Congenital heart defect (CHD)-related telehealth and other outpatient utilization among Medicaid and private insurance beneficiaries: 2018-2023.

Congenital heart defect (CHD)-related telehealth and other outpatient utilization among Medicaid and private insurance beneficiaries: 2018-2023.

Publication date: Aug 06, 2026

IntroductionAccessing specialty cardiac care presents challenges for U. S. individuals with congenital heart defects (CHD), despite recommendations for regular cardiac follow-up. Additionally, the impact of the COVID-19 pandemic and telehealth expansion on CHD-related health care is not well-understood. Therefore, our objective was to evaluate changes in CHD-related telehealth and other outpatient utilization in the Medicaid population from 2018 to 2022 and a privately-insured population from 2018 to 2023. MethodsUsing claims from national Medicaid (2018-2022) and private insurance (2018-2023) databases, we calculated the number of CHD-related outpatient encounters per 100,000 enrolled children or adults and the number conducted via telehealth. We compared CHD-related outpatient utilization trends before and after the COVID-19 interruption (identified as March-May 2020) as an interrupted times series with Poisson regression. ResultsAmong adults and children in both insured populations, CHD-related outpatient utilization increased before the COVID-19 interruption (January 2018-February 2020); afterward, it decreased in Medicaid but continued increasing at a slower rate among the privately-insured (all P 

Concepts Keywords
Congenital heart defects
COVID-19 pandemic
outpatient healthcare utilization
telehealth

Semantics

Type Source Name
disease MESH Congenital heart defect
disease MESH COVID-19 pandemic

Original Article

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