The Impact of Telehealth on Unnecessary Emergency Department Visits Among the Medicare Dual Special Needs Plan Population

Date of Award

Spring 2025

Document Type

Dissertation

Degree Name

Doctor of Healthcare Administration (DHA)

Committee Chair

Cynthia Smoak

Committee Member

Tonia Young-Babb

Committee Member

Steven Marks

Abstract

This quantitative correlational study investigated the impact of telehealth usage on emergency department (ED) visits among the Dual Special Needs Plan (D-SNP) population, a majority of whom fall into the low-income bracket and are eligible for both Medicaid and Medicare under a managed care model. The research assessed different variables, and their pattern associated with ED and telehealth utilization before and during the COVID-19 pandemic. The study focused on D-SNP populations across Alabama, Arkansas, Washington DC, Delaware, Florida, Georgia, Maryland, Mississippi, North Carolina, Pennsylvania, Tennessee, and Texas, analyzing five years of secondary data from 2018 to 2022. Data points included demographic and utilization variables, such as year, gender, age, D-SNP and ED populations, ED visits, telehealth populations, and telehealth visits.

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