Hospital at Home Waiver Extension: Your 5-Year Technology Roadmap

by Ree AI Health Tech Med Tech

The House spending bill dropped a bombshell for digital health companies: a proposed 5-year extension for hospital-at-home waivers and 2-year extension for Medicare telehealth flexibilities.

Five years sounds like forever in tech time. But it’s actually a strategic planning nightmare.

Do you build for temporary policy, or bet everything on permanence?

I spent 2 years managing care for my terminally ill husband across 10 different doctors. Every month, he landed back in the hospital with high A1C, low hemoglobin, unbearable pain. If hospital-at-home programs had existed in 2016 with the right technology backing them, he could have avoided dozens of ER visits.

Hospital at home is the future. The question is, what should Series A, B and C health tech founders build in the next 24 months that creates value regardless of what Congress does in 2030?

This isn’t about policy speculation. It’s about strategic planning with incomplete information—which is exactly what building a health tech company requires.

Let’s break down the roadmap.

Contents

What the Proposed Funding Package Actually Changes

Source: Modern Healthcare

The proposed House spending bill extends two critical Medicare programs—but on very different timelines. Understanding these differences matters if you’re building technology in this space.

The 5-year hospital-at-home timeline explained

The proposed legislation would extend the hospital-at-home waiver through 2030. This isn’t just another short-term patch. Previous extensions gave health systems and tech companies 12-18 months of runway at best.

The current acute hospital care at home initiative lets Medicare pay for hospital-level services delivered in patients’ homes. Without the extension, this program expires in 2025. That’s not enough time to build, validate, and scale meaningful technology infrastructure.

Five years gives you real planning horizon. You can make legitimate platform investments. You can hire engineering teams. You can sign multi-year contracts with health systems.

But—and this is critical—5 years isn’t permanent. It’s a policy experiment with a longer fuse.

What’s still uncertain despite the extension

Even with a 5-year extension, huge questions remain unanswered. CMS hasn’t committed to specific reimbursement rates beyond the waiver period. Will hospital-at-home payments match facility-based acute care, or will they drop to home health rates?

State regulations vary wildly. Some states embrace home-based acute care. Others have licensing requirements that make it nearly impossible. Federal waivers don’t override state-level barriers.

Commercial payers watch Medicare but don’t automatically follow. Your hospital-at-home technology needs Medicare coverage to scale, but commercial adoption determines whether you build a sustainable business.

Technology requirements could shift too. CMS might mandate specific monitoring capabilities, interoperability standards, or quality reporting metrics that don’t exist yet.

Planning for 5 years means planning for uncertainty, not betting on stability.

Most Founders Are Asking the Wrong Question

When the House bill news broke, founder group chats exploded with one question: “Does this mean hospital-at-home is permanent?” That’s the wrong question. It reveals a misunderstanding of how health tech businesses actually succeed or fail.

“Is this permanent?” misses the strategic point

Policy permanence has never guaranteed health tech success. Remote patient monitoring has had Medicare coverage since 2019. Chronic care management codes have existed for years. Both have clear reimbursement pathways. Both have policy stability.

Yet most RPM companies struggle to achieve profitability. Many CCM platforms shut down despite favorable policy.

The real risk isn’t policy reversal. It’s building something nobody needs or can’t afford to operate. Investors price in regulatory risk and execution challenges unique to healthcare.

Your business model needs to create value across multiple scenarios. If hospital-at-home waivers expire in 2030, can your technology pivot to post-acute care? Skilled nursing facilities? Palliative care at home? If you’ve built exclusively for one reimbursement code, you’ve built a fragile company.

The trap of building exclusively for waivers

Female doctor waving to female patient on Zoom

Remember the telehealth boom of 2020-2021? Some telehealth companies that scaled to thousands of employees during COVID laid off half their staff by 2023.

They weren’t bad companies. They built for a policy moment, not a durable market need.

VCs learned an expensive lesson: waiver-dependent revenue is risky revenue. When I talk to Series B investors now, they ask pointed questions. What percentage of your revenue requires temporary policy? If that policy changes, what’s your Plan B? Can you operate profitably under traditional Medicare rates?

If you can’t answer those questions convincingly, your valuation suffers—even if current policy looks favorable.

What “5 years” really means for your product roadmap

Five years is approximately two technology development cycles for complex healthcare platforms. You can ship an MVP, gather real-world evidence, iterate based on feedback, and launch a mature v2.0 product in that timeframe.

But 5 years isn’t enough time to build everything. You need to prioritize ruthlessly.

Your 24-month window is critical. This is when you validate product-market fit, prove unit economics, and establish your competitive moat. If you can’t demonstrate margin-positive cohorts by month 24, the next 3 years won’t save you.

Years 3 to 5 should assume policy uncertainty, not stability. Build optionality into your architecture. Make sure your platform can serve multiple care settings. Design your data infrastructure to support different payment models.

One scenario planning exercise: map out what your business looks like if hospital-at-home waivers expire in 2030 versus extend another 5 years vs. become permanent. If all three scenarios require fundamentally different strategies, you’re not building a durable company. You’re building a policy bet.

Your 24-Month Minimum Viable Stack

The next 2 years determine everything. You need to build technology that proves value quickly while laying foundation for longer-term expansion. Here’s where to focus your engineering resources and capital.

Core infrastructure that works across reimbursement models

Start with the basics that every home-based care model needs, regardless of how Medicare pays for it.

Remote patient monitoring devices need to integrate seamlessly with your platform. But don’t overbuild here. Start with FDA-cleared devices for vital signs (blood pressure, pulse ox, weight, glucose). Specialty monitoring for rare conditions can wait until you’ve proven your core model works.

Virtual triage and clinical communication platforms matter more than most founders realize. When a patient’s oxygen saturation drops at 3 a.m., someone needs to decide: send an ambulance, dispatch a nurse, or coach the patient through the moment remotely? That decision-making capability is what health systems pay for, not just the device data.

Care orchestration is the unsexy backbone nobody wants to build but everyone needs. Who schedules the nurse visit? Who orders medical supplies? Who coordinates with the patient’s primary care doctor? These back-office functions represent over half of the $1 trillion in annual U.S. healthcare waste. Automating them creates immediate ROI.

EHR integration isn’t optional. Payers demand it. Health systems require it. Your platform needs to pull patient data from Epic, Cerner, and other major EHRs, then push back visit notes, monitoring data, and care plans. Budget 20 to 30% of your engineering resources just for integration work.

Where to invest in AI right now

Source: Health Care Code

Ambient clinical intelligence (ACI) has reached near-universal adoption: 92% of health systems are piloting or deploying AI scribes. These tools improve documentation accuracy, leading to 10 to 15% revenue capture improvement through better coding and billing.

For hospital-at-home programs, this matters enormously. Nurses and paramedics doing home visits often struggle with documentation. They’re managing complex patients in unpredictable environments. AI that turns their verbal notes into structured clinical documentation saves 30 to 45 minutes per visit.

Predictive analytics should focus on preventing acute episodes that require hospitalization. Machine learning models can analyze vital sign trends, medication adherence patterns, and social determinants data to flag patients at risk of decompensation. One health system using predictive monitoring reduced readmissions by 23% in their hospital-at-home cohort—that’s the difference between a margin-positive program and one that loses money on every patient.

Don’t sleep on care coordination automation. If family caregivers spend 15-20 hours per week on caregiving tasks (as CareYaya Health Technologies data shows), your AI should reduce that burden. Automated medication reminders, appointment scheduling, and supply ordering aren’t flashy features, but they’re what caregivers desperately need.

The unsexy AI that saves money: Back-office automation in revenue cycle management, prior authorization, and claims integrity. These AI applications can reach 70-80% profit margins and generate $500K-$1M in annual recurring revenue per full-time employee. That cash flow funds your clinical AI development.

The Margin Math That Actually Matters

Most hospital-at-home programs lose money. Your technology needs to change that equation, or you don’t have a sustainable business.

Why most hospital-at-home programs lose money

Medicare pays $1,000 to $1,500 per day for hospital-at-home. Most programs spend $1,200 to $1,600 per patient daily on nurse visits, supplies, coordination, and tech. They’re underwater from Day 1.

The hidden costs kill you. Logistics and care orchestration require significant labor. Someone schedules visits, manages the supply chain, and coordinates with the patient’s other providers. Traditional staffing models don’t scale—you can’t apply facility-based nursing ratios to home care and expect it to work economically.

Technology that creates work instead of reducing it makes the problem worse. I’ve seen hospital-at-home platforms that require nurses to log into five different systems per visit. The documentation burden exceeds what they’d do in a hospital setting.

How AI makes care at home programs profitable

Revenue cycle optimization through better documentation can improve revenue capture by 10-15%. When a nurse describes a patient’s condition verbally and AI generates accurate, complete clinical notes with proper billing codes, you get paid more for the same work.

Source: MDhelpTEK

Reduced readmissions drive CMS quality bonuses. The hospital-at-home model already shows lower readmission rates than traditional acute care—adding predictive monitoring amplifies that advantage. Every readmission you prevent saves $10,000 to $15,000 in costs and protects against CMS penalties.

Labor cost reduction matters most. AI triage can cut nurse workload by 40%+ in pilot programs. Instead of nurses manually reviewing monitoring data for every patient, AI flags only the patients who need clinical attention. A nurse who previously managed 5-6 hospital-at-home patients can now manage 8 to 10.

The “unsexy” AI that CFOs love but VCs overlook: billing, coding, claims integrity. Administrative AI can reduce operational costs by 30-40%. That’s real margin improvement hitting your income statement immediately.

Proving ROI to your board in the next 6 months

Source: ScribeMD

Your board doesn’t care about utilization growth if you’re losing money on every patient. They care about these metrics:

  • Cost per episode: What does it actually cost you to manage one hospital-at-home patient from admission to discharge? Track this ruthlessly. Break it down by component: labor, supplies, technology, overhead.
  • Readmission rates: Hospital-at-home programs typically achieve 8 to 12% 30-day readmission rates versus 15 to 18% for traditional hospital care. If your program doesn’t beat facility-based benchmarks, you have a quality problem.
  • Patient satisfaction: CMS increasingly ties reimbursement to patient experience scores. Hospital-at-home programs score 15-20 points higher on patient satisfaction versus facility care. That’s your competitive advantage.

Structure pilot programs that generate defensible data. Work with 2 to 3 health systems willing to share financial and outcomes data transparently. You need to prove your technology improves margins, not just clinical outcomes.

The difference between utilization metrics and profitability metrics: lots of patients using your platform means nothing if each one loses money. Focus on contribution margin per patient. When does that number go positive? What’s the path to 40 to 50% gross margins?

The 3 to 5 Year Platform Expansion Strategy

Once you’ve proven your core model works and generates positive margins, you can think bigger. The next phase is about expanding beyond your initial use case.

From point solution to platform

Bessemer’s State of Health AI report describes “supernova” companies that achieve 6-10x growth trajectories by expanding from single point solutions into comprehensive platforms. Ambient scribes became full clinical documentation suites. Prior authorization tools became complete utilization management platforms.

The pattern:

  1. Start with a painful, well-defined problem.
  2. Solve it better than anyone else.
  3. Expand into adjacent workflows that touch the same users.

For hospital-at-home technology, that might mean starting with post-surgical patients recovering at home. Prove you can manage that population safely and profitably. Then expand to heart failure management, COPD exacerbations, cellulitis treatment, chemotherapy administration.

Each expansion requires clinical validation and new reimbursement navigation. But your core technology infrastructure of monitoring, triage, care coordination, documentation stays largely the same.

Value-based care integration timeline

Source: Activated Insights

Hospital-at-home is a wedge into value-based care contracts, not just fee-for-service reimbursement. Accountable Care Organizations (ACOs) and Medicare Advantage plans care deeply about reducing avoidable hospitalizations. If your platform keeps patients out of expensive facility-based care, ACOs will pay for it.

