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Issues And Trends In Healthcare Delivery System01:29

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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Telehealth: Advances in Alternative Payment Models.

Mei Zhao1, Hanadi Hamadi1, D Rob Haley1

  • 1Department of Health Administration, Brooks College of Health, University of North Florida, Jacksonville, Florida, USA.

Telemedicine Journal and E-Health : the Official Journal of the American Telemedicine Association
|February 27, 2020
PubMed
Summary

Alternative payment models (APMs) and market competition are linked to increased telehealth adoption in hospitals. Further research is needed to fully understand the impact of these technologies on healthcare delivery.

Keywords:
accountable care organizationalternative payment modelbundled paymenttelehealthtelemedicine

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Area of Science:

  • Health Services Research
  • Health Informatics
  • Digital Health

Background:

  • The hospital sector is increasingly adopting information and communication technologies, particularly telehealth, to address challenges in healthcare quality and access.
  • Shifting reimbursement models necessitate an examination of how alternative payment models (APMs) influence technology adoption in hospitals.

Purpose of the Study:

  • To investigate the relationship between APMs, market competition, and the provision of telehealth services within US hospitals.
  • To identify factors associated with telehealth adoption in the hospital setting.

Main Methods:

  • A cross-sectional analysis of 2018 US hospital census data was conducted.
  • Multilevel logistic regression models analyzed data from 4,257 nonfederal short-term acute care hospitals across 1,874 counties.

Main Results:

  • Hospital participation in accountable care organizations and bundled payment risk arrangements was significantly associated with telehealth provision.
  • Market competition and hospital characteristics (ownership, system/network affiliation, teaching status) also impacted telehealth services.

Conclusions:

  • The integration of telehealth under APMs offers opportunities to improve clinical care but also presents challenges related to technology adoption by professionals.
  • Comprehensive evidence on telehealth's impact and effective implementation strategies is required.