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Updated: Jun 15, 2025

Establishment of a Clinic-based Biorepository
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Digital Reimbursement Systems in a Student-Run Clinic.

Parsa Nilchian1, Subhanik Purkayastha2, Gianni Thomas2

  • 1Weill Cornell Community Clinic, Weill Cornell Medical College, 1300 York Avenue, New York, NY, 10021, USA. pan4004@med.cornell.edu.

Journal of Community Health
|August 26, 2024
PubMed
Summary
This summary is machine-generated.

Digital reimbursement systems significantly improve medication access for uninsured patients, leading to higher utilization, faster refunds, and increased total reimbursement amounts. This study highlights the benefits of digital tools in healthcare for underserved populations.

Keywords:
Digital reimbursement systemsDigital transformationStudent-run primary care clinicUninsured patients

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Area of Science:

  • Healthcare access
  • Digital health
  • Health economics

Background:

  • Uninsured populations face challenges accessing healthcare services.
  • Digital tools are increasingly used in healthcare, but their impact on uninsured groups is not well understood.
  • A student-run clinic serving uninsured New York City residents implemented a digital reimbursement system.

Purpose of the Study:

  • To assess the impact of a new digital reimbursement system on uninsured patients.
  • To analyze reimbursement volumes, refund rates, and reimbursement timelines.
  • To compare outcomes before and after the implementation of digital reimbursements.

Main Methods:

  • Analysis of pharmacy records for 94 unique patients and 2770 reimbursements (October 2016 - May 2023).
  • Patients categorized into in-person and digital reimbursement groups.
  • Demographic analysis, reimbursement volume, refund counts, and time to payment were compared between groups and pre/post implementation.

Main Results:

  • Digital reimbursement users received higher total reimbursement amounts ($1131.24 vs. $289.36) and faster reimbursements (56 days vs. 62 days).
  • The digital group requested more refunds on average (47 vs. 14).
  • Post-implementation, monthly reimbursement volume more than doubled ($481 to $1298), average monthly reimbursements increased (27 to 45), and monthly patient numbers rose (6 to 9).

Conclusions:

  • Digital reimbursement options effectively facilitate medication reimbursement for uninsured patients.
  • Digital systems lead to increased utilization, quicker refunds, and larger total reimbursement amounts.
  • Digital reimbursement systems are a valuable tool for improving healthcare access for underserved populations.