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The Underserved Have Less Access to Employer-Sponsored Telemedicine Coverage

Author

Listed:
  • Alice Zawacki
  • Thomas A. Hegland
  • G. Edward Miller

Abstract

Telemedicine has been proposed as one means of improving health care access for underserved communities, and information about insurance coverage for telemedicine (TMC) is important in understanding its utilization and provision. We use 2018-2019 Medical Expenditure Panel Survey-Insurance Component data on employer-sponsored coverage to examine pre-pandemic TMC relative to employer, worker, and health plan characteristics. We find that the share of employees in private sector establishments offering TMC was lower in the most rural counties, in smaller firms, in establishments without unionized employees, and in establishments where most workers were low wage, part-time and older when compared to other establishments. These findings reflect differences across establishments in insurance offers, as well as differences in TMC conditional on an insurance offer, which suggests that TMC may function as a premium plan feature with limited availability and potential support for improving healthcare access for the underserved.

Suggested Citation

  • Alice Zawacki & Thomas A. Hegland & G. Edward Miller, 2022. "The Underserved Have Less Access to Employer-Sponsored Telemedicine Coverage," Working Papers 22-40, Center for Economic Studies, U.S. Census Bureau.
    • Handle: RePEc:cen:wpaper:22-40
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    File URL: https://www2.census.gov/ces/wp/2022/CES-WP-22-40.pdf
    File Function: First version, 2022
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    References listed on IDEAS

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    1. Jessica Vistnes & Thomas Selden, 2011. "Premium growth and its effect on employer-sponsored insurance," International Journal of Health Economics and Management, Springer, vol. 11(1), pages 55-81, March.
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    More about this item

    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • J32 - Labor and Demographic Economics - - Wages, Compensation, and Labor Costs - - - Nonwage Labor Costs and Benefits; Retirement Plans; Private Pensions

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