But commercial adoption lags Medicare by 18 to 24 months historically. Don’t expect widespread MA plan adoption until 2027 to 2028, even with favorable hospital-at-home policy.

Self-insured employers represent a faster path to commercial revenue. Large employers pay directly for employee healthcare. When they see data showing hospital-at-home reduces costs by 30-40% versus facility admissions, they’ll write checks. Companies like Cubby, who secured $63 million in Series A funding led by Guggenheim Partners, are targeting this employer market specifically for in-home care solutions.

To position for risk-bearing contracts in years 3 to 5, you need data infrastructure now. Start collecting outcomes data, cost data, and patient experience data from day one. Value-based contracts require you to prove your intervention changes total cost of care—not just that patients like your service.

Decision Framework for Health Tech Boards

If you’re a founder presenting hospital-at-home strategy to your board, or a board member evaluating your company’s approach, here are the right questions to ask.

5 questions your board should ask right now

  1. What percentage of our revenue depends on waiver-specific reimbursement? If it’s above 50%, you have concentration risk. Diversify your payer mix and care settings.
  2. If the waiver expires in 5 years, what’s our Plan B business model? You should have a concrete answer. Can you pivot to post-acute care? Palliative care? Chronic disease management? If the answer is “we’re screwed without waivers,” you’re not building a durable company.
  3. Are we building technology that creates value in multiple care settings? The best health tech platforms work across hospital-at-home, skilled nursing, home health, and ambulatory settings. Flexibility equals durability.
  4. How quickly can we prove margin-positive unit economics? If you can’t show positive contribution margin by month 24, extending the timeline to month 36 won’t magically fix the problem. You have a business model issue, not a scale issue.
  5. What’s our competitive moat if 10 other startups get this same 5-year runway? Policy tailwinds create competition. What’s your defensible advantage? Clinical outcomes data? Payer relationships? Technology that’s genuinely better, not just first to market?

Investor perspective on policy-dependent businesses

Source: WallStreetMojo

VCs underwrite regulatory risk by discounting valuations and requiring faster paths to profitability. A pure software company might get 7-10 years to reach profitability. A health tech company with policy dependency gets 3-5 years maximum.

The valuation discount for waiver-dependent revenue can be brutal. Health tech companies trade at 10-20% below cloud software comparables—and that’s before factoring in temporary policy risk.

Some investors love policy tailwinds. They want to ride the wave while it’s building. Others avoid policy-dependent businesses entirely, no matter how attractive the market opportunity looks.

Position your pitch carefully. Are you policy-enabled (taking advantage of favorable reimbursement to scale faster) or policy-dependent (can’t exist without specific waivers)? The former gets funded at reasonable valuations. The latter struggles.

What I Wish Existed When I Was a Caregiver

Let me bring this back to why any of this matters. The technology decisions health tech founders make over the next 24 months will determine what tools families like mine have access to in 2026 and beyond.

The gap between technology capability and real-world reliability

Source: Aptiva Medical

My husband’s Dexcom continuous glucose monitor worked beautifully—when it synced properly. The app sent alerts to my phone whenever his blood sugar went dangerously high or low. That device probably saved his life multiple times.

But it only worked because the technology was reliable:

  • The sensor stayed attached.
  • The Bluetooth connection held.
  • The app didn’t crash.

I’ve seen hospital-at-home platforms that look impressive in demos but break under real caregiver stress. The dashboard shows beautiful data visualizations—but requires three different logins to access. The monitoring devices pair easily in the clinic—but fail when WiFi is weak in rural areas.

Care coordination platforms often assume 24/7 nurse availability. They don’t account for the reality that small hospital-at-home programs can’t staff round-the-clock coverage.

Build for the worst-case scenario, not the ideal one.

Building for the sandwich generation managing multiple conditions

Source: Graying with Grace

My husband had 10 doctors. Ten! A primary care physician, nephrologist, endocrinologist, oncologist, cardiologist, and five other specialists. Your platform needs the capability to handle that complexity.

Nobody coordinated between them. I was the coordination layer. I maintained a spreadsheet with all his medications—drug names, dosages, prescribing doctors, reasons for taking them, refill schedules. The nurses loved my spreadsheet because their systems couldn’t give them the same view.

Insurance coordination created endless frustration. My employer’s insurance was primary while Medicare was secondary. Every billing department called me multiple times to confirm this. I explained the same thing to the hospital billing office, the lab, the imaging center, the pharmacy.

Your hospital-at-home platform should automate this nightmare. Pull medication lists from multiple prescribers. Flag potential drug interactions. Coordinate insurance claims automatically. Don’t make family caregivers become project managers.

Why I care about this 5-year window

Families like mine in 2026 deserve better than what I had in 2016.

The technology exists now, and the clinical models work. The question is implementation and sustainability.

Health tech founders have a moral obligation beyond shareholder returns. Yes, you need to build a profitable business and generate returns for your investors. But you’re also building tools that will serve people during the most vulnerable moments of their lives.

This isn’t about making a quick buck off temporary Medicare waivers then exiting before they expire. It’s about building something that lasts. Something that works. Something that actually helps families manage impossible complexity.

When you’re making technology decisions over the next 24 months, remember: real people will rely on what you build. Build something worthy of that trust.

The Path Forward

The proposed 5-year extension for hospital-at-home waivers isn’t a guarantee. It’s a window.

What you build in the next 24 months determines whether your company survives beyond 2030—regardless of what happens with federal policy.

The smartest founders build technology that creates value across multiple reimbursement scenarios. Focus on margin-positive unit economics. Solve real problems for real families—the kind of problems I faced as a caregiver managing impossible complexity across disconnected systems.

  • Start with the unsexy AI that makes programs profitable: revenue cycle management, clinical documentation, coding accuracy. These aren’t sexy pitch deck slides, but they generate cash flow.
  • Build your minimum viable stack around care orchestration and monitoring that works when human resources are constrained. Health systems can’t hire infinite nurses. Your technology needs to make existing staff dramatically more productive.
  • Structure pilot programs that generate defensible ROI data within 6 months. You need proof points for your next fundraise and for health system expansion.
  • Stress-test your business model. If hospital-at-home waivers expire in 2030, what’s Plan B? If you don’t have a good answer, you’re building on quicksand.

Five years is enough time to build something durable if you start with the right foundation. It’s not nearly enough time if you’re building for a policy moment instead of a market need.

The families who need hospital-at-home can’t wait for perfect policy clarity. They need technology that works today and keeps working tomorrow. So build for that reality.

Want to discuss your hospital-at-home technology strategy? Connect with me on LinkedIn or explore more health tech analysis at reewrites.com.

References

Bessemer Venture Partners. (2026). State of Health AI 2026. Retrieved from https://www.bvp.com/atlas/state-of-health-ai-2026

Fox, A. (2026). 2026 House spending bill proposes 2-year telehealth and 5-year hospital-at-home waiver extensions. Healthcare IT News. Retrieved from https://www.healthcareitnews.com/news/2026-house-spending-bill-proposes-2-year-telehealth-and-5-year-hospital-home-waiver-extensions

Gardner, S. & Hooper, K. (2026). Health tech panel to reboot after a long break. Politico Pulse. Retrieved from https://www.politico.com/newsletters/politico-pulse/2026/01/21/health-tech-panel-to-reboot-after-a-long-break-00737790

Gonzales, M. (2026). Proposed Funding Package Would Extend Hospital-at-Home Program, Medicare Telehealth Flexibilities. Home Health Care News. Retrieved from https://homehealthcarenews.com/2026/01/proposed-funding-package-would-extend-hospital-at-home-program-medicare-telehealth-flexibilities/

Stock Titan. (2026). Cubby secures $63 million in Series A funding round led by Growth. Retrieved from https://www.stocktitan.net/news/GS/cubby-secures-63-million-in-series-a-funding-round-led-by-growth-ikgye2ab40md.html

Zanchi, M. G. (2026). AI Journal. The “unsexy” revolution within healthcare AI. Retrieved from https://aijourn.com/the-unsexy-revolution-within-healthcare-ai/

The Uncomfortable Truth About Patient-Centered Design in Health Tech that I Learned at CES 2026

The Uncomfortable Truth About Patient-Centered Design in Health Tech that I Learned at CES 2026

by Ree AI Caregiving Health Tech Med Tech UX

I went to the CES 2026’s Digital Health Summit in my new city of Las Vegas, and yes, I oohed and ahhed at the dancing robots and awesome cars and vehicles on display.

But this isn’t your usual “look at this shiny new device” content you’ll see everywhere else about CES. I’m going to share the hard truths that came directly from patients, caregivers, and the organizations who represent them.

If you’re building healthtech, this is what your users are actually saying about what works, what doesn’t, and what they desperately need you to stop doing. Let’s go!

Contents

Left to right: Jennifer Goldsack, Randall Rutta, Alice Pomponio, Jake Heller, and Yuge Xiao

Product Design Failures Nobody Talks About

Your product design isn’t neutral

Randy Rutta from The National Health Council shared a couple of stories that should make every product team pause:

  1. A major pharma company launched inhalable insulin with all the confidence in the world. The technology was solid, and the marketing was ready, but it flopped completely because they never asked patients if they’d actually use it.

    It turns out that people managing diabetes need precision. Something sprayed into your lungs doesn’t feel precise, even if the science says it is. Plus, patients hated the inhaler design itself. Simple focus groups made of their target user base would have caught both issues before millions were spent on development and launch.
  1. Another story hit even harder for me as a Black woman. Randy said a Black woman refused to wear a health monitoring device because it was a bulky black device on her waistband that made her afraid of being stopped by police. Her solution was painfully simple: “If it came in pink, it would have changed everything for me.”

This isn’t about inclusion for inclusion’s sake. It’s about building products that don’t put users at risk. Product design is literally life-or-death for some users.

Randy also mentioned patients with eczema and psoriasis who can’t wear certain devices because they’re too sensitive to materials touching their skin. That’s a deal-breaker for entire patient populations—a product design consideration that could eliminate your addressable market if you ignore it.

Engage patients early or pay later

Alice Pomponio from American Cancer Society’s venture capital arm sees this pattern constantly. You have to think beyond product features to systemic change. She asks founders: “What is not only the short-term product development strategy, but also the longer-term healthcare systemic step change you’re planning to deliver?”

Get patient voices around your cap table. Diversify your board perspective. Even if you have a great management team with good intentions, without a board that supports patient-centered decisions, you’ll lose the opportunity to make cost-effective strategic choices upfront.

It’s cheaper to fix problems during design than during M&A negotiations when your product strategy determines your acquisition price.

Women’s Health Tech Is Broken

Left to right: Sheena Franklin and Maya Friedman

Women are done waiting for tech that works for THEM

Sheena Franklin of K’ept Health interviewed Maya Friedman from Tidepool about how healthtech uses males as the default for AI.

Maya dropped a statistic that should embarrass the entire diabetes tech industry: 70% of women with type 1 diabetes experience insulin sensitivity changes around their menstrual cycles, but there are NO clinical guidelines or algorithms designed for this. Nothing. So women have to manually adjust their diabetes management systems every single month because the technology assumes their bodies work like men’s bodies.

“We need to stop thinking about women’s health as reproductive health. 𝘌𝘷𝘦𝘳𝘺 𝘴𝘪𝘯𝘨𝘭𝘦 𝘩𝘦𝘢𝘭𝘵𝘩𝘤𝘢𝘳𝘦 𝘤𝘰𝘮𝘱𝘢𝘯𝘺 𝘯𝘦𝘦𝘥𝘴 𝘪𝘯𝘧𝘳𝘢𝘴𝘵𝘳𝘶𝘤𝘵𝘶𝘳𝘦 𝘧𝘰𝘳 𝘥𝘢𝘵𝘢 𝘤𝘰𝘭𝘭𝘦𝘤𝘵𝘪𝘰𝘯 𝘢𝘵 𝘵𝘩𝘦 𝘪𝘯𝘵𝘦𝘳𝘴𝘦𝘤𝘵𝘪𝘰𝘯 𝘰𝘧 𝘸𝘰𝘮𝘦𝘯’𝘴 𝘩𝘦𝘢𝘭𝘵𝘩.”

