{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T05:33:40Z","timestamp":1785389620856,"version":"3.55.0"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T00:00:00Z","timestamp":1727481600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Although telehealth utilization in primary care has decreased markedly since 2020, it remains higher than before the COVID-19 pandemic. There is debate about its role in a post-pandemic healthcare system, particularly for certain groups of patients that may experience greater access challenges related to in-person care. To inform this debate, we examined the use of audiovisual telehealth for primary care as a share of total primary care outpatient visits among Medicare Advantage beneficiaries with and without 3 characteristics associated with potential access challenges (low-income status, disability, and frailty). Primary care visits when the beneficiary was frail were 39.4% (OR: 1.39 [95% CI, 1.37-1.42]) more likely to be telehealth; when the beneficiary was disabled or low-income status, visits were 20.1% (OR: 1.20 [95% CI, 1.18-1.22]) and 8.3% (OR: 1.08 [95% CI, 1.05-1.12]) more likely to be telehealth, respectively. The differential use of telehealth among beneficiaries with low-income status or disability, compared with those without, was significantly larger among providers with a 2-sided risk contract compared with fee for service (low-income status: OR: 1.19 [95% CI, 1.04-1.35]; disability: OR: 1.07 [95% CI, 1.01-1.13]).<\/jats:p>","DOI":"10.1093\/haschl\/qxae120","type":"journal-article","created":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T12:57:16Z","timestamp":1727528236000},"source":"Crossref","is-referenced-by-count":6,"title":["Primary care telehealth utilization by access-challenged populations in Medicare Advantage"],"prefix":"10.1093","volume":"2","author":[{"given":"Emily","family":"Boudreau","sequence":"first","affiliation":[{"name":"Humana Healthcare Research , Louisville, KY 40202 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5581-283X","authenticated-orcid":false,"given":"Amanda","family":"Sutherland","sequence":"additional","affiliation":[{"name":"Humana Healthcare Research , Louisville, KY 40202 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2719-9825","authenticated-orcid":false,"given":"Debra","family":"Bozzi","sequence":"additional","affiliation":[{"name":"Humana Healthcare Research , Louisville, KY 40202 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1425-8144","authenticated-orcid":false,"given":"Melanie","family":"Canterberry","sequence":"additional","affiliation":[{"name":"Humana Healthcare Research , Louisville, KY 40202 ,","place":["United 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