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The Latest Research, Commentary, And News From Health Affairs

Monday, April 19, 2021

Dear John,

Telehealth is billed as a cost-efficient, convenient alternative to
in-person urgent care, but does it actually save the system resources?

For Certain Conditions, Telemedicine Is Linked To More Downstream Visits

On-demand virtual care for minor medical issues has exploded during the
COVID-19 pandemic. Proponents argue that direct-to-consumer telemedicine
can be a cost-efficient, convenient alternative to emergency department
and urgent care visits. But a new paper

suggests that it may lead to more additional care than in-person
medicine does.

Kathleen Yinran Li and colleagues sought to better understand the
overall costs associated with video-based, on-demand, patient-initiated
telemedicine for acute respiratory infections. They evaluated
direct-to-consumer telemedicine claims from a large commercial payer for
2016 to 2019 and found that 10.3 percent of these telemedicine visits
led to subsequent in-person visits, compared to only 5.9 percent of
in-person encounters. Read more about these findings

and their implications for telehealth use in the April issue
.  

Health Affairs continues to cover the evolution of telehealth. For
journal articles, blogs, and podcasts about emerging telehealth
research, click here .

Today on Health Affairs Blog, Jonathan Jaffery and Dana Gelb Safran
discuss how value-based payment models can make adjustments for more
socioeconomically vulnerable populations and still hold all providers to
common performance standards
.
Also, Sachin H. Jain and Balu Gadhe discuss "confident generalists,"
arguing that they're the answer to what ails our health care system
.

You can now listen to the latest research and health policy insights
from Health Affairs. Subscribe to one, or all, of our three podcasts
here . On tomorrow's episode
of A Health Podyssey
,
Emily Johnston shares insights from her latest research on women's
loss of Medicaid coverage in the weeks before or after pregnancy
.

Your Daily Digest

Direct-To-Consumer Telemedicine Visits For Acute Respiratory Infections
Linked To More Downstream Visits

Kathleen Yinran Li, Ziwei Zhu, Sophia Ng, and Chad Ellimoottil

Addressing Social Risk Factors In Value-Based Payment: Adjusting Payment
Not Performance To Optimize Outcomes and Fairness

Jonathan B. Jaffery and Dana Gelb Safran

The Confident Generalist: Putting The Primary Care Physician Back At The
Center

Sachin H. Jain and Balu Gadhe

Post-ACA, More Than One-Third Of Women With Prenatal Medicaid Remained
Uninsured Before Or After Pregnancy

Emily M. Johnston, Stacey McMorrow, Clara Alvarez Caraveo, and Lisa
Dubay

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Request For Abstracts Q&A:
Racism And Health

Health Affairs is planning an upcoming issue on Racism and Health, with
an emphasis on structural racism. To be published in February 2022, it
will feature original research, analyses, commentaries, and personal
narrative. The deadline to submit abstracts
,
May 3, is fast approaching.

If you are thinking about submitting an abstract
,
join us this week for an informal, online Q&A session,

**"Tips for Navigating our Request for Abstracts (RFA) Process." **

T

**he Q&A will be hosted by Health Equity Director Vabren Watts and
Senior Editor Jessica Bylander.**

Date:     Thursday, April 22, 2021

**Time:     **1:00 p.m. - 2:00 p.m. ET

**Place:    **Online (meeting details will be emailed in advance)
Presenters to include:

Arturo Vargas Bustamante, Associate Professor of Health Policy and
Management at UCLA's Fielding School of Public Health, and recent
theme issue adviser for

**Health Affairs**, will share his thoughts on what makes a successful
abstract and his advice for someone hoping to publish in

**Health Affairs.**

Please note: We encourage papers that represent cross-disciplinary
efforts that bridge health and nonhealth sectors. In addition, we are
seeking contributions from junior faculty; authors with lived experience
of racism, including nonacademic community members; and authors from
Historically Black Colleges and Universities and Hispanic-Serving
Institutions, tribal colleges and universities, and Asian American and
Native American Pacific Islander-Serving Institutions.

**Health Affairs** thanks the Robert Wood Johnson Foundation and the
Episcopal Health Foundation for their generous support of this issue.

 RSVP

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mailto:[email protected]

About Health Affairs

Health Affairs is the leading peer-reviewed journal
at the intersection of health,
health care, and policy. Published monthly by Project HOPE, the journal
is available in print and online. Late-breaking content is also found
through healthaffairs.org , Health Affairs Today
, and Health Affairs Sunday
Update .  

Project HOPE is a global health and
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health care workers to save lives across the globe. Project HOPE has
published Health Affairs since 1981.

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