The data gap is massive

Maya Friedman

Maya referenced a project called “The Library of Missing Data Sets,” an art exhibition of hundreds of empty filing cabinets labeled with data sets that don’t exist across different industries. When you look at what’s missing, you see where biases already exist in healthcare.

As AI becomes more prevalent, these data gaps will replicate the same biases we’re trying to fix. That’s why every healthcare technology company needs infrastructure for data collection at the intersection of women’s health. Not as a “nice to have.” As a business requirement.

Tidepool partnered with Oura to build the largest longitudinal data set of diabetes device data combined with biometric data. They’re distributing Oura rings to thousands of users already on the Tidepool platform. The data will include:

  • Activity tracking
  • Sleep patterns
  • Menstrual cycle data
  • Diabetes device data from the same individuals
  • Health surveys for contextual data

This is what infrastructure looks like when you take women’s health seriously.

Algorithms need to be smarter

Maya’s immediate priority: building algorithms that aren’t “cycle agnostic.” She wants systems that account for 30-day hormonal patterns, not just 72-hour learning horizons.

“Women are not just tiny men. We have different needs. We need to display different data. We need algorithms that are potentially different for women versus men.” – Maya Friedman, Tidepool

And yes, that means maintaining multiple versions of products.

Yes, it’s more expensive. But it’s also addressing the actual market need instead of pretending half the population doesn’t exist.

It’s not just about menstrual cycles

Maya’s longer-term vision includes AI models that are dynamic across different reproductive milestones. What does an algorithm look like for someone in perimenopause who isn’t having regular periods? What are the learning horizons for that system?

The real moonshot? A fully closed-loop system that accounts for polycystic ovarian syndrome (PCOS), type 1 diabetes, and menstrual cycles without requiring patient interaction at all.

Women need tech that doesn’t make them choose between their health needs and their time.

Accessibility Creates Market Opportunities, Not Limitations

Left to right: Steve Ewell and Peter Kaldes

Peter Kaldes, CEO of Next50 Foundation, delivered a message that should change how every product designer thinks about their addressable market: “Guess what? You still have a point of view over 50. You still have buying power at 60. You can still use your iPhone at 70, and you need really great technology in the 80s and your 90s.”

Most product designers are under 35. Most assume older adults are technology Luddites. The data proves this assumption is completely wrong.

The buying power is enormous

The over-50 population has more buying power than younger generations. Yet, healthtech companies consistently ignore this market or, worse, design products that stigmatize older users. Peter’s frustration was that was crystal-clear:

“I’ve had conversations with some companies like, where are we going to find [older users to test with]? Well, why don’t you try, first of all, start with your company, and second of all, why don’t you start partnering with community organizations that have access to all these people. This is not hard. It’s just getting people out of their comfort zone.” – Peter Kaldes

Dual generational use is smart design

Peter loves technologies that serve multiple generations. If it’s good for older adults, it’s good for everyone. Examples he highlighted:

  • Hearing technology embedded in glasses to reduce stigma around hearing aids
  • AI tools that coordinate healthcare appointments along with transportation and nearby housing options
  • Financial fraud protection that helps older adults without treating them like children
Left to right: Meg Barron, Dominic King and Myechia Minter-Jordan

AARP CEO Myechia Minter-Jordan shared specific examples of products in AARP’s booth that reduce stigma:

  • Sneakers designed to prevent falls that look like regular athletic shoes (they appear to have laces, though velcro is involved)
  • Glasses with closed captions for people with hearing impairments
  • Glasses with hearing aids built into the stems (partnered with Sadika)

“We want to ensure tools don’t further stigmatize us but allow us to live with dignity and age well.” – Myechia Minter-Jordan

The accessibility-to-mainstream pipeline

Left to right: Natalie Zundel, Griffen Stapp, Ryan Easterly and Jack Walters

Griffen Stapp from Ability Central pointed out something product teams consistently miss: Products designed FOR the disability community often get adopted by everyone. But products made for the general population rarely get adapted later.

Examples are everywhere. Curb cuts help wheelchair users, but they also help parents with strollers, delivery workers with hand trucks, and travelers with rolling luggage. Closed captioning helps deaf users, but also people watching videos in noisy environments or practicing language skills.

Build accessibility in from day one, or you’re leaving both impact and revenue on the table.

Adaptable frameworks beat one-size-fits-all

Jack Walters, co-founder of HapWare (winner of the CTA Foundation Innovation Challenge), explained their approach: “Not everyone’s going to have similar care or similar treatments, so you need to be able to adapt to all those different types of needs and necessities in the community.”

They involve the disability community in design from the start, knowing common pain points and anticipating when certain issues might come up. That’s how you build solutions that actually solve problems instead of creating new friction.

Continuous Monitoring Changes Patient Behavior (Without Doctor Visits)

Left to right: Ami Bhatt, Tom Hale, Lucienne Ide and Jack Leach

Tom Hale, CEO of Oura, explained why continuous data matters more than episodic measurements: “Normal isn’t 98.6 degrees. Normal is what’s normal for you, and being able to see that deviation from the baseline allows us to make predictions.”

Oura’s “symptom radar” looks at temperature, heart rate, and other biometrics to predict when you might be getting sick—days before symptoms appear. That’s the intervention window where you can actually change behavior and potentially avoid getting sick entirely.

Patients change behavior when they see their own data

Jake Leach from Dexcom shared a pivotal study from the early days of continuous glucose monitoring. For years, the standard of care for diabetes was finger pricks, which are episodic, painful, and limited.

They ran a study where they put sensors on patients continuously measuring glucose, but they didn’t show patients the data for a week. They just collected baseline information. Then they turned on the display.

Within a day, people started making behavior changes based solely on their own knowledge of their disease and this information they’d never had before. No doctor intervention. No coaching. Just visibility into their own patterns.

The infrastructure problem doctors face

Source: Somebody Digital

Doctors are drowning in data with no infrastructure to process it.

Lucienne Ide from Rimidi left clinical medicine because she was disappointed by how electronic health records (EHRs) were implemented. She expected digital records with clinical decision support layered on top. Instead, she got data dumps with no insights.

As she put it: “I don’t know a single doctor who’s saying, ‘If only I had more data, I would be a better clinician.'”

What doctors need is not more data, but clinical decision support that turns data into actionable insights.

Tom from Oura said one doctor told him: “I want the Oura ring to give me information as if it was written by another doctor. Basically, a consult. Here’s what I know about this patient in clinical terms, and this is the information you need. Everything else, don’t give it to me.”

That’s the responsibility of device companies: Don’t just collect data. Provide insights that save clinicians time and help them make better decisions faster.

Prevention requires behavior change at scale

The consensus was clear: behavior change is what moves the needle on long-term health outcomes. Not medications or procedures. Sleep well, eat well, manage stress, and stay balanced.

Healthcare has failed at behavior change for 75 years because it requires data, user experience (UX), engagement, education, and reinforcement. Doctors don’t have time for that level of ongoing support. Educational content alone doesn’t work because people don’t retain or apply it without reinforcement.

But continuous monitoring combined with AI and smartphone engagement is the combination that finally makes prevention scalable.

As Ami Bhatt from the American College of Cardiology noted, “What has my attention besides my kids? My phone. And I’m looking at that, and that’s the power.”

AI That Actually Helps, Not Hypes

Source: Oxio Health

Dominic King from Microsoft AI cut through all the conference noise:

“The biggest challenge in healthcare today is the mismatch between global demand and constrained supply.” – Dominic King

AI isn’t replacing doctors. It’s closing the gap between what people need and what the healthcare system can deliver.

The future is proactive health companions

Chatbot woman and robot conversation

5 years ago, AI was good at classification and spotting single problems. Now we have thinking and reasoning models that can pass the same exams physicians take, often at higher rates than human test-takers.

Dominic’s vision for 5 years from now is “A health companion that you wake up and it’s sitting in the background, doing the hard work for you and being more proactive. At the moment, everything is still very reactive.”

This means:

  • Identifying sleep issues before they compound
  • Flagging medication adherence problems
  • Coordinating complex care across multiple providers
  • Helping people navigate fragmented healthcare systems
  • Providing specialized opinions even in rural areas

The caregiver opportunity is massive

Myechia shared that one in four Americans are caregivers right now (63 million Americans). If you’re not currently a caregiver or need care yourself, one day you will be.

AI tools can help caregivers:

  • Communicate with provider teams more effectively
  • Ensure loved ones are safe at home
  • Coordinate the “universe of appointments” that comes with aging
  • Reduce information asymmetry (where only people with medical training understand how systems work)

The key is addressing privacy and data concerns upfront, not as barriers to innovation but as facilitators of trust.

The co-design imperative

Dominic emphasized that co-design is critically important. Building WITH users instead of just FOR them avoids the problems we see when products hit the real world.

At Microsoft, they’re seeing 50 to 60 million health questions a day through Copilot. That’s enormous insight into what people actually need help with.

But as he noted, “A lot of founders are young. They don’t have a good idea of what it’s like to be elderly or sick.”

That’s why bringing your end users (patients, clinicians, caregivers) into the development process isn’t optional. It’s the difference between building something that works versus something that sits unused.

The Digital Equity Gap Nobody’s Solving

Left to right: Steve Ewell and Peter Kaldes

Steve Ewell, Executive Director of CTA Foundation, laid out what he calls “the three legs of the stool” for digital equity:

“You need the hardware, you need the broadband access, and then you need the support and education to go along with it. And so often that last one is left off.” – Steve Ewell

That last leg of support and education is where healthcare technology adoption actually lives or dies.

Tech alone isn’t enough

Peter Kaldes from Next50 Foundation added context that should worry anyone in healthtech: nonprofits doing the heavy lifting of digital equity training are facing unprecedented cuts to federal grants.

As Peter noted: “I love going to an Apple Store and seeing these free classes, but you have to find an Apple Store which are not in the neighborhoods that need the help the most.”

The communities that need technology training the most are the least likely to have access to it. And the organizations that bridge that gap are losing funding.

The clinical trial proof

Source: Anatomy.app

Dexcom is running large clinical trials where half the participants come from underserved communities specifically to prove the technology works equally well regardless of service level. They want hard data showing these tools aren’t just for people with resources.

Rimidi partnered with community health centers during COVID to monitor high-risk pregnancies remotely using blood pressure monitors and texting protocols. They tracked engagement by ethnicity and primary language.

There was no difference in engagement. Everyone has a smartphone in that demographic (women of childbearing age), and everyone can text.

This proves that engagement isn’t the problem. The problem is getting access to the infrastructure and training on how to use it.

Mission-aligned capital as the solution

Source: Next50 Foundation

Next50 Foundation is one of the first private foundations to invest 100% of their endowment in aging-focused companies and infrastructure. Not just grant-making, but the other 95% of their capital.

They created an aging investment framework with JP Morgan that looks at four themes:

  1. Health
  2. Social connectivity (including technology)
  3. Economic opportunity (workforce and financial vehicles for longer lives)
  4. Built environment (mobility, housing, accessibility)

As of December, about 75% of their endowment was invested in this framework, and Peter offered a challenge to the investment community:

“What if capital actually had values? Climate investors have successfully made money and helped power cleaner energy. The same can be true for aging. How can we possibly ignore that the globe is aging?” – Peter Kaldes

They also launched a new nonprofit called Leverage focused on advancing policies in Colorado to make aging more affordable—housing, living wages, caregiving resources.

Because you can’t solve systemic problems with technology alone. You need policy change too.

Patient Voices Need to Drive Startup Decisions

Jake Heller from Citizen Health is building AI tools that help patients with rare diseases query their own medical records and advocate for themselves at doctor’s appointments.

His philosophy: “Putting patients in the driver’s seat is one of the biggest opportunities we have right now.”

