Hospital-based Health Information Technology Infrastructure
Evidence of Reduced Medicare Payments and Racial Disparities Among Patients With ADRD
Datos Bibliográficos
| ID | 9104946 |
|---|---|
| Autores | Jie Chen (0000-0002-9254-4413, Department of Health Policy and Management, autor de correspondencia), Merianne Rose T Spencer (Department of Health Policy and Management), Merianne Spencer (autor de correspondencia), Portia Buchongo (0000-0001-8912-3856, Department of Health Policy and Management, autor de correspondencia), Min Qi Wang (0000-0003-4870-0471, Department of Health Policy and Management, autor de correspondencia) |
| Año | 2023 |
| Volumen | 61 |
| Número | 1 |
| Páginas | 27-35 |
| Fecha de publicación | 2023-01-01 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | Medical Care (JOURNAL) |
| Identificadores de la revista | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Editorial | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000001794 |
| PMID | 36349964 |
| OpenAlex | W4308637584 |
| Idioma | EN |
| Citas recibidas | 1 |
| Referencias citadas | 25 |
BACKGROUND: Alzheimer disease and related dementia (ADRD) is one of the most expensive health conditions in the United States. Understanding the potential cost-savings or cost-enhancements of Health Information Technology (HIT) can help policymakers understand the capacity of HIT investment to promote population health and health equity for patients with ADRD. OBJECTIVES: This study examined access to hospital-based HIT infrastructure and its association with racial and ethnic disparities in Medicare payments for patients with ADRD. RESEARCH DESIGN: We used the 2017 Medicare Beneficiary Summary File, inpatient claims, and the American Hospital Association Annual Survey. Our study focused on community-dwelling Medicare fee-for-service beneficiaries who were diagnosed with ADRD. Our study focused on hospital-based telehealth-postdischarge (eg, remote patient monitoring) and telehealth-treatment (eg, psychiatric and addiction treatment) services. RESULTS: Results showed that hospital-based telehealth postdischarge services were associated with significantly higher total Medicare payment and acute inpatient Medicare payment per person per year among patients with ADRD on average. The associations between hospital-based telehealth-treatment services and payments were not significant. However, the association varied by patient's race and ethnicity. The reductions of the payments associated with telehealth postdischarge and treatment services were more pronounced among Black patients with ADRD. Telehealth-treatment services were associated with significant payment reductions among Hispanic patients with ADRD. CONCLUSION: Results showed that having hospital-based telehealth services might be cost-enhancing at the population level but cost-saving for Black and Hispanic patients with ADRD. Results suggested that personalized HIT services might be necessary to reduce the cost associated with ADRD treatment for racial and ethnic minority groups
Environmental health · Ethnic group · Family medicine · Health care · Health equity · Population · Public health · Telehealth · Telemedicine · Dementia and Cognitive Impairment Research · Medicine · Nursing · Technology Use by Older Adults · Telemedicine and Telehealth Implementation · Gerontology
Racial and ethnic estimates of Alzheimer's disease and related dementias in the United States (2015–2060) in adults aged ≥65 years
Lifecourse Social Conditions and Racial and Ethnic Patterns of Cognitive Aging
Inequalities in dementia incidence between six racial and ethnic groups over 14 years
Neighborhood Socioeconomic Disadvantage and 30-Day Rehospitalization
Life Course Pathways to Racial Disparities in Cognitive Impairment among Older Americans
| Obras citantes distintas | 1 |
|---|---|
| Citas por año | 1 |
| Intervalo de citas | 2025 - 2025 (1) |
| Velocidad de citación | recent |
| Altamente citado | No |
| Tipos de cita | Neutras: 1 |