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The paper by Reich et al. recently published in the IJIC compares healthcare expenditure of patients insured in a contracted capitated model, a contracted non-capitated model, and a telemedicine model [1]. Their evaluation showed that the telemedicine model was associated with an efficiency gain of 3.7% as opposed to 21.2% for the contracted capitated and 15.5% for the non-capitated model. The analyses were restricted to persons who claimed reimbursement for health care expenses during the study period. As the authors themselves state, this restriction is a potential source of bias, which we believe has major implications for the interpretation of the study results.

international journal of integrated care

Letter in response to the article published by O. Reich, R. Rapold and M. Flatscher-Thöni. An empirical investigation of the efficiency effects of integrated care models in Switzerland