The journaling and documentation problem

Doctor and patient POCs

Sometimes when people with rare or complex diseases go to appointments and talk about their concerns, doctors don’t believe them. These patients need help translating their own experience in a way that clinicians will take seriously.

Citizen Health helps patients journal their symptoms and experiences, then presents that data in clinical terms. “Here’s a video of my daughter having this specific type of seizure. Here are the journal entries. Here’s how this has changed over time.”

That’s advocacy powered by data and AI.

The time-to-diagnosis crisis

Randy pointed out that if you have an autoimmune disease, it could be 3, 5, or even 7 years before diagnosis. For healthcare innovation, it can take 7 years just to move something through an FDA process.

Those time frames compound into suffering that’s completely preventable if we had better systems and patient input earlier in development cycles.

Patient organizations are ready to help. They’re trusted by their communities. They can broker relationships, speed recruitment, help startups get from lab to market faster with products that patients will actually use and that payers will actually reimburse.

The startup trap to avoid

Source: National Institute for Health and Care Research (NIHR)

Alice warned about companies that design products, then go looking for users to validate decisions they already made.

That’s backwards. Instead you should:

  • Find patient voices early.
  • Put them on advisory boards.
  • Include them in design sprints.
  • Listen to their feedback even when it’s uncomfortable or expensive to implement.

The successful companies in her portfolio think about long-term systemic change, not just short-term product development metrics.

What Healthtech Companies Need to Do Differently

The patient community isn’t a barrier to innovation. They’re the key to building products that actually work.

Stop designing in the dark

Source: Patient Better

If you’re building healthtech without continuous patient input, you’re wasting resources. You’ll miss market opportunities. You’ll build products that don’t get used or that put certain populations at risk.

Randy’s message was clear: “Come to us, and we will broker that relationship, because in the end, you’ll be more successful, and the patient community will get a better result.”

Measure what matters

Myechia challenged the AI industry on how they measure success: Don’t count the number of tools or features. Measure whether you’re closing the gap between lifespan and health span.

That gap is currently 13 years, which is the difference between how long people live and how many of those years are healthy years. If your technology doesn’t move that number, what’s the point?

Think systemically, not just tactically

Source: IQ Eye

Every speaker emphasized that technology is only one piece of a larger puzzle. You also need:

  • Policy changes that support adoption
  • Payment models that reward prevention
  • Training infrastructure for underserved communities
  • Clinical decision support that turns data into insights
  • Algorithms that account for biological differences across populations

If you’re only focused on your device or platform, you’re missing the bigger picture of how healthcare actually works.

The sales enablement angle

All of these insights about patient needs, accessibility requirements, women’s health gaps, digital equity challenges are the stories your prospects need to hear during long sales cycles.

B2B healthtech sales aren’t quick. You’re selling to health systems, payers, and large provider networks. The buying committees are complex. The evaluation periods stretch for months.

That’s exactly when prospects go cold or arrive at sales calls unprepared.

Daree headshot R side arms folded

I create educational email courses to bridge that gap. They keep prospects engaged with the exact kind of patient-centered insights I heard at CES. They position your company as one that understands real-world healthcare challenges, not just technology features.

In 2026 and beyond, healthtech companies that want to win understand their users deeply enough to build products those users will actually want, trust, and use.

The Measurement Challenge

A woman helping her elderly mother in a wheelchair

How do you know if you’re succeeding at patient-centered design? Myechia offered a simple test: “What do you want your life to look like at 75?”

You probably want to:

  • Stay in your home
  • Feel healthy
  • Stay empowered
  • Have information flow easily between you and loved ones
  • Remain connected to family and physicians
  • Be safe at home
  • Engage in daily activities with ease and without pain
  • Understand your medical information and chronic diseases
  • Control who has access to your data
  • Have a care plan you can execute yourself
  • Receive information you trust and can use readily

If your tech helps people achieve any of those goals, you’re on the right track. If it doesn’t, you need to rethink your approach.

Final Thoughts

CES 2026’s Digital Health Summit covered the hard work of actually listening to patients, caregivers, and the communities being served.

Startups who want to be successful in healthtech aren’t the ones chasing the next funding round or the flashiest AI feature. They’re the ones asking better questions:

  • Have we talked to patients who look different from our team?
  • Does our product work for women’s bodies, not just male bodies?
  • Can older adults use this without feeling stigmatized?
  • What infrastructure needs to exist beyond our technology?
  • Are we solving a real problem or just building something technically impressive?

Those questions lead to products that get adopted, outcomes that improve, and companies that actually make a difference. That’s the kind of healthtech worth building.

Prescription Digital Therapeutics: The Future of Digital Health Solutions

Prescription Digital Therapeutics: The Future of Digital Health Solutions

by Ree AI Health Tech Med Tech

The global market for prescription digital therapeutics (PDT) is expected to grow to $17.16 billion by 2030. This growth is mainly due to the affordability of digital health technology for both healthcare providers and patients, as well as the increasing use of smartphones in both developed and developing countries.

In this article, we’ll describe PDT, its applications, benefits, and challenges.

Contents

What Are Prescription Digital Therapeutics?

Prescription digital therapeutics (PDTs) are a new class of medical interventions that leverage software to treat, manage, or prevent diseases and disorders. Unlike typical health apps, PDTs require a prescription from a healthcare provider and are subject to rigorous regulatory scrutiny.

According to the U.S. Food and Drug Administration (FDA), prescription digital therapeutics are medical devices, also called Software as a Medical Device (SaMD). The FDA review of prescription digital therapeutics is the same as the process the FDA uses to review medical devices. 

Definition and key characteristics of PDTs

PDTs are software-based treatments delivered through mobile devices, designed to address the behavioral and psychological aspects of various health conditions. These digital tools are developed based on scientific evidence and aim to provide therapeutic benefits comparable to traditional medical treatments (Phan et al., 2023). 

Source: Avalere

Examples of prescription digital therapeutics developers

This chart from Blue Matter Consulting (2023) lists 154 PDT companies.

Source: Blue Matter

How PDTs differ from wellness apps and other digital health tools

While wellness apps focus on general health and fitness, PDTs are designed to treat specific medical conditions. PDTs undergo clinical trials, and are subject to stringent regulatory processes to ensure they meet high standards of safety and effectiveness. This regulatory oversight differentiates PDTs from other digital health tools, which may not require such rigorous evaluation.

The PDT regulatory framework 

The FDA plays a critical role in the approval of PDTs. These therapeutics must demonstrate clinical efficacy and safety through rigorous trials before receiving FDA clearance. This process ensures that PDTs meet the same standards as traditional pharmaceuticals, providing healthcare providers and patients with confidence in their use (Phan et al., 2023).

The Science Behind Prescription Digital Therapeutics

PDTs are grounded in scientific research and evidence-based practices to ensure their effectiveness in treating various health conditions.

Evidence-based approaches used in PDTs

PDTs incorporate evidence-based approaches to help patients change their behaviors and manage symptoms effectively, such as: 

For instance, CBT-based PDTs can help identify and change negative thought patterns, improving mental health outcomes. A study on a PDT for opioid use disorder found it improved retention in treatment by 76% at 12 weeks compared to treatment as usual (Brezing & Brixner, 2022). 

Clinical trials and efficacy studies supporting PDTs

Lab worker

Clinical trials are essential for validating the efficacy of PDTs. These studies assess the therapeutic outcomes of PDTs compared to traditional treatments. 

For example, trials have shown PDTs can be effective in managing substance use disorders and chronic insomnia, providing real-world evidence of their clinical benefits (Brezing & Brixner, 2022).

Applications of Prescription Digital Therapeutics

PDTs offer promising solutions across a range of medical conditions, providing tailored interventions for diverse patient needs.

Mental health conditions

Therapist and patient talking on couch

PDTs are increasingly used to treat mental health disorders such as depression, anxiety, schizophrenia, and post-traumatic stress disorder (PTSD). In a randomized controlled trial, a PDT for depression reduced symptoms by 45.6% compared to 17.4% with usual treatment (Phan et al., 2023).

These digital tools provide accessible and scalable interventions, often with CBT techniques to help patients manage symptoms and improve their quality of life.

Chronic diseases

For chronic conditions like diabetes and hypertension, PDTs offer personalized management strategies. They enable continuous monitoring and data analysis, facilitating timely adjustments to treatment plans and improving patient outcomes (Phan et al., 2023).

A PDT for type 2 diabetes led to a 1.1% reduction in HbA1c levels after 6 months in a clinical trial (Phan et al., 2023).

Substance use disorders and addiction treatment

Woman sitting with hands clasped

PDTs are particularly effective in treating substance use disorders, offering structured programs that support recovery. They provide patients with tools to manage cravings and develop healthier coping mechanisms, contributing to sustained recovery. 

A couple of examples:

  • Research with 1,758 patients using a PDT for substance use disorder showed 64.1% abstinence at 12 months (Brezing & Brixner, 2022).
  • A PDT for alcohol use disorder resulted in 63% of patients reducing heavy drinking days compared to 32% receiving standard treatment (Rassi-Cruz et al., 2022).

Neurological disorders

Conditions such as ADHD and insomnia can benefit from PDTs, which offer targeted interventions to manage symptoms and improve daily functioning. For instance, PDTs for insomnia often include sleep hygiene education and relaxation techniques to enhance sleep quality.

Benefits of Prescription Digital Therapeutics

PDTs offer numerous advantages that enhance patient care and healthcare delivery.

Improved accessibility to treatment

PDTs make healthcare more accessible by providing treatments that can be delivered remotely via mobile devices. This is particularly beneficial for individuals in underserved areas or those with mobility challenges, ensuring they receive timely care.

Personalized and adaptive interventions

PDTs can be tailored to individual patient needs, offering adaptive interventions that evolve based on real-time data. This personalization enhances treatment effectiveness and patient satisfaction (Phan et al., 2023).

Real-time data collection and analysis

The ability to collect and analyze data in real-time allows healthcare providers to monitor patient progress continuously. PDTs can collect patient data continuously, providing 1440 data points per day compared to 1-4 from traditional in-person visits. This facilitates early detection of issues and enables proactive adjustments to treatment plans, improving overall outcomes (Phan et al., 2023).

Reduced healthcare costs

By providing effective and scalable interventions, PDTs have the potential to reduce healthcare costs. They can decrease the need for in-person visits and hospitalizations, making them a cost-effective alternative to traditional treatments. For example, an economic analysis estimated PDTs could save $2,150 per patient per year for opioid use disorder treatment (Brezing & Brixner, 2022).

Challenges and Limitations of PDTs

Despite their benefits, PDTs face several challenges that must be addressed to maximize their potential.

Doctor showing a patient an app in green

Federal regulation lags behind software development

Digital therapeutics (DTx) are mobile medical apps that use new tech like artificial intelligence (AI) and virtual reality (VR). They’re always changing, with new versions coming out every few months, which makes them hard to regulate. 

DTx Products 2015-2021 with Regulatory Status

A problem with a DTx app could hurt someone’s health, so to keep DTx safe for consumers without stopping progress, software companies need to self-regulate–find ways to reduce risks and follow ethical rules on their own to help patients and build trust with their doctors.

One way to self-regulate is to involve clinicians in app development. Doctors know what patients need and can spot potential problems. But surprisingly, most health apps are made without input from medical experts. A study found only 20% of health apps included input from health professionals during development (Rassi-Cruz et al., 2022). 

Data privacy and security concerns

The collection and storage of sensitive health data raise significant privacy and security concerns. Ensuring robust data protection measures is crucial to maintaining patient trust and compliance with regulations (Phan et al., 2023).

Integration with existing healthcare systems

Integrating PDTs into existing healthcare infrastructures can be complex. Seamless integration is necessary to ensure that PDTs complement traditional treatments and fit within the broader healthcare ecosystem.

Patient adherence and engagement

Black man using his blood pressure monitor at home

Maintaining patient engagement with PDTs can be challenging. 

