Terrence Liu, Nicholas Box, Matthias Kirch, Denise Anthony, John Z Ayanian, Minal R Patel, Sarah J Clark, Susan D Goold
{"title":"Utilization and patient experiences of telehealth among Medicaid expansion enrollees.","authors":"Terrence Liu, Nicholas Box, Matthias Kirch, Denise Anthony, John Z Ayanian, Minal R Patel, Sarah J Clark, Susan D Goold","doi":"10.1093/haschl/qxaf060","DOIUrl":null,"url":null,"abstract":"<p><p>Telehealth can promote access to health care, especially among individuals enrolled in Medicaid. However, we currently lack data on patient experiences of telehealth from low-income individuals. Using data collected in 2021 and 2022 from a statewide survey of enrollees in the Heathy Michigan Plan, Michigan's Medicaid expansion program, we conducted an analysis to study patients' experiences of using telehealth. Approximately one-third of enrollees reported a telehealth visit within the past year. Individuals reporting barriers to primary care were more likely to have had a telehealth visit compared with those reporting no barriers to primary care. Among those who had a telehealth visit, most individuals reported that telehealth provided care they could not or would not otherwise receive (63.3%; 95% CI: 58.9%-67.5%) and were satisfied with telehealth adequately addressing their health concerns (92.1%; 95% CI: 89.4%-94.1%). Our findings that telehealth was largely accepted among Medicaid enrollees can help inform policy that shapes its future implementation.</p>","PeriodicalId":94025,"journal":{"name":"Health affairs scholar","volume":"3 5","pages":"qxaf060"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12062574/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health affairs scholar","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1093/haschl/qxaf060","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Telehealth can promote access to health care, especially among individuals enrolled in Medicaid. However, we currently lack data on patient experiences of telehealth from low-income individuals. Using data collected in 2021 and 2022 from a statewide survey of enrollees in the Heathy Michigan Plan, Michigan's Medicaid expansion program, we conducted an analysis to study patients' experiences of using telehealth. Approximately one-third of enrollees reported a telehealth visit within the past year. Individuals reporting barriers to primary care were more likely to have had a telehealth visit compared with those reporting no barriers to primary care. Among those who had a telehealth visit, most individuals reported that telehealth provided care they could not or would not otherwise receive (63.3%; 95% CI: 58.9%-67.5%) and were satisfied with telehealth adequately addressing their health concerns (92.1%; 95% CI: 89.4%-94.1%). Our findings that telehealth was largely accepted among Medicaid enrollees can help inform policy that shapes its future implementation.