Medicare and telehealth: The impact of COVID-19 pandemic.
COVID-19
Medicare
primary care
specialist
telehealth
telemedicine
video calling
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
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
43-48Informations de copyright
© 2021 John Wiley & Sons, Ltd.
Références
J Am Acad Child Adolesc Psychiatry. 2022 Feb;61(2):277-290.e2
pubmed: 34119633
HSS J. 2021 Feb;17(1):7-13
pubmed: 33967635
J Am Med Inform Assoc. 2020 Jul 1;27(7):1132-1135
pubmed: 32324855
Lancet. 2002 Jun 8;359(9322):1961-8
pubmed: 12076550
N Engl J Med. 2016 Oct 6;375(14):1400
pubmed: 27705257
Mayo Clin Proc. 2021 Sep;96(9):2332-2341
pubmed: 34481597
Pain Med. 2022 Mar 2;23(3):466-474
pubmed: 34145892
Health Aff (Millwood). 2014 Feb;33(2):207-15
pubmed: 24493762
Telemed J E Health. 2022 Apr;28(4):517-525
pubmed: 34265223
J Telemed Telecare. 2018 Jan;24(1):4-12
pubmed: 29320966
J Eval Clin Pract. 2022 Feb;28(1):43-48
pubmed: 34786796
Fam Med Community Health. 2020 Aug;8(3):
pubmed: 32816942
HSS J. 2020 Nov;16(Suppl 1):164-169
pubmed: 32922224
N Engl J Med. 2020 Apr 30;382(18):1679-1681
pubmed: 32160451