For example, take mental health apps that use CBT or provide feedback through wearables like smartwatches. While helpful, these apps often aren’t covered by insurance, and patients may pay out-of-pocket. They often give up if they don’t see quick results. 

Ensuring that patients adhere to prescribed digital therapies is essential for achieving desired outcomes, requiring strategies to enhance motivation and commitment. Pharmacists can help by encouraging patients to stick with the apps and complete all modules (Pharmacy Times, 2024).

Reimbursement and insurance coverage issues

Securing reimbursement for PDTs remains a hurdle, as insurance companies may be hesitant to cover these relatively new treatments. Establishing clear guidelines and demonstrating cost-effectiveness may help overcome this barrier.

The Future of Prescription Digital Therapeutics

The future of PDTs is promising, with advancements in technology and expanding applications poised to enhance their impact on healthcare.

overlay with doctor and pill bottle

Emerging technologies such as artificial intelligence and machine learning are set to make a big change in PDTs. These innovations can enhance personalization and predictive capabilities, improving treatment outcomes and patient experiences.

Potential for combination therapies

Combining PDTs with traditional treatments offers a holistic approach to healthcare. This synergy can enhance therapeutic outcomes by addressing multiple aspects of a patient’s condition, providing comprehensive care (Phan et al., 2023).

Expanding applications in preventive care and wellness

PDTs hold potential for preventive care by identifying and addressing health risks early. Their application in wellness can promote healthier lifestyles and prevent the onset of chronic diseases, contributing to improved public health.

Conclusion

In digital health, PDTs offer promising avenues for improving patient outcomes, increasing access to care, and potentially reducing healthcare costs. While challenges remain, the growing body of evidence supporting PDTs suggests that they will play an increasingly important role in the future of healthcare delivery. 

As patients, healthcare providers, and policymakers alike embrace these innovative tools, we can look forward to a more personalized, accessible, and effective approach to managing a wide range of health conditions.

References

Bashran, E. (2024). Prescription Digital Therapeutics: Devices. HealthAffairs. Retrieved from

https://www.healthaffairs.org/doi/10.1377/hlthaff.2024.00159

Brezing, C. A., & Brixner, D. I. (2022). The Rise of Prescription Digital Therapeutics In Behavioral Health. Journal of Behavioral Health; 11(4), 1-10. doi: 10.1007/s12325-022-02320-0 

Global Prescription Digital Therapeutics (PDTx) Market – Industry Trends and Forecast to 2030. (2023). Data Bridge Market Research. Retrieved from https://www.databridgemarketresearch.com/reports/global-prescription-digital-therapeutics-dtx-market

Liesch, J., Volgina, D. Nessim, C., Murphy, D., & Samson, C. (2023). Blue Matter Consulting. Retrieved from https://bluematterconsulting.com/prescription-digital-therapeutics-us-market-outlook-2023/

Phan, P., Mitragotri, S., & Zhao, Z. (2023). Digital therapeutics in the clinic. Bioengineering & Translational Medicine; 8(4), e10536. doi:10.1002/btm2.10536. 

Prescription Digital Therapeutics Bring New Treatments to Healthcare. (2021). Avalere Health. Retrieved from https://avalere.com/insights/prescription-digital-therapeutics-bring-new-treatments-to-healthcare

Prescription Digital Therapeutics for Mental Health: Effectiveness, Challenges, and Future Trends. (2024). Pharmacy Times. Retrieved from https://www.pharmacytimes.com/view/prescription-digital-therapeutics-for-mental-health-effectiveness-challenges-and-future-trends

Rassi-Cruz, M., Valente, F., & Caniza, M. V. (2022). Digital therapeutics and the need for regulation: How to develop products that are innovative, patient-centric and safe. Diabetology & Metabolic Syndrome; 14. doi.org/10.1186/s13098-022-00818-9 

Wang, C. Lee, C. & Shin, H. (2023). Digital therapeutics from bench to bedside. npj Digital Medicine; 6(1), 1-10. doi.org/10.1038/s41746-023-00777-z

The Future of Telehealth: Trends and Predictions for 2025 and Beyond

The Future of Telehealth: Trends and Predictions for 2025 and Beyond

by Ree AI Health Tech Med Tech

In 2020, the COVID-19 pandemic sparked a 78% uptick in telehealth usage. As we look to the future, telehealth is poised to become an integral part of healthcare delivery. 

This article explores the exciting innovations and trends that will shape the future of telehealth, promising to enhance patient care, improve accessibility, and streamline healthcare operations.

To understand the future of telehealth, we first need to look at the new technologies that are changing how we provide care.

Contents

Emerging Technologies in Telehealth

The future of telehealth is closely tied to advancements in technology. Several cutting-edge innovations are set to reshape virtual care in the coming years.

Artificial intelligence and machine learning in diagnostics

Phone with chatbot conversation

AI and machine learning (ML) can analyze large amounts of medical data to assist healthcare providers in making more accurate diagnoses and treatment recommendations.

For example, AI-powered diagnostic tools can examine medical images like X-rays or MRIs and flag potential issues for review by human doctors. 

AI chatbots are also being developed to conduct initial patient screenings and triage. These chatbots can ask patients about their symptoms and medical history, then direct them to appropriate care options whether that’s a virtual doctor visit, in-person visit, or emergency services.

Internet of Medical Things for remote patient monitoring

The Internet of Medical Things (IoMT) refers to connected medical devices and applications that can collect and transmit health data. This technology enables continuous remote monitoring of patients’ vital signs and other health metrics.

Some examples of IoMT devices include:

5G networks enabling real-time, high-quality video visits

The rollout of 5G networks dramatically improves the quality and reliability of video-based telehealth services. 5G offers much faster data speeds and lower latency compared to 4G networks.

In fact, 5G technology can reduce video latency to less than 2 milliseconds, enabling real-time interaction during virtual doctor visits comparable to in-person visits.

For telehealth, this means:

  • Higher-quality video and audio for virtual visits

  • The ability to transmit large medical files like MRIs quickly

  • More reliable connections in rural or remote areas

  • Support for bandwidth-intensive applications like augmented reality

Take a look at a diagram that shows how connected medical devices interoperate across different systems (Deloitte, 2021).

How connected medical devices interoperate across different systems
Source: Deloitte

Virtual and augmented reality applications in telemedicine

Virtual reality (VR) and augmented reality (AR) have exciting potential applications in telehealth:

For instance, a 2018 study in the Journal of Visualized Experiments found that VR-based physical therapy for stroke patients greatly improved upper limb function compared to conventional therapy (Choi & Paik, 2018).

While technology is important, telehealth’s real strength is in making specialized care available to more people.

Expanding Access to Specialized Care

One of telehealth’s greatest promises is improving access to specialized medical care, especially for underserved populations.

Telepsychiatry bridging the mental health treatment gap

Mental health care has long suffered from accessibility issues, with many areas facing severe shortages of psychiatrists and therapists. Telepsychiatry is helping to bridge this gap.

A 2016 study in the World Journal of Psychiatry found that telepsychiatry was as effective as in-person care for treating depression, with the added benefit of increased patient satisfaction and engagement (Hubley et al., 2016).

Telepsychiatry is particularly valuable for:

  • Rural communities with few local mental health providers

  • Patients with mobility issues or transportation barriers

  • People seeking specialized treatments not available locally

  • Those who prefer the privacy and convenience of at-home care

Remote visits with specialists for rural and underserved areas

Telehealth is bringing specialized medical expertise to areas that previously had little or no access. This includes:

  • Remote dermatology visits using high-resolution images

  • Virtual neurology assessments for stroke patients

  • Tele-oncology services for cancer patients in rural areas

School-based telehealth programs improving pediatric care

School-based telehealth programs are emerging as a powerful tool for improving children’s health, especially in underserved communities. These programs typically involve:

Halterman et al (2017) found that school-based telehealth programs reduced emergency department visits and improved asthma outcomes for children in rural communities.

Virtual second opinions from leading medical experts

Telehealth is making it easier for patients to get second opinions from top specialists, regardless of geographic location. This can be particularly valuable for complex or rare conditions.

Several major medical centers now offer formal virtual second opinion programs. For example, the Mayo Clinic’s eConsults program provides written second opinions from Mayo Clinic specialists based on a review of medical records and test results.

Telehealth is also changing how we approach personalized care and monitoring for patients.

Personalized Medicine and Remote Monitoring

The integration of telehealth with other digital health technologies is enabling more personalized and proactive care.

Wearable devices for continuous health tracking

Monitor attached to back of a woman's left shoulder

Wearable devices like smartwatches and fitness trackers are increasingly being used for medical monitoring. These devices can track:

  • Heart rate and rhythm

  • Blood oxygen levels

  • Sleep patterns

  • Physical activity levels

  • Stress indicators

This continuous data collection allows for more comprehensive health monitoring between doctor visits.

Monitoring services are poised to continue incredible growth over the next several years, as depicted in the following chart (Gupta, 2024).

Source: Appinventiv

AI-powered predictive analytics for early intervention

By analyzing data from wearables, electronic health records (EHRs), and other sources, AI algorithms can predict health risks and recommend early interventions.

Some applications can help clinicians to:

  • Predict heart attacks or strokes based on subtle changes in vital signs

  • Identify patients at risk of developing diabetes

  • Forecast mental health crises based on behavioral patterns

Genomics and telehealth integration for tailored treatments

genetic markers

The combination of telehealth and genomic medicine is opening up new possibilities for personalized treatment plans. Patients can now receive genetic counseling and testing remotely, with results informing tailored treatment recommendations.

For example, pharmacogenomic testing can help determine which medications are likely to be most effective for a particular patient based on their genetic profile. 

Remote medication management and adherence monitoring

Poor medication adherence is a major challenge in healthcare, contributing to worse health outcomes and increased costs. Telehealth-enabled medication management tools can help by:

  • Sending reminders to take medications

  • Tracking medication usage through smart pill bottles or ingestible sensors

  • Allowing remote adjustments to medication regimens

  • Providing education about medications and potential side effects

As telehealth grows, we need to update the rules and regulations that guide its use.

Regulatory Considerations and Telehealth Adoption

Law books and scales with plant and shield

The rapid growth of telehealth has prompted significant regulatory changes, with more likely to come as the technology continues to evolve.

Evolving reimbursement policies for virtual care

One of the biggest barriers to telehealth adoption has been inconsistent reimbursement policies. However, the COVID-19 pandemic led to significant policy changes:

  • Medicare expanded coverage for telehealth services.

  • Many private insurers increased telehealth coverage.

  • Some states mandated payment parity between in-person and virtual visits.

As we move forward, key questions include:

  • Will expanded telehealth coverage become permanent?

  • How will reimbursement rates for virtual care compare to in-person visits?

  • What types of telehealth services will be covered?

Data privacy and security considerations in telehealth

medical papers and stethoscope

The growth of telehealth raises important questions about patient data privacy and security. Key concerns include ways to:

  • Ensure secure transmission of sensitive medical information

  • Protect patient data stored in telehealth platforms

  • Maintain privacy during video visits

Healthcare providers and telehealth companies must comply with regulations like HIPAA in the U.S.

Licensing and cross-state practice regulations

Traditionally, healthcare providers have been limited to practicing in states where they hold a license. This poses challenges for telehealth, which can easily cross state lines.

Some recent developments include:

  • The Interstate Medical Licensure Compact, which streamlines licensing for doctors in multiple states

  • Temporary waivers of state licensing requirements during the COVID-19 pandemic

  • Proposals for a national telemedicine license

Global telehealth initiatives and international cooperation

People around a globe

Telehealth has the potential to improve healthcare access globally, particularly in developing countries with limited medical infrastructure.

Some notable international telehealth initiatives include:

  • The World Health Organization’s Global Strategy on Digital Health

  • The European Union’s eHealth Network

  • The African Alliance of Digital Health Networks

Even with its many benefits, telehealth faces challenges that we must tackle to make it work for everyone.

Overcoming Challenges in Telehealth Implementation

While telehealth offers tremendous potential, several challenges must be addressed to ensure its effective and equitable implementation.

