Hello,
As many of you realize then Moodle is up front with voice integration since January 10 this year, and Skype Call access will be a natural part from the the Moodle version 1.5.
But did you realize that the SkypeSee (Skype with Video) is in the beta stage where you can test it?
You can test it out and give the developers your requests here:
Download and discuss the tool - go to the forum part of skypesee.
Happy Moodleing.
BR
Jens Gammelgaard