CMS Data · Telehealth use

Did telehealth actually stick?

During the pandemic, almost everyone tried seeing a doctor over video. The real question is what happened next: did people keep doing it once they didn't have to, or go straight back to the waiting room? The public records hold the answer, but it's spread across so many separate reports that nobody bothers to add it up. Put it together and you can see plainly where virtual care became a habit and where it faded.

Virtual visitsBy type of careBy areaAnswer in seconds
Oshri Cohen, CMS healthcare data made useful
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The problem

The real story is hiding behind the spike.

Everyone remembers how fast virtual visits shot up when the country shut down. That huge spike is easy to point at, but it also buries the question that actually matters: what does normal look like now that nobody is forced to stay home? The information that answers it gets published in pieces, one slice for each kind of care, each area, each stretch of time, so the steady, everyday picture never sits in one place where you can read it.

Bring all of those pieces together and the timing becomes the whole point. You can pick one kind of care, mental-health visits, say, and watch its use climb, level off, and settle into a new normal. You can compare one area against another, and see whether people in the countryside held onto virtual care more than people in cities once it stopped being a necessity. The lasting habit, not the spike, is where the real decisions live.

What it answers

Questions you can finally ask.

Each is a question you simply ask and get an answer to, not a three-week analysis project.

Which kinds of care kept telehealth?

Rank the types of care by how much of their pandemic-era virtual use is still around, separating the lasting shift from a temporary scramble.

Where did telehealth fall away?

Find the kinds of care where virtual visits spiked and then dropped to almost nothing, the places in-person care simply took back.

Is this a city or countryside story?

Compare how much people in cities and rural areas still use virtual care, to see whether the convenience promise reached everyone.

How many people actually used it?

Look past the raw visit count to how many different people used virtual care, separating broad uptake from a small group using it a lot.

When did things settle down?

Follow the month-by-month picture to spot the point where use stopped sliding and held steady at a new everyday level.

Which areas lead the new normal?

Find the places with the highest lasting use of virtual care, so anyone planning a telehealth service knows where demand already exists.

What goes into it

What the answer pulls together.

How many virtual visits happened

The count of care delivered over video or phone, broken out by type of care and stretch of time, the raw measure of how much went virtual.

How many people used it

The number of different people who had at least one virtual visit, so you can tell broad uptake apart from heavy repeat use.

Where and what kind of care

The breakdowns by area and type of care over time, which turn one national figure into a set of comparable local trends.

Everyone remembers the spike. Almost nobody has looked at what came after, and that quieter part is the only piece that tells you what care looks like now.

Oshri Cohen · On CMS data
Common questions

What people ask about this.

Does this cover everyone or just older patients?

It reflects the older population covered by Medicare, which is what's reported in this kind of detail. That makes it a steady, nationwide read on a group that uses a lot of care, rather than a picture of the whole country. For most questions about whether virtual care stuck, it's the most reliable signal there is, because the same things are counted the same way in every period.

Can it tell a real change from a temporary rule?

Yes, because everything is dated. By comparing the pandemic stretch against the most recent months, you can see which gains held once the emergency rules wound down. What people kept doing after they no longer had to is exactly what separates a lasting change from a forced one.

How current is the answer?

It stays current on its own. When new information is published, it's already in there, so you're asking against today's picture, not a year-old extract.

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