Addressing the digital divide and ensuring equitable access

The “digital divide” the gap between those who have access to technology and those who don’t poses a significant challenge for telehealth adoption.

Key issues include:

  • Lack of broadband internet access in rural areas

  • Limited digital literacy among some patient populations

  • Affordability of devices needed for telehealth

Potential solutions include:

  • Government initiatives to expand broadband access

  • Programs to provide telehealth-enabled devices to underserved populations

  • Digital literacy training for patients

Training healthcare providers in virtual care best practices

Many healthcare providers lack formal training in delivering care via telehealth. This can lead to suboptimal patient experiences and outcomes.

Key areas for provider training include:

  • Effective communication in virtual settings

  • Conducting remote physical exams

  • Managing technical issues during visits

  • Ensuring patient privacy and data security

Integrating telehealth with existing healthcare systems

For telehealth to reach its full potential, it needs to be seamlessly integrated with existing healthcare systems and workflows. This includes:

  • Integrating telehealth platforms with EHRs

  • Developing protocols for when to use telehealth vs. in-person care

  • Ensuring continuity of care between virtual and in-person visits

  • Adapting billing and administrative processes for telehealth

Health providers are set to invest heavily in virtual health applications in the next 5 to 10 years, as shown in the following chart (Gupta, 2024).

Source: Appinventiv

Managing patient expectations and building trust in virtual care

For many patients, telehealth represents a significant shift in how they receive care. Building trust and managing expectations is crucial for successful adoption.

Key considerations include how to:

A recent Health Information National Trends Survey found that 70% of U.S. adults with recent telehealth visits used audio-video, and 75% felt their telehealth visits were as good as in-person care (Spaulding et al., 2024). 

Conclusion

As technology advances and adoption grows, we can expect more personalized, accessible, and efficient care. However, success will depend on addressing challenges such as the digital divide and regulatory hurdles. 

By embracing AI and other technological innovations, we can create a healthcare system that truly meets the needs of patients in the digital age. Patients, providers, and policymakers must work together to shape this exciting future of healthcare.

References

Choi, H., & Paik, J. (2018). Mobile Game-based Virtual Reality Program for Upper Extremity Stroke Rehabilitation. Journal of Visualized Experiments: JoVE; (133). doi.org/10.3791/56241

Deloitte. (2021). Medtech and the Internet of Medical Things: How connected medical devices are transforming health care. Retrieved from https://www2.deloitte.com/content/dam/Deloitte/global/Documents/Life-Sciences-Health-Care/gx-lshc-medtech-iomt-brochure.pdf

General FAQs About the Compact. (n.d.). Interstate Medical Licensure Compact. Retrieved from https://www.imlcc.org/faqs/

Gupta, D. (2024). 7 Telemedicine Trends Shaping the Future of Healthcare. Appinventiv. Retrieved from https://appinventiv.com/blog/top-telehealth-trends/

Halterman, J. S., Tajon, R., Tremblay, P., Fagnano, M., Butz, A., Perry, T., & McConnochie, K. (2017). Development of School-Based Asthma Management Programs in Rochester, NY Presented in Honor of Dr. Robert Haggerty. Academic Pediatrics; 17(6), 595. doi.org/10.1016/j.acap.2017.04.008 

Hubley, S., Lynch, S. B., Schneck, C., Thomas, M., & Shore, J. (2016). Review of key telepsychiatry outcomes. World Journal of Psychiatry, 6(2), 269–282. doi.org/10.5498/wjp.v6.i2.269

Marley, R. (2021). 8 key trends driving the future of telehealth. Healthcare Transformers. Retrieved from https://healthcaretransformers.com/digital-health/current-trends/future-of-telehealth/

More care close to home. (2024). MayoClinic. Retrieved from https://www.mayoclinic.org/about-mayo-clinic/care-network/more-care-close-to-home

Spaulding, E. M., Fang, M., Chen, Y., Commodore-Mensah, Y., Himmelfarb, C. R., Martin, S. S., & Coresh, J. (2024). Satisfaction with Telehealth Care in the United States: Cross-Sectional Survey. Telemed J E Health. 2024 Jun;30(6):1549-1558. doi:10.1089/tmj.2023.0531

5G and Telehealth: Enhancing Healthcare Services and Patient Care

5G and Telehealth: Enhancing Healthcare Services and Patient Care

by Ree AI Health Tech Med Tech

As we move into a new era of connectivity, 5G technology is set to make telehealth even better. According to a study by Accenture, over 80% of healthcare executives believe 5G and telehealth will significantly impact the entire healthcare industry within the next three years. 

This article discusses the transformative effects of 5G on telehealth, exploring how this lightning-fast network is improving patient care, expanding access to medical services, and changing the future of healthcare delivery.

Contents

The Basics of 5G and Telehealth

What is 5G technology?

5G, the fifth generation of mobile networks, is a cutting-edge technology designed to enhance wireless communication. It offers significantly faster data speeds, reduced latency, and greater capacity compared to previous versions like 4G. This means that 5G can support a larger number of devices simultaneously, making it ideal for the Internet of Things (IoT) and other data-intensive applications. 

In healthcare, 5G enables seamless connectivity, which is crucial for telehealth services that rely on real-time data transmission and communication.

Overview of telehealth and its current limitations

Telehealth refers to the delivery of healthcare services through digital communication technologies, allowing patients to consult with healthcare providers remotely. 

While telehealth has grown significantly, it still faces several limitations like issues with video and audio quality, limited access in rural areas, and challenges with performing comprehensive physical examinations remotely (Gajarawala & Pelkowski, 2021). The current telehealth infrastructure often struggles with data transmission delays and connectivity issues, which can hinder effective patient care.

How 5G addresses existing telehealth challenges

5G technology addresses many of these challenges by providing faster and more reliable connections. Its low latency ensures that data is transmitted almost instantaneously, which is critical for real-time consultations and remote monitoring. 

With 5G, telehealth services can offer high-definition video and audio quality, making virtual visits more effective and closer to in-person visits. Additionally, 5G’s ability to connect numerous devices simultaneously supports the growing demand for telehealth services and the integration of advanced technologies like AI and IoT in healthcare (Georgiou et al., 2021). 

Enhanced Real-time Communication

Improved video quality for virtual doctor visits

One of the most essential benefits of 5G in telehealth is the improvement in video quality for virtual visits. High-definition video is essential for healthcare providers to accurately assess patients’ conditions remotely. 

With 5G’s enhanced bandwidth, video calls are clearer and more stable, reducing the likelihood of disruptions during virtual visits. This improvement improves the patient experience and allows healthcare providers to make more accurate diagnoses and treatment recommendations.

Low latency for seamless interactions

Latency, or the delay before data transfer begins following an instruction, is a critical factor in telehealth. High latency can lead to frustrating delays and miscommunications during virtual doctor visits. 

5G significantly reduces latency, enabling seamless interactions between patients and healthcare providers. This is particularly important in scenarios where immediate feedback is necessary, such as during remote surgeries or emergency telehealth visits.

Clearer audio for accurate diagnoses

Clear audio is crucial for healthcare providers to understand patients’ symptoms and concerns accurately. 5G enhances audio clarity by providing a more stable and reliable connection. 

This improvement ensures that both patients and providers can communicate effectively, minimizing the risk of misdiagnosis due to poor audio quality. Enhanced audio clarity is especially beneficial in fields like mental health, where verbal communication is a key component of treatment (Georgiou et al., 2021).

Remote Patient Monitoring Advancements

Beyond improving communication, 5G improves the ways doctors keep track of their patients’ health remotely.

Real-time data transmission from wearable devices

Wearable devices have become an integral part of remote patient monitoring (RPM), allowing continuous tracking of vital signs and other health metrics. 

5G technology enhances the capabilities of these devices by enabling real-time data transmission. This means healthcare providers can receive up-to-the-minute information about a patient’s condition, allowing for timely interventions and adjustments to treatment plans.

Continuous monitoring of chronic conditions

Woman on couch with Blood pressure monitor at home

For patients with chronic conditions, continuous monitoring is essential for managing their health effectively. 5G supports the continuous transmission of data from wearable devices, ensuring that healthcare providers have access to comprehensive and accurate information (Devi et al., 2023). 

This capability allows for better management of conditions such as diabetes, heart disease, and hypertension, ultimately improving patient outcomes and reducing hospital admissions.

Early detection and prevention of health issues

The ability to monitor patients in real-time also facilitates the early detection of potential health issues. By analyzing data from wearable devices, healthcare providers can identify patterns or anomalies that may indicate a developing problem. 

Early detection allows time for preventive measures, reducing the risk of complications and improving overall patient health. 5G’s high-speed connectivity ensures that this data is transmitted quickly and reliably, enabling proactive healthcare management.

Enabling Advanced Telehealth Applications

The power of 5G opens up new possibilities for complex medical procedures and training.

Remote surgeries and robotic procedures

Robot reviewing scans on screen

5G technology is paving the way for advanced telehealth applications, including remote surgeries and robotic procedures. With its low latency and high reliability, 5G enables surgeons to perform operations remotely using robotic systems. 

This capability is particularly important in emergencies or areas lacking specialized surgical expertise. Remote surgeries are made possible by 5G’s ability to transmit high-definition video and tactile feedback in real-time to ensure precision and safety (Georgiou et al., 2021).

Augmented and virtual reality in medical training

Augmented reality (AR) and virtual reality (VR) are transforming medical training by providing immersive and interactive learning experiences. 5G supports these technologies by delivering the high-speed and low-latency connections required for seamless AR and VR applications. 

Medical students and professionals can use AR and VR to practice complex procedures, visualize anatomy in 3D, and simulate real-life scenarios, enhancing their skills and knowledge without the need for physical resources.

AI-powered diagnostics and treatment planning

Anantomy scan with goggles stethoscope and notebook

Artificial intelligence (AI) is becoming increasingly important in healthcare for diagnostics and treatment planning. 5G enables the integration of AI technologies into telehealth platforms by providing the necessary bandwidth and speed for processing large datasets. 

AI-powered tools can analyze patient data to identify patterns, predict outcomes, and suggest personalized treatment plans. This integration enhances the accuracy and efficiency of telehealth services, leading to better patient care (Georgiou et al., 2021).

Expanding Access to Healthcare

One of the most important impacts of 5G on telehealth is how it can bring quality healthcare to more people.

Bridges the urban-rural healthcare divide

WiFi signal over city buildings

A significant impact of 5G in telehealth is its potential to bridge the healthcare gap between urban and rural areas. Rural communities often face challenges in accessing quality healthcare due to distance and limited resources. 

5G enables telehealth services to reach these underserved areas by providing reliable and high-speed connectivity (Devi et al., 2023). Patients in rural areas can access virtual doctor visits, remote monitoring, and specialist care without the need to travel long distances.

Improves emergency response times

In emergencies, every second counts. 5G technology can improve emergency response times by enabling connected ambulances and real-time communication between paramedics and hospital staff. 

With 5G, ambulances can transmit patient data (teleambulance services), such as vital signs and medical history, to the hospital en route, allowing for better preparation and faster treatment upon arrival. This capability can greatly improve patient outcomes in critical situations.

Facilitates specialist visits in underserved areas

Mother with sick child on couch and red laptop - pediatric telehealth

Access to specialist care is often limited in underserved areas, leading to delays in diagnosis and treatment. 5G facilitates virtual visits with specialists, allowing patients to receive expert advice and care without the need for travel. 

This capability is particularly beneficial for patients with rare or complex conditions that require specialized knowledge. By enabling virtual visits, 5G helps ensure that all patients have access to the care they need, regardless of their location.

5G Challenges and Considerations

While the benefits of 5G in telehealth are significant, there are also important challenges to consider.

Infrastructure requirements for 5G implementation

While 5G offers numerous benefits for telehealth, its implementation requires hefty infrastructure development. Building the necessary network infrastructure, such as towers and data centers, can be costly and time-consuming (Agrawal et al., 2023). 

