Medicare and telehealth: The impact of COVID-19 pandemic.


Journal

Journal of evaluation in clinical practice
ISSN: 1365-2753
Titre abrégé: J Eval Clin Pract
Pays: England
ID NLM: 9609066

Informations de publication

Date de publication:
02 2022
Historique:
revised: 08 10 2021
received: 21 07 2021
accepted: 12 10 2021
pubmed: 18 11 2021
medline: 20 1 2022
entrez: 17 11 2021
Statut: ppublish

Résumé

The swift progression of the COVID-19 pandemic appeared to facilitate the increase in telehealth utilization. However, it is clear neither how telehealth was offered by providers nor how it was used by patients during this time of unusual and rapid change within the health industry. To investigates the telehealth utilization patterns of Medicare beneficiaries during the height of the COVID-19 pandemic. A cross-sectional study design was used to examine the responses of 9686 Medicare beneficiaries to the Centers for Medicare and Medicaid Services (CMS) Medicare Current Beneficiary Survey, Fall 2020 COVID-19 Supplement. Multiple logistic regression analyses were conducted to examine the relationship between telehealth offering and beneficiaries' sociodemographic variables. Over half (58%) of primary care providers provided telehealth services, while only 26%-28% of specialists did. Less than 8% of Medicare beneficiaries reported that they were unable to obtain care because of COVID-19. This research found that changes in Medicare policy, associated with CMS' declaration of telehealth waivers during the Public Health Emergency (PHE), likely increased the proliferation and utilization of telehealth services during the COVID-19 pandemic, providing important access to care for certain populations. With the impending conclusion of the PHE, policymakers must 1) ascertain which elements of the new telehealth landscape will be retained, 2) modernize the regulatory, accreditation and reimbursement framework to maintain pace with care model innovation and 3) address disparities in access to broadband connectivity with a particular focus on rural and underserved communities.

Identifiants

pubmed: 34786796
doi: 10.1111/jep.13634
pmc: PMC8657362
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

43-48

Informations de copyright

© 2021 John Wiley & Sons, Ltd.

Références

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Auteurs

Hanadi Y Hamadi (HY)

Department of Health Administration, Brooks College of Health, University of North Florida, Jacksonville, Florida, USA.

Mei Zhao (M)

Department of Health Administration, Brooks College of Health, University of North Florida, Jacksonville, Florida, USA.

Donald Rob Haley (DR)

Department of Health Administration, Brooks College of Health, University of North Florida, Jacksonville, Florida, USA.

Ajani Dunn (A)

Advanced Care at Home and Digital Practice Strategy, Mayo Clinic, Jacksonville, Florida, USA.

Shyam Paryani (S)

Department of Health Administration, Brooks College of Health, University of North Florida, Jacksonville, Florida, USA.

Aaron Spaulding (A)

Department of Health Sciences Research, Division of Health Care Policy and Research, Mayo Clinic Robert D. and Patricia E. Kern, Center for the Science of Health Care Delivery, Mayo Clinic, Jacksonville, Florida, USA.

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