Payer-mix and the adoption of health information technologies
This paper investigates the influence of payer-mix on the presence and adoption of clinical health information technology (HIT) in health care systems. With growing concerns about the safety and rising cost of health care in the United States, an understanding of factors relating to the adoption of cost and outcome improving technologies can inform important policy decisions that have the potential to enhance the delivery of health care services. Results from this project provide some evidence that payer-mix has a statistically significant impact on whether health care systems have clinical HIT and if they choose to adopt these technologies. Revenue from managed care sources has the greatest magnitude and statistical significance among different payers. On average, managed care revenue tends to increase the probability of the presence or adoption of clinical IT applications in a health care system. Managed care systems, which are more "closed" may be better able to internalize the benefits of HIT investment and thus be more likely to use these technologies.
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