Patterns of Telehealth Use Among Rural Medicaid Beneficiaries
Jean A Talbot1, Amanda R Burgess1, Deborah Thayer1
1Maine Rural Health Research Center, Cutler Institute for Health and Social Policy, Muskie School of Public Service, University of Southern Maine, Portland, Maine.
Summary
Rural Medicaid beneficiaries used telehealth more than urban beneficiaries in 2011, though overall rates were low. Telehealth use for behavioral health, particularly ADHD, increased with rurality.
Area of Science:
- Health Services Research
- Rural Health
- Telemedicine
Background:
- Limited research exists on telehealth utilization among rural Medicaid beneficiaries.
- Understanding telehealth patterns is crucial for addressing healthcare disparities.
Purpose of the Study:
- To describe telehealth use among rural and urban Medicaid beneficiaries in 2011.
- To identify characteristics, services, and diagnoses associated with telehealth use.
Main Methods:
- Utilized 2011 Medicaid Analytic eXtract (MAX) data.
- Conducted bivariate analyses to examine rurality's association with telehealth prevalence and patterns.
Main Results:
- Rural Medicaid beneficiaries showed higher telehealth use than urban counterparts, with low overall rates (0.26% for rural non-dual beneficiaries).
- Psychotropic medication management was the most common telehealth service.
- Increased rurality correlated with higher telehealth use for non-behavioral health services and childhood behavioral health issues like ADHD.
Conclusions:
- Findings establish a baseline for tracking telehealth use changes in Medicaid.
- Differences in rural-urban telehealth use may be influenced by reimbursement policies and specific rural service needs.
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