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Certainly the public health precautions related to the pandemic drove part of the shift to virtual care, but the real catalyst triggered by the Public Health Emergency (PHE) was the removal of regulatory barriers by CMS and commercial payers as well as defining payment for telehealth services which had been restricted in the past. Clinicians have had the capability and desire to leverage telemedicine prior to COVID, but had been held back by an archaic oversight system and perverse financial incentives not to do so. At the same time, the power and possibility of more patient-centric care delivery through virtual services has exposed many health inequities, social determinants of health, and gaps in broadband access in rural communities and other underserved areas including our cities. The sustained value of virtual care, which will complement but not replace traditional person-to-person care, can only be realized if we permanently modernize our health care regulations, payment models, and digital infrastructure and do not allow the changes launched by the PHE to sunset, as they are currently scheduled to do.
I didn’t like this at first, but am starting to get used to it. As long as the doctor doesn’t need to physically examine you it has been fine for talking about routine blood tests or any other follow-up. On my end it certainly saves me from having to wait as they seem to be on time with the video visits over the normal in person visits. I think utilizing it as much as possible and continuing to expand remote capabilities with technology is certainly here to stay.