Reduced Cost Of Specialty Care Using Electronic Consultations For Medicaid Patients
| Autor: | Nicole Jepeal, Daren Anderson, Tamim Ahmed, Giuseppe Maci, Victor G. Villagra, Anthony Porto, Bridget Teevan, Emil Coman |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Safety-net Provider Specialty MEDLINE Primary health care Health Services Accessibility 03 medical and health sciences 0302 clinical medicine Cost Savings Specialization (functional) medicine Humans 030212 general & internal medicine health care economics and organizations Retrospective Studies Primary Health Care Medicaid business.industry Remote Consultation 030503 health policy & services Health Policy Retrospective cohort study United States Family medicine Female 0305 other medical science Reduced cost business Safety-net Providers Specialization |
| Zdroj: | Health Affairs. 37:2031-2036 |
| ISSN: | 1544-5208 0278-2715 |
| Popis: | Specialty care accounts for a significant and growing portion of year-over-year Medicaid cost increases. Some referrals to specialists may be avoided and managed more efficiently by using electronic consultations (eConsults). In this study a large, multisite safety-net health center linked its primary care providers with specialists in dermatology, endocrinology, gastroenterology, and orthopedics via an eConsult platform. Many consults were managed without need for a face-to-face visit. Patients who had an eConsult had average specialty-related episode-of-care costs of $82 per patient per month less than those sent directly for a face-to-face visit. Expanding the use of eConsults for Medicaid patients and reimbursing the service could result in substantial savings while improving access to and timeliness of specialty care and strengthening primary care. |
| Databáze: | OpenAIRE |
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