Digital Health Readiness and Medicare Primary Care Spending: Nationwide County-Level Observational Analysis

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Analyzes associations between county-level digitalization and Medicare primary care spending for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in 2,993 counties between 2017 and 2023 using the Digital Health Index. Discusses the differences when comparing within a county over time and between counties, as well as the impact on healthcare access and socioeconomic factors.

Zhaoqiang Zhou, John Geracitano, Baiming Zou, Saif Khairat

Journal of Medical Internet Research, 28

09/2026

Access · Federally Qualified Health Centers · Medicare · Reimbursement and payment models · Rural Health Clinics · Social determinants of health · Statistics and data · Technology for health and human services