduce or eliminate barriers across the state licensure. that's to help facilitate through telehealth or other just if you live in the tri-state area and you want to go to your doctor what your doctor is in the next state. it's just to reduce barriers to help those states that are willing, make it easier for patients to see their doctors about what modality they choose to use. both of these grantees use uniform online applications, centralize credentialing and they use expedited licensure processes. patel health net grant program is her biggest gra

debate reimburses telehealth? >> i don't know that. >> the pilots had every sort of thing you can imagine going on, as far as i know, in terms of both telehealth and disease monitoring technologies. medicare model homes, all of it. and the thing is, the question, or point, it may be that the ground is changing out from under us. not be incrementally done thanks to senators conrad and stevens and rockefeller, and whole bunch of members for giving us that for. the ground is shifting, and so we can't let this train passes by without consideration of capitated care, and all of the various shared savings models that are being so actively pursued, but within the affordable health care and in the private sector. doesn't matter what you think about the affordable health care. it's happening in the public and private sector. >> we look at telehealth as really a power tool to the physician in an aco or in a capitated environment. it's just a matter of getting the money right. this album with what the aco patients and medica

telehealth grant network program. telehealth resource centers, a new program which is the flex rule access program and we have partnerships. these programs work together hand-in-glove to improve access to health care for people through technology. i will talk a little about the licensure portability grant program. this grant program has awarded two, three-year grants, one to the federation of state medical boards and one to the association of state and provincial psychology board. the purpose of these grant programs are to reduce or eliminate barriers across state licensure. facilitate through telehealth, you live in tri-state area and want to go to your doctor and your draw is in the next state. it will reduce barriers to help those states willing, make it easier for patients to see their doctors no matter what modality they choose to use. both grant east use uniform online application and expedited licensure processes. telehealthnet work grant program is our biggest grant program. right now we have 20 different gran

there at least 16 agencies with some involvement in telehealth.out you to the tracy and the iom. of it awesome for us. one of the things we need more than anything else. we are trying to advance it nationwide is improve medicare reimbursement. it's still low. in 2011, cms reported less than 6 million in reimbursement for telehealth services nationwide. it's not very much. one of the challenges are some of the limitations that originating site. some of the rural requirement for telemedicine and the definition of rural. i'm thrilled the 2014 physician proposed payment rule has an expansion in the rural definition which is currently nonmetropolitan statistical area. and there's a rural requirement for aco. the changing definition of rural limits the sustainability possibility and more importantly access to care for our vulnerable seniors. so and also the rural definition is poorly aligned with specialty work force shortages. so there are many issues that need to be addressed. reimbursement being one. credentialing and privileging, cms issued a new re