Evidence map›Paper›PMID 38630943›Full record

ArticleHealth affairs (Project Hope)2024

The Impact Of Telemedicine On Medicare Utilization, Spending, And Quality, 2019-22.

Carter H Nakamoto, David M Cutler, Nancy D Beaulieu, Lori Uscher-Pines, Ateev Mehrotra

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed.

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  11. Evaluating Telehealth Quality Outcomes of a Pediatric Weight Management Program.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2026
    Article
  12. Provider-level variation in the delivery of primary care telehealth for the rural Medicare Advantage population.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Article
  13. Article
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  18. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Carter H NakamotoCarter H. Nakamoto, Harvard University, Boston, Massachusetts.
David M CutlerDavid M. Cutler, Harvard University and National Bureau of Economic Research, Cambridge, Massachusetts.
Nancy D BeaulieuNancy D. Beaulieu, Harvard University.
Lori Uscher-PinesLori Uscher-Pines, RAND Corporation, Arlington, Virginia.
Ateev MehrotraAteev Mehrotra (Mehrotra@hcp.med.harvard.edu), Harvard University and Beth Israel Deaconess Medical Center, Boston, Massachusetts.

Funding

PA-20-072, Measuring the Clinical and Economic Outcomes Associated with Delivery Systems: "Are Health Systems Better at Responding to Pandemics?"U19HS024072 · AHRQ · NATIONAL BUREAU OF ECONOMIC RESEARCH · PI CUTLER, DAVID M · 2015 to 2021
$19.8M
AHRQ HHS U19 HS024072
6 · The paper itself

Abstract

Telemedicine use remains substantially higher than it was before the COVID-19 pandemic, although it has fallen from pandemic highs. To inform the ongoing debate about whether to continue payment for telemedicine visits, we estimated the association of greater telemedicine use across health systems with utilization, spending, and quality. In 2020, Medicare patients receiving care at health systems in the highest quartile of telemedicine use had 2.5 telemedicine visits per person (26.8 percent of visits) compared with 0.7 telemedicine visits per person (9.5 percent of visits) in the lowest quartile of telemedicine use. In 2021-22, relative to those in the lowest quartile, Medicare patients of health systems in the highest quartile had an increase of 0.21 total outpatient visits (telemedicine and in-person) per patient per year (2.2 percent relative increase), a decrease of 14.4 annual non-COVID-19 emergency department visits per 1,000 patients per year (2.7 percent relative decrease), a $248 increase in per patient per year spending (1.6 percent relative increase), and increased adherence for metformin and statins. There were no clear differential changes in hospitalizations or receipt of preventive care.

Indexed as

COVID-19Health ExpendituresMedicareTelemedicineAgedFemaleHumansMalePandemicsPatient Acceptance of Health CareQuality of Health CareSARS-CoV-2United States

Identifiers

PMID38630943
PMCPMC13400057

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.