Early adoption of telehealth/remote patient monitoring and hospital revenue changes during COVID-19.
Gespeichert in:
| Titel: | Early adoption of telehealth/remote patient monitoring and hospital revenue changes during COVID-19. |
|---|---|
| Autoren: | Rhoades CA; Department of Agricultural Economics, University of Kentucky, Lexington, KY, USA., Whitacre BE; Department of Agricultural Economics, Oklahoma State University, Stillwater, OK, USA., Davis AF; Department of Agricultural Economics, University of Kentucky, Lexington, KY, USA. |
| Quelle: | Journal of telemedicine and telecare [J Telemed Telecare] 2025 Dec; Vol. 31 (10), pp. 1468-1476. Date of Electronic Publication: 2024 Dec 05. |
| Publikationsart: | Journal Article |
| Sprache: | English |
| Info zur Zeitschrift: | Publisher: Sage Country of Publication: England NLM ID: 9506702 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1758-1109 (Electronic) Linking ISSN: 1357633X NLM ISO Abbreviation: J Telemed Telecare Subsets: MEDLINE |
| Imprint Name(s): | Publication: Dec. 2012- : London : Sage Original Publication: London : Published and distributed by Royal Society of Medicine Press, c1995- |
| MeSH-Schlagworte: | COVID-19*/epidemiology , Telemedicine*/economics , Telemedicine*/statistics & numerical data , Economics, Hospital*/statistics & numerical data, Humans ; Cross-Sectional Studies ; United States/epidemiology ; SARS-CoV-2 ; Hospitals, Urban/economics ; Hospitals, Rural/economics ; Remote Patient Monitoring |
| Abstract: | IntroductionThe COVID-19 pandemic dramatically affected the financial performance of hospitals across the U.S. The prompt availability of telehealth options likely impacted both a hospital's healthcare options and opportunities for revenue in the short-term. The aim of this study was to explore the association between early adoption of telehealth and changes in revenue during the early phase of the pandemic, and to compare whether the results differed between rural and urban hospitals.MethodsWe performed first-difference regressions on a cross-sectional dataset of 1,742 U.S. hospitals. Our dependent variables were percent changes in four categories of revenue between 2019 and 2020: inpatient, outpatient, gross, and net. The adoption of telehealth and remote patient monitoring as of 2019 served as the primary independent variables of interest. We controlled for changes in hospital characteristics from 2019 to 2020, including case mix index and number of employees.ResultsOur results suggest that telehealth adoption prior to the COVID-19 pandemic was associated with significant increases in all four revenue categories from 2019 to 2020, ranging from 1.79% (net patient revenue) to 2.92% (outpatient revenue). However, RPM implementation in 2019 was associated with significant declines in gross patient (0.08%) and outpatient revenue (1.50%). The results were largely similar across rural and urban locations.DiscussionAdopting telehealth before the onset of COVID-19 helped hospitals increase revenue during the initial phase of the pandemic. Alternatively, implementation of remote patient monitoring was associated with revenue declines, likely due to limited ability for monetization. Whether these relationships have persisted needs further investigation. |
