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来源类型 | Report |
规范类型 | 报告 |
DOI | https://doi.org/10.7249/RR2564 |
来源ID | RR-2564-ASPE |
Experiences of Medicaid Programs and Health Centers in Implementing Telehealth | |
Lori Uscher-Pines; Kathryn E. Bouskill; Jessica L. Sousa; Mimi Shen; Shira H. Fischer | |
发表日期 | 2019-03-08 |
出版年 | 2019 |
页码 | 63 |
语种 | 英语 |
结论 |
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摘要 | Despite telehealth's potential to improve access to care, it is underutilized by safety-net providers, including Federally Qualified Health Centers (FQHCs), due to a range of policy, organizational, and logistical barriers. Research that facilitates state-to-state learning can inform both Medicaid and Medicare policies going forward and provide lessons learned for FQHCs interested in starting or expanding telehealth programs. The authors conducted telephone discussions with representatives of seven state Medicaid programs and 19 urban and rural FQHCs to address how FQHCs in selected states are using telehealth, how the delivery of telehealth services is structured, barriers and facilitators of telehealth, and how Medicaid policy influences telehealth implementation. Live video telehealth, typically telebehavioral health, was the most prevalent type of telehealth among FQHCs in the sample. Stakeholders highlighted several weaknesses of Medicaid policies in one or more states, including general lack of clarity regarding which services were allowed by Medicaid programs, ambiguity around telepresenter requirements, lack of authorization for FQHCs to serve as distant sites in the federal Medicare program and in select state Medicaid programs, and insufficient reimbursement. FQHC stakeholders also identified multiple barriers to telehealth implementation beyond reimbursement. Nonetheless, FQHC stakeholders generally believed they could overcome these various barriers to telehealth implementation, if reimbursement and the risk of losing revenue in offering telehealth services were improved. While diversity of experiences makes it difficult to generalize about implementation of telehealth in the safety net, the authors identified several common themes and associated considerations for policymakers, payers, and FQHCs. |
目录 |
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主题 | Health Care Access ; Medicaid ; Telemedicine |
URL | https://www.rand.org/pubs/research_reports/RR2564.html |
来源智库 | RAND Corporation (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/523755 |
推荐引用方式 GB/T 7714 | Lori Uscher-Pines,Kathryn E. Bouskill,Jessica L. Sousa,et al. Experiences of Medicaid Programs and Health Centers in Implementing Telehealth. 2019. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
RAND_RR2564.pdf(388KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
1552501418418.jpg(3KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | ![]() 浏览 |
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