![]() ![]() We are also seeing a differential uptake of telehealth depending on specialty, with the highest penetration in psychiatry (50 percent) and substance use treatment (30 percent) (Exhibit 2). This utilization has been relatively stable since June 2020. Since the initial spike in April 2020, telehealth adoption overall has approached up to 17 percent of all outpatient/office visit claims with evaluation and management (E&M) services. Virtual healthcare models and business models are evolving and proliferating, moving from purely “virtual urgent care” to a range of services enabling longitudinal virtual care, integration of telehealth with other virtual health solutions, and hybrid virtual/in-person care models, with the potential to improve consumer experience/convenience, access, outcomes, and affordability.Rock Health venture funding database, 2017–21,. Investment in virtual care and digital health more broadly has skyrocketed, fueling further innovation, with 3X the level of venture capitalist digital health investment in 2020 than it had in 2017.But uncertainty still exists as to the fate of other services that may lose their waiver status when the public health emergency ends. Some regulatory changes that facilitated expanded use of telehealth have been made permanent, for example, the Centers for Medicare & Medicaid Services’ expansion of reimbursable telehealth codes for the 2021 physician fee schedule.Some barriers-such as perceptions of technology security-remain to be addressed to sustain consumer and provider virtual health adoption, and models are likely to evolve to optimize hybrid virtual and in-person care delivery. Perceptions and usage have dropped slightly since the peak in spring 2020. ![]() Similarly, consumer and provider attitudes toward telehealth have improved since the pre-COVID-19 era. ![]() 3Ĭompile data set, Exhibit 2 (of the original article). This utilization reflects more than two-thirds of what we anticipated as visits that could be virtualized. After an initial spike to more than 32 percent of office and outpatient visits occurring via telehealth in April 2020, utilization levels have largely stabilized, ranging from 13 to 17 percent across all specialties.
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