| References: | Health Aff (Millwood). 2014 Feb;33(2):207-15. (PMID: 24493762) J Telemed Telecare. 2022 Jun;28(5):360-370. (PMID: 32558612) Int J Environ Res Public Health. 2021 Aug 08;18(16):. (PMID: 34444140) Am J Manag Care. 2022 Dec 1;28(12):e436-e443. (PMID: 36525663) Int J Environ Res Public Health. 2021 May 08;18(9):. (PMID: 34066829) Health Aff (Millwood). 2020 Sep;39(9):1605-1614. (PMID: 32584605) Chest. 2021 Apr;159(4):1548-1558. (PMID: 33245875) Health Serv Insights. 2022 Sep 27;15:11786329221125409. (PMID: 36186737) Health Aff (Millwood). 2018 Dec;37(12):1923-1930. (PMID: 30633670) JAMA Health Forum. 2022 May 13;3(5):e221018. (PMID: 35977260) J Rural Health. 2021 Sep;37(4):801-811. (PMID: 33180363) Inform Med Unlocked. 2020;20:100428. (PMID: 32953970) Prim Care. 2022 Dec;49(4):517-530. (PMID: 36357058) Chron Respir Dis. 2016 May;13(2):192-203. (PMID: 26902542) J Rural Health. 2020 Sep;36(4):577-583. (PMID: 32603017) MMWR Morb Mortal Wkly Rep. 2020 Oct 30;69(43):1595-1599. (PMID: 33119561) Syst Rev. 2017 Jul 3;6(1):128. (PMID: 28673333) J Healthc Manag. 2023 Jul-Aug 01;68(4):268-283. (PMID: 37410989) J Telemed Telecare. 2024 May;30(4):722-730. (PMID: 35578537) Laryngoscope. 2021 Aug;131(8):1741-1748. (PMID: 33355932) Telemed J E Health. 2004 Summer;10(2):170-83. (PMID: 15319047) Nurse Pract. 2021 Feb 1;46(2):10-12. (PMID: 33399335) BMJ Open. 2017 Aug 3;7(8):e016242. (PMID: 28775188) BMC Health Serv Res. 2010 Aug 10;10:233. (PMID: 20696073) J Agromedicine. 2020 Oct;25(4):362-366. (PMID: 32921284) Appl Clin Inform. 2022 May;13(3):665-676. (PMID: 35926839) J Telemed Telecare. 2023 Aug;29(7):540-551. (PMID: 33765879) Health Aff (Millwood). 2018 Dec;37(12):1967-1974. (PMID: 30633683) J Health Hum Serv Adm. 2005 Summer;28(1):96-134. (PMID: 16521617) Health Aff (Millwood). 2020 Nov;39(11):2010-2017. (PMID: 32970495) JCO Oncol Pract. 2020 Jul;16(7):e557-e562. (PMID: 32463765) Int J Health Policy Manag. 2020 Oct 01;9(10):423-428. (PMID: 32610731) Health Aff (Millwood). 2005 May-Jun;24(3):868-73. (PMID: 15886184) |
| Contributed Indexing: | Keywords: COVID-19; Telehealth; hospital finances; hospital revenue; remote patient monitoring |
| Entry Date(s): | Date Created: 20241205 Date Completed: 20251029 Latest Revision: 20251031 |
| Update Code: | 20251031 |
| PubMed Central ID: | PMC12569118 |
| DOI: | 10.1177/1357633X241298989 |
| PMID: | 39632751 |
| Datenbank: | MEDLINE |
Nájsť tento článok vo Web of Science | Abstract: | IntroductionThe COVID-19 pandemic dramatically affected the financial performance of hospitals across the U.S. The prompt availability of telehealth options likely impacted both a hospital's healthcare options and opportunities for revenue in the short-term. The aim of this study was to explore the association between early adoption of telehealth and changes in revenue during the early phase of the pandemic, and to compare whether the results differed between rural and urban hospitals.MethodsWe performed first-difference regressions on a cross-sectional dataset of 1,742 U.S. hospitals. Our dependent variables were percent changes in four categories of revenue between 2019 and 2020: inpatient, outpatient, gross, and net. The adoption of telehealth and remote patient monitoring as of 2019 served as the primary independent variables of interest. We controlled for changes in hospital characteristics from 2019 to 2020, including case mix index and number of employees.ResultsOur results suggest that telehealth adoption prior to the COVID-19 pandemic was associated with significant increases in all four revenue categories from 2019 to 2020, ranging from 1.79% (net patient revenue) to 2.92% (outpatient revenue). However, RPM implementation in 2019 was associated with significant declines in gross patient (0.08%) and outpatient revenue (1.50%). The results were largely similar across rural and urban locations.DiscussionAdopting telehealth before the onset of COVID-19 helped hospitals increase revenue during the initial phase of the pandemic. Alternatively, implementation of remote patient monitoring was associated with revenue declines, likely due to limited ability for monetization. Whether these relationships have persisted needs further investigation. |
|---|---|
| ISSN: | 1758-1109 |
| DOI: | 10.1177/1357633X241298989 |