Promises and Pitfalls of Health Information Technology for Home and Community-Based Services
Published in: Journal of Applied Gerontology (2020). doi: 10.1177/0733464820941364
Posted on RAND.org on September 15, 2020
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Access further information on this document at Sage JournalsThis article was published outside of RAND. The full text of the article can be found at the link above.
Background
Health information technology (HIT) use in home- and community-based services (HCBS) has been hindered by inadequate resources and incentives to support modernization. We sought to understand the ways the Medicaid Balancing Incentive Program (BIP) facilitated increased use of HIT to increase access to HCBS.
Method
Qualitative analysis of interviews with 30 Medicaid administrators, service agency providers, and consumer advocates.
Results
Although stakeholders perceived several benefits to greater HIT use, they highlighted critical challenges to effective adoption within the long-term services and supports (LTSS) system, including lack of extant expertise/knowledge about HIT, the limited reach of HIT among rural and disabled beneficiaries, burdensome procurement processes, and the ongoing resources required to maintain up-to-date HIT solutions.
Conclusion
The structural reforms required by BIP gave states an opportunity to modernize their HCBS systems through use of HIT. However, barriers to HIT adoption persist, underscoring the need for continued support as part of future rebalancing efforts.
This article was published outside of RAND. The full text of the article can be found at the link above.
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