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A Cost-Effectiveness Analysis of Cardiology eConsults for Medicaid Patients

Daren Anderson, MD; Victor Villagra, MD; Emil N. Coman, PhD; Ianita Zlateva, MPH; Alex Hutchinson, MBA; Jose Villagra, BS; and J. Nwando Olayiwola, MD, MPH
A randomized trial of eConsults for cardiology referrals from primary care resulted in significant reductions in total cost of care compared with traditional face-to-face consultations.

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Author Affiliations: Weitzman Institute (DA, IZ, JV), Middletown, CT; UConn Health Disparities Institute, University of Connecticut (VV, EC), Farmington, CT; RPM Health (AH), Farmington, CT; Center for Excellence in Primary Care, University of California, San Francisco (JNO), San Francisco, CA.

Source of Funding: Connecticut Health Foundation.

Author Disclosures: Dr Villagra is president of Health & Technology Vector, which signed a contract with CeCN, an eConsult company, after completion of this work. Dr Olayiwola began work for an eConsult company in March 2017, well after this work was completed. The remaining authors report no relationship or financial interest with any entity that would pose a conflict of interest with the subject matter of this article.

Authorship Information: Concept and design (DA, IZ, JV, JNO); acquisition of data (DA, VV); analysis and interpretation of data (DA, VV, EC, AH, JV); drafting of the manuscript (DA, VV, EC, IZ, AH); critical revision of the manuscript for important intellectual content (DA, VV, EC, IZ, AH, JV, JNO); statistical analysis (DA, VV, EC, AH); provision of patients or study materials (DA); obtaining funding (DA, JNO); administrative, technical, or logistic support (DA, JNO); and supervision (DA).

Address Correspondence to: Daren Anderson, MD, Weitzman Institute, 631 Main St, Middletown, CT 06457. Email: daren@chc1.com.
 
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