Utilization of Outpatient Telehealth Services in Parity and Nonparity States 2010-2015
Utilization of Outpatient Telehealth Services in Parity and Nonparity States 2010-2015
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DOI：
10.1089/tmj.2017.0265
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发表时间：
2018-05-30
影响因子：
4.7
通讯作者：
McElligott, James
中科院分区：
文献类型：
--
作者：
Harvey, Jillian B.;Valenta, Shawn;McElligott, James
背景和简介：远程医疗是一种很有前途的方法，可以改善医疗保健的可及性和质量。虽然远程医疗的覆盖范围已经扩大，但报销仍然是提供商采用的最大障碍之一。34个州和哥伦比亚特区颁布了平等立法，要求私营保险公司为远程医疗服务提供一定程度的报销。材料和方法：本文的目的是描述2010至2015年间私人保险患者使用远程医疗的趋势。使用来自2010-2015年Truven((R))MarketScan商业索赔数据集的具有全国代表性的患者数据样本，我们检查了实施平价立法的州和没有立法的州之间门诊远程医疗就诊使用率随时间的变化。结果：我们发现具有平等法的州的门诊远程医疗就诊数量显著增加。控制多年后，胎次正常状态下接受远程医疗访问的几率比未胎次状态下高29.8%(p
Background and Introduction:Telehealth is a promising approach to improving healthcare access and quality. While coverage for telehealthcare has expanded, reimbursement remains one of the biggest barriers to provider adoption. Thirty-four states and the District of Columbia have enacted parity legislation requiring private insurance companies to provide some level of reimbursement coverage for telehealth services.Materials and Methods:The purpose of this article is to describe the trends in telehealth utilization from 2010 to 2015 for privately insured patients. Using a nationally representative sample of patient data from the 2010-2015 Truven((R)) MarketScan Commercial Claims dataset, we examine the change over time in the utilization of outpatient telehealth visits between states enacting parity legislation and those who do not.Results:We found the states with parity laws saw significant increases in the number of outpatient telehealth visits. Controlling for year, the odds of receiving a telehealth visit in a parity state were 29.8% greater than in a nonparity state (p