title: Telehealth and Indian healthcare: moving to scale and sustainability.
abstract: Telehealth innovation has brought important improvements in access to quality healthcare for American Indian and Alaska Native communities. Despite these improvements, substantive work remains before telehealth capability can be more available and sustainable across Indian healthcare. Some of this work will rely on system change guided by new care model development. Such care model development depends on expansion of telehealth reimbursement. The U.S. Indian healthcare system is an ideal framework for implementing and evaluating large-scale change in U.S. telehealth reimbursement policy.
authors.affiliation: Flagstaff Medical Center/Northern Arizona Healthcare, 1200 North Beaver Street, Flagstaff, AZ 86001, USA. mark.carroll@nahealth.com
authors.forename: Mark
authors.initials: M
authors.lastname: Carroll
authors.forename: Mark B
authors.initials: MB
authors.lastname: Horton
mesh_terms: D000413:Alaska; D003695:Delivery of Health Care / Q000191:economics / Q000208:ethnology*; D004059:Diffusion of Innovation; D006801:Humans; D007198:Indians, North American; D012051:Reimbursement Mechanisms / Q000191:economics; D017216:Telemedicine / Q000191:economics / Q000458:organization & administration*; D014481:United States