The dynamics and new trends of AOL Healthcare

Online health care has been growing in the U.S. for years, but has only grown rapidly in the past few years, directly because, after Obamacare, the model of paying for affordable care changed the basic system of hospital evaluation, with cost control and health care effectiveness as the primary payment criteria, which led to the development of telemedicme.
Obama's Affordable Care Act would instead pay for health care providers on a per-person pay-per-view note.
how many patients doctors have seen in the past, they can receive the corresponding fees.
now, the amount doctors receive from insurance companies or governments will depend on the efficiency with which doctors provide care to patients, and avoiding hospitalization and other high medical expenses will be important criteria.
Before the Affordable Care Act, doctors always let patients out of hospital as quickly as possible, taking into account the possibility that they would be admitted again, given the cost pressures and increased number of patients, because the number of patients admitted again was new and they could be compensated again by the insurance scheme.
, however, the Affordable Care Act has completely changed that logic.
Repeated hospitalizations show that the value of care is not well represented, and federal insurance such as Medicare will refuse to pay or reduce the rate of payments, even fine hospitals with a higher percentage of patients who are admitted to the hospital or who are admitted to emergency rooms as a result of re-entry or recurrence.
The shift has made hospitals interested in telemedicology, which can better track patients and help small and medium-sized hospitals or clinics with insufficient medical strength to work with large hospitals to improve treatment capacity and effectiveness, resulting in higher reimbursement rates."
summary, changing the payment standards of payer directly contributed to the development of telemedic.
, the shortage of doctors facing the United States has prompted service providers to start using remote means.
the gap for GPs in the US could exceed 30,000 by 2025, while the gap for specialists could reach 63,000, according to association of American Medical Colleges.
as America's post-World War II population ages, a large number of doctors will retire and face a shortage of young doctors in the future.
, telemedicies will help help remote, doctor-poor areas access doctor resources.
analysis of the online medical model in the United States, the development of online medical treatment is divided into two modes, both in and out of the hospital.
For a long time, out-of-hospital is the main force of the development of online medical care, mainly to online consultation and slow disease management, the participants mainly to third-party companies, insurance companies and pharmacies are also as part of the integration of services.
because the U.S. hospitals in the outpatient volume is not large, outpatients are mainly concentrated outside the hospital, therefore, the out-of-hospital online medical treatment has achieved rapid development.
the development of out-of-hospital outpatient clinics is mainly based on the need to pay party control fees, and the hospital is driven by value of medical care is not the same.
, from the actual consultation scene, the outside of the hospital is more the embodiment of corporate welfare and coordination with other services.
Whether it is Teladoc's membership fee model, or insurance companies for members to provide online consultation services, the essence is to meet the user's occasional needs, more to make up for the user's sudden or some occasional needs, such as cold drug access or some minor illness counseling.
out-of-hospital online medical positioning basic medical problems, technical requirements are low, only ordinary video and communication software can be carried out, doctors and patients communication is relatively simple.
hospital is mainly the hospital's own development model for other medical institutions (including hospital groups and other hospitals) B2B development model, or mainly for individual users to remote disease monitoring-based B2C model.
hospital is mainly for hospitalization and post-hospital management, the volume is relatively small, but more rigid demand, the user's stickiness is also stronger.
hospital online medical has a strong field of targeted, such as stroke first aid, tele-electrocution and so on.
such telemedicheal requires specialized information and image transmission systems, accuracy and accuracy need to meet certain requirements, and it is necessary to establish a relatively close cooperation mechanism between hospitals.
Of course, there is no absolute distinction between in-hospital and out-of-hospital, as the U.S. medical group's massive acquisition of out-of-hospital outpatient facilities or HMO organizations like Kaiser's own has hundreds of clinics, which has driven it to have a large number of online consultation services outside the hospital.
addition, companies such as Amwell were originally concentrated outside the hospital, but because they did not earn revenue from the annual membership fee, they did so on the actual number of visits, which made it difficult to increase the size of their revenues.
, Amwell exports its technology to hospitals, insurance companies, pharmacies and clinics as a technical service provider.
As the outbreak develops in the U.S., in-house online consultations are gaining momentum, and Kaiser's online survey of its users shows that users are more likely to consult remotely with their family doctor or a doctor who has previously completed an online consultation.
, online consultations initiated by in-hospital-controlled clinics will have an advantage.
out-of-hospital areas have gained a higher volume, the growth rate of out-of-hospital consultations will gradually slow as the outbreak eventually recedes in the future.
fact, the slowdown in out-of-hospital consultations has started in 2019, a trend that can be seen in Teladoc's decline to 32% in 2019.
the outbreak has changed the trend of slowing out-of-hospital consultations, the slowdown in future growth will be a long-term trend.