Additionally, healthcare facilities need to invest in compatible devices and technologies to fully leverage 5G’s capabilities. These infrastructure requirements can pose challenges, particularly for smaller healthcare providers or those in remote areas (Georgiou et al., 2021).

Data security and privacy concerns

With the increased use of digital technologies in healthcare, data security and privacy have become major concerns. 5G networks must ensure that patient data is transmitted securely and protected from unauthorized access. 

Healthcare providers need to implement robust security measures, such as encryption and authentication protocols, to safeguard sensitive information. Addressing these concerns is crucial for maintaining patient trust and compliance with regulations (Gajarawala & Pelkowski, 2021).

Equitable access to 5G-enabled telehealth services

Ensuring equitable access to 5G-enabled telehealth services is essential for maximizing their benefits. While 5G can improve healthcare access in underserved areas, disparities in technology adoption and infrastructure still exist. 

Efforts must be made to ensure that all communities, regardless of socioeconomic status or location, can access and benefit from 5G telehealth services. This includes addressing affordability, digital literacy, and infrastructure gaps.

Conclusion

From enhancing the quality of virtual doctor visits to enabling groundbreaking remote procedures, 5G with telehealth is a combo that’s set to improve patient outcomes and expand access to vital medical services. 

To make the most of 5G and telehealth, and address the challenges related to telehealth implementation, security, and equity, healthcare providers, patients, and policymakers must work together. The future of healthcare is powered by 5G.

References

Agrawal, V., Agrawal, S., Bomanwar, A., Dubey, T., & Jaiswal, A. (2023). Exploring the Risks, Benefits, Advances, and Challenges in Internet Integration in Medicine With the Advent of 5G Technology: A Comprehensive Review. Cureus; i(11). doi.org/10.7759/cureus.48767

Baldwin, P. (2021). How 5G can transform telemedicine to tackle today’s toughest challenges. Qualcomm. Retrieved from  https://www.qualcomm.com/news/onq/2021/01/how-5g-can-transform-telemedicine-tackle-todays-toughest-challenges

Crews, J. 5G: Bridging or Amplifying the Rural-Urban Divide? Heartland Forward. Retrieved from https://heartlandforward.org/case-study/5g-bridging-or-amplifying-the-rural-urban-divide/

Devi, D. H., Duraisamy, K., Armghan, A., Alsharari, M., Aliqab, K., Sorathiya, V., Das, S., & Rashid, N. (2023). 5G Technology in Healthcare and Wearable Devices: A Review. Sensors (Basel, Switzerland); 23(5). doi.org/10.3390/s23052519

Everything you need to know about 5G. (n.d.). Qualcomm. Retrieved from  https://www.qualcomm.com/5g/what-is-5g

Foo, M. 8 Ways That 5G Benefits Healthcare (n.d.). ABI Research. Retrieved from  https://www.abiresearch.com/blogs/2023/01/03/5G-in-healthcare/

Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth Benefits and Barriers. The Journal for Nurse Practitioners; 17(2), 218-221. doi.org/10.1016/j.nurpra.2020.09.013

Georgiou, K. E., Georgiou, E, Satava, R. M. (2021). 5G Use in Healthcare: The Future is Present. Journal of the Society of Laparoscopic & Robotic Surgeons; 25(4):e2021.00064. doi: 10.4293/JSLS.2021.00064

Gillis, M. (2022). More Than 80% of Healthcare Executives Expect the Metaverse Will Have a Positive Impact on Their Organizations, According to a New Accenture Report. Accenture. Retrieved from https://newsroom.accenture.com/news/2022/more-than-80-percent-of-healthcare-executives-expect-the-metaverse-will-have-a-positive-impact-on-their-organizations-according-to-a-new-accenture-report

Lensing, M. (2019). 5G can help deliver better insights into patient health. AT&T Business. Retrieved from https://www.business.att.com/learn/top-voices/5g-can-help-deliver-better-insights-into-patient-health.html

Maheu, M. (2024). See How 5G Technology Can Improve Your Healthcare Service. Telehealth.org. Retrieved from https://telehealth.org/see-how-5g-technology-can-improve-your-healthcare-service/

Seitz, S. (2024). The Impact of 5G on Connected Devices. Sequenex. Retrieved from https://sequenex.com/the-impact-of-5g-on-connected-devices/

Udell, C. (2023). 5G Security Concerns & Privacy Risks. MRL Consulting Group. Retrieved from https://www.mrlcg.com/resources/blog/5g-security-concerns—privacy-risks/

Pediatric Telehealth: Bringing Expert Care to Kids at Home

Pediatric Telehealth: Bringing Expert Care to Kids at Home

by Ree AI Health Tech

Pediatric telehealth, the practice of providing medical care to kids remotely, is becoming more popular each year. A survey by Amwell and Nemours Children’s Health found that 61% of parents were willing to use online pediatric services. 

This article discusses the benefits, challenges, and ways telehealth for children can improve pediatric care.

Contents

What is Pediatric Telehealth?

Pediatric telehealth uses digital technology to deliver healthcare services to children. Healthcare providers can use video calls, secure messaging, and mobile health apps to offer medical consultations, diagnoses, and treatments remotely (Tully et al., 2021). 

Pediatric telehealth includes various services like virtual doctor visits, e-prescriptions, and remote monitoring. It aims to make healthcare more accessible and convenient for children and their families, especially those living in rural or underserved areas (Hall et al., 2015).

Pediatric telehealth service types 

Doctor talking to parent and child on laptop

Pediatric telehealth offers various services, such as:

  • Virtual doctor visits: These include urgent care, routine check-ups, follow-up appointments, and consultations for minor illnesses or injuries.

  • Mental health services: Telehealth provides access to pediatric psychology and behavioral health support, which is crucial to address mental health issues in children.

  • Chronic condition management: With telehealth, conditions like asthma, diabetes, and gastrointestinal issues can be monitored and managed remotely.

  • Specialty care: Pediatric specialties such as endocrinology, dermatology, and neurology can be accessed through telehealth, allowing families to consult specialists without traveling long distances.

Primary care pediatricians report using telehealth for sick visits (91%), mental health visits (85%), and chronic disease visits (71%). Over 80% of pediatricians reported telehealth was very effective or moderately effective for mental health and chronic disease visits.

Technologies used for pediatric telehealth

The technologies that enable pediatric telehealth include:

  • Video conferencing tools: Platforms like Zoom or Skype facilitate face-to-face interactions between healthcare providers and patients.

  • Secure messaging: This allows for confidential communication between families and healthcare providers.

  • Remote monitoring devices: Wearable devices and home monitoring tools help track vital signs and other health metrics.

  • Mobile health apps: These apps provide educational resources, appointment scheduling, and medication reminders.

Benefits of Telehealth for Kids and Families

Woman and baby looking at tablet

Pediatric telehealth offers numerous advantages for children and their families, making healthcare more accessible and efficient.

Convenience and accessibility

Telehealth provides the convenience of accessing healthcare services from home, eliminating the need for travel. This is particularly beneficial for families with busy schedules or those living in remote areas. It also reduces the time spent in waiting rooms, minimizing exposure to illnesses.

Access to specialists

Telehealth can bridge the gap between families and pediatric specialists, regardless of their geographic location. This is crucial for children requiring specialized care, such as pediatric oncology or neurology, where specialists may not be available in their area (Casey Family Programs, 2024).

Cost-effectiveness and time savings

By reducing travel expenses and time off work or school, telehealth can be more cost-effective for families. It also alleviates the burden of transportation, which can be a huge barrier for some families.

Common Pediatric Conditions Treated via Telehealth

Telehealth is effective for managing a variety of pediatric conditions, offering a practical solution for acute and chronic health issues. Some pediatric services are better for telehealth than others:

  • Virtual Visits: Best for mental health, behavioral and developmental concerns, headaches, and skin conditions.

  • In-Person Visits: Best for newborn and well-child checkups, immunizations, and asthma. Also important for illnesses that require a test or an exam for an official diagnosis. 

Let’s go over the ideal conditions for pediatric virtual visits.

Minor illnesses and injuries

A child with a scraped knee closeup

Telehealth can address common childhood ailments such as fevers, rashes, respiratory infections, and minor injuries like cuts and bruises. Virtual doctor visits allow healthcare providers to assess symptoms and recommend treatment without an in-person visit.

Mental health and behavioral issues

About 16.5% of people under age 18 have experienced at least one mental health condition, with depression, anxiety, and conduct problems being among the most prevalent. The rates of depression and anxiety among teens have shown an upward trend over time, amplified by the pandemic (Vanderwood et al., 2023). 

Telehealth has become an essential tool for delivering mental health services to children. It provides a platform for therapy sessions and behavioral assessments, which are crucial for managing conditions like anxiety and depression.

Collaborative care and telehealth

Collaborative care is when primary care doctors work closely with mental health experts to help patients. One study by JG Research & Evaluation and Concert Health looked at how well collaborative care delivered via telehealth works for treating depression and anxiety in teenagers. They found that over half of the teens in this study saw their symptoms improve.

More frequent check-ins with the teens led to better results, especially for those with anxiety. Researchers also noticed that older teens tended to do better with this treatment, possibly because they can engage more easily with phone-based (audio-only) care and learn coping skills better.

One notable finding was that Medicaid patients were less likely to see big improvements in their depression symptoms compared to those with private insurance. This suggests that Medicaid patients may need extra support.

Chronic disease management

Mother with sick child on couch and red laptop - pediatric telehealth

Children with chronic conditions like asthma, epilepsy, or diabetes can benefit from telehealth through regular monitoring and consultations. This ensures continuous care and timely adjustments to treatment plans.

Follow-up appointments and medication reviews

Telehealth simplifies follow-up care by allowing healthcare providers to review medications and treatment progress remotely. This is especially useful for children requiring ongoing medical supervision.

Challenges and Limitations of Pediatric Telehealth

Despite its benefits, pediatric telehealth faces several challenges that must be addressed to ensure that providers can implement it effectively.

Technology barriers and digital divide

Man at laptop with head in hands

Access to reliable internet and digital devices is essential for telehealth, but not all families have this available to them (Curfman et al., 2022). The digital divide can hinder the effectiveness of telehealth services, particularly in rural or low-income areas.

Difficulty performing physical examinations

Telehealth limits the ability to conduct thorough physical exams, which are sometimes necessary for accurate diagnosis. This is a big drawback for certain medical conditions (Tully et al., 2021).

Privacy and security concerns

Ensuring the privacy and security of patient data is crucial in telehealth. If you have concerns about the confidentiality of your health information when using digital platforms, check that your provider’s telehealth platform is HIPAA-compliant.

Insurance coverage and reimbursement complexities

Understanding insurance coverage for telehealth services can be difficult and complex, with varying policies on reimbursement. This can affect how affordable and accessible telehealth is for some families (Tully et al., 2021).

How to Prepare for a Pediatric Telehealth Visit

Families should get ready for their child’s telehealth appointment with the following steps.

A girl and her mom using red laptop

Setting up the tech

Ensure that the necessary technology, such as a computer or smartphone with a camera and microphone, is set up and functioning properly. Test the internet connection to avoid disruptions during the appointment.

Gather medical information

Prepare any relevant medical records, such as previous diagnoses, medication lists, and recent test results, to share with the healthcare provider during the consultation.

Create the ideal environment

Choose a quiet, private, and well-lit area for the telehealth visit to facilitate clear communication and minimize distractions.

Tips to keep children engaged

Engage children by explaining the purpose of the telehealth visit and involving them in the process. Having a favorite toy or book nearby can help keep them calm and focused during the appointment.

The Future of Telehealth in Pediatric Care

The future of pediatric telehealth looks promising, with advancements in technology and increased integration into healthcare systems.

Up-and-coming technologies

Innovations such as artificial intelligence (AI), virtual reality (VR), and advanced wearable devices are expected to enhance telehealth services, making them more interactive and effective.

Integration with school health services

School nurse treating a girl

Telehealth can be integrated into school health programs, providing students with access to medical care without leaving the school premises. This can improve health outcomes and reduce absenteeism (Curfman et al., 2022).

Potential for improving healthcare equity

Telehealth has the potential to improve healthcare equity by providing underserved populations with access to quality care. This is particularly important for children in rural or low-income areas.

Ongoing research and development

Continuous research and development in telehealth will likely lead to new applications and improvements in service delivery, ensuring that pediatric telehealth remains a vital component of children’s healthcare.

Conclusion

Pediatric telehealth is more than just a convenient option—it’s a powerful tool that’s expanding access to quality healthcare for children everywhere. While challenges remain, the benefits of virtual care for kids are clear: increased access to specialists, reduced healthcare costs, and improved convenience for families. 

For parents and healthcare providers alike, embracing digital solutions like telehealth can mean healthier, happier kids and more empowered families. 

The future of children’s healthcare is here, and it’s just a screen away.

References

AAP Research. (2023). AAP study shows telehealth use common in pediatric care. American Academy of Pediatrics (AAP). Retrieved from https://publications.aap.org/aapnews/news/23772/AAP-study-shows-telehealth-use-common-in-pediatric

Hall, R. W., TELEHEALTH CARE, S. O., Dehnel, P. J., Alexander, J. J., Bell, D. M., Bunik, M., & Kile, J. R. (2015). Technical Report: Telemedicine: Pediatric Applications. Pediatrics; 136(1), e293. doi.org/10.1542/peds.2015-1517

How can child protection agencies use telehealth to increase service access for children and families? (2024). Casey Family Programs. Retrieved from https://www.casey.org/telehealth-child-welfare/

LaMarco, N. (2024). What Conditions Can a Pediatrician Treat with Telehealth? Healthgrades. Retrieved from https://www.healthgrades.com/right-care/childrens-health/10-childrens-conditions-that-can-be-treated-in-a-telehealth-visit

Minimizing Telehealth Technology Barriers in Rural and Underserved Communities. (n.d.). American Academy of Pediatrics (AAP). Retrieved from https://www.aap.org/en/practice-management/care-delivery-approaches/telehealth/minimizing-telehealth-technology-barriers-in-rural-and-underserved-communities/

Telehealth: Opportunities to Improve Access, Quality, and Cost in Pediatric Care. (2022). American Academy of Pediatrics (AAP). Retrieved from  https://publications.aap.org/pediatrics/article/149/3/e2021056035/184902/Telehealth-Opportunities-to-Improve-Access-Quality

Telehealth appointment or in-person primary care? How to choose the best option for you. (n.d.). HealthPartners. Retrieved from https://www.healthpartners.com/blog/when-to-use-telemedicine

Telehealth Virtual Care Services Bring Future of Health Care to Every Child Pediatrics. (n.d.). Every Child Pediatrics. Retrieved from https://everychildpediatrics.org/telehealth-virtual-care-services-bring-future-of-health-care-to-every-child-pediatrics/

Survey Finds Majority of Parents Willing to Engage in Telehealth Post-COVID. (2021). Nemours Children’s Health. Retrieved from https://nemours.mediaroom.com/2021-07-28-Survey-Finds-Majority-of-Parents-Willing-to-Engage-in-Telehealth-Post-COVID

Tully, L., Case, L., Arthurs, N., Sorensen, J., & Marcin, J. P. (2021). Barriers and Facilitators for Implementing Pediatric Telemedicine: Rapid Review of User Perspectives. Frontiers in Pediatrics; 9. doi.org/10.3389/fped.2021.630365

Vanderwood, K., Joyner, J., & Little, V. (2023). The effectiveness of collaborative care delivered via telehealth in a pediatric primary care population. Frontiers in Psychiatry; 14, 1240902. doi.org/10.3389/fpsyt.2023.1240902

Telehealth for Rural Areas: Bridging the Healthcare Gap

Telehealth for Rural Areas: Bridging the Healthcare Gap

by Ree AI Health Tech

In the vast expanses of rural America, access to quality healthcare has long been a challenge. But telehealth can be a digital lifeline for these communities. According to the American Hospital Association, 76% of U.S. hospitals connect with patients through video and other technology. This underscores the growing importance of telehealth for rural areas where medical facilities are often few and far between. 

Let’s explore how this technology is making waves in rural healthcare, its benefits, challenges, and what the future holds.

Contents

Benefits of Telehealth for Rural Residents

Telehealth is changing healthcare delivery, particularly in rural areas where access to medical services can be limited. 

A man hitchhiking from a farm

In a survey of 202 adults living in a rural area, 88% of them were open to telehealth. When asked about barriers to show up for doctor appointments or receiving adequate healthcare, they cited several reasons (Kolluri et al., 2022):

  • The wait to see the doctor is too long – 32.7%

  • Too expensive – 24.8%

  • Lack of transportation – 22.8%

  • Schedule conflicts – 22.8%

  • Not sick – 15.8%

  • Distrust the quality of healthcare – 13.9%

  • Other – 4.5% (“My insurance isn’t accepted for at least 100 miles.”)

With this data, we can clearly see how telehealth can positively impact rural patients. Here are some specific benefits.

Better access to doctors with reduced travel

For many rural residents, visiting a doctor means traveling long distances, which can be costly and time-consuming. Finding a specialist is also challenging due to limited availability. 

Telehealth bridges this gap by connecting patients with specialists through video visits and online consultations, which eliminates the need for long travel (Butzner & Cuffee, 2021). Patients who receive care from the comfort of their homes save on transportation costs and reduce the need to take time off from work.

Faster access to care in emergencies

Tele-emergency services provide real-time access to emergency medicine physicians, allowing rural healthcare providers to manage emergencies more effectively (Rural Health Information Hub, 2024). This quick access can be crucial in life-threatening situations.

Increased continuity of care for chronic conditions

Black woman gold top showing phone with glucose meter on arm

Chronic disease management is vital for improving patient outcomes. Telehealth enables continuous monitoring and follow-up care, ensuring that patients with chronic conditions receive consistent and timely interventions.

Improved patient engagement and health outcomes

Telehealth encourages patients to take an active role in their healthcare. With tools like remote monitoring and mobile health apps, patients can track their health metrics and communicate with healthcare providers more frequently, leading to better health outcomes.

These benefits highlight how telehealth is making healthcare more accessible and effective for rural patients. However, implementing telehealth in these areas comes with its own set of challenges.

Success Stories: Rural Telehealth in Action

Many rural communities have successfully implemented telehealth programs with success stories to celebrate. Here are a few.

Effective telehealth programs 

Project ECHO®

Programs like Project ECHO® have connected rural healthcare providers with specialists, allowing for better management of complex cases (Rural Health Information Hub, 2024). These kinds of programs show the potential of telehealth to improve healthcare delivery in rural communities.

Hybrid healthcare in the South

Woman getting a shot in her arm

East Carolina University (ECU) developed a hybrid healthcare program to improve health outcomes for rural residents in that area. A nurse visits patients at home and connects them virtually with providers at health centers. 

This program allows patients to access various healthcare services, including consultations with pharmacists, while the nurse assesses their needs. The program has proven beneficial, as illustrated by a bed-bound diabetes patient who, after joining, received comprehensive care and reduced hospital visits. 

This hybrid approach combines telehealth with in-person visits to address barriers faced by rural patients, such as long travel distances to healthcare facilities. It also allows the clinical team to collaborative and address patients’ health issues, making them more discoverable and actionable. 

Mobile clinic for substance abuse in the Mid-Atlantic

Wide top white van driving down street

The University of Maryland (UMD) launched a telehealth program to address the shortage of healthcare providers for opioid use disorder (OUD) in rural areas, particularly after a care center in western Maryland lost its OUD provider. They partnered with health departments and secured funding from the Health Resources and Services Administration (HRSA) to set up mobile clinics equipped with vans and computers. 

These clinics, staffed by a counselor, nurse, and peer recovery specialist, park in central locations to provide care. Telehealth plays a crucial role in expanding access to OUD treatment. This initiative has successfully served hundreds of people, reaching individuals who otherwise might not have access to treatment.

Emergency care access in rural hospitals in the Midwest

Two ambulances in front of Emergency entrance to hospital

In rural areas, residents face higher risks of death from accidents and strokes. Telehealth allows specially trained providers to assist rural hospital staff in delivering prompt emergency care, which is crucial for improving outcomes. 

One such case study comes from Sanford Health, which uses telehealth to improve emergency care access in rural hospitals across South Dakota, North Dakota, and Minnesota. Their program connects 32 rural emergency service locations to specialists through a virtual care hub. This hub allows rural staff to quickly consult with specialists on treating strokes, burns, and other traumas. 

The program’s success relies on technology, including two large monitors that allow specialists to access patient information from multiple sources simultaneously. 

Impact on local healthcare providers and clinics 

Telehealth allows rural clinics to offer a broader range of services, reducing the need for patient transfers and hospital bypasses. There can be caveats to this, but telehealth can improve the viability of rural healthcare facilities and helped retain healthcare providers in these areas. 

Economic benefits for rural communities 

Implementing telehealth can lead to economic benefits such as reduced patient transportation costs, increased local pharmacy revenues, and decreased hospital staffing costs.

These success stories illustrate the transformative impact telehealth can have on rural healthcare, providing a model for future initiatives.

While telehealth often leads to positive outcomes, its implementation in rural areas is not without obstacles.

Challenges in Implementing Rural Telehealth

Despite its advantages, telehealth implementation in rural areas faces several hurdles. Understanding these challenges is crucial for developing effective solutions.

Telehealth access for people experiencing homelessness

Man in homeless shelter

Federally Qualified Health Centers (FQHCs) serve vulnerable, unhoused, and underinsured people in the U.S. 

During the COVID-19 pandemic, FQHCs set up telehealth in shelters and community organizations, used vans for mobile telehealth services, and gave smartphones and tablets to shelters to connect unhoused patients with primary care doctors and specialists. 

However, challenges remain, like unreliable phone and internet service. Post-pandemic, many unhoused patients still rely on phone visits instead of video visits (Azar et al, 2024).

Limited broadband internet access

Reliable internet is essential for telehealth services. Unfortunately, many rural areas lack the necessary broadband infrastructure, which can hinder the delivery of telehealth services.

Technology literacy and adoption among older populations

Older adults may struggle with using new technologies, which can limit their ability to benefit from telehealth services. Providing education and support is necessary to increase technology adoption among this demographic (Gurupur & Miao, 2022).

Regulatory and licensing inconsistencies

Telehealth often involves providing services across state lines, since technology allows for worldwide connections. This can lead to regulatory and licensing challenges. The requirements vary by state, which complicates the process for healthcare providers (Gurupur & Miao, 2022).

Reimbursement and insurance coverage complexities

Doctor on the phone

Insurance coverage for telehealth also varies, as some providers don’t reimburse certain types of care. For example, each state has different rules and regulations about the types of services that can be reimbursed by Medicaid. This inconsistency discourages some healthcare providers from offering telehealth services.

Privacy and security concerns in digital health platforms 

Protecting patient data is a top priority in telehealth. Ensuring that digital health platforms comply with privacy regulations like HIPAA is essential to maintain patient trust.

Language barriers

In a study by UC Davis in Sacramento with The University of Queensland in Brisbane, providers had mixed experiences with interpreter services during telehealth visits. Some found it challenging to use interpreters effectively through their clinic’s telehealth platform. In some cases, non-English speaking patients were asked to come to the clinic in person instead of using telehealth. One provider mentioned relying on family members for translation, but this wasn’t always possible (Azar et al, 2024). 

On the other hand, many providers said they could meet the needs of non-English speaking patients using available interpreter services. Some clinics had smooth workflows for integrating interpreters into telehealth visits, while others were still working on finding good solutions to this issue (Azar et al, 2024).

Addressing these challenges requires collaboration between policymakers, healthcare providers, and