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Before COVID-19 hit our shores, digital health was starting to take hold as the wave of the future for the practice of medicine. An AMA study from 2019 noted that at least 87% of physicians saw an advantage to using these digital tools. "Use of … digital health tools … has increased and the average number of those tools used per physician has also increased. The largest increases were in tele-visits (usage doubled from 14% in 2016 to 28% in 2019) and remote monitoring for improved care."
Since the declaration by the then Secretary of Health and Human Services (HHS) of the Public Health Emergency [PHE] on Jan. 31, 2020, telehealth has increased exponentially in large measure due to Congress and CMS's expansion of coverage for telehealth services in the Medicare and Medicaid populations. (See, Report to the Congress: Medicare Payment Policy, Medicare Payment Advisory Commission, March 2021, pg. 457.)
In July 2020, a report highlighted the significant increase in telehealth among Medicare beneficiaries, noting that nearly half (43.5%) of Medicare's primary care visits were being provided via telehealth, compared to the 0.1% rate seen in the month prior to the PHE. (See, Medicare Beneficiary Use of Telehealth Visits: Early Data From the Start of the COVID-19 Pandemic, U.S. Department of Health and Human Services Assistant Secretary for Planning and Evaluation, July 28, 2020.) Similarly, in October 2020 the CDC reported that telehealth visits were up 154% in the last week of March 2020 compared with the same period the previous year. Further, the HHS report noted that, although in-person visits increased a bit into May, the use of telehealth "leveled off at a persistent and significant level by the beginning of" June 2020. (See, Medicare Beneficiary Use of Telehealth Visits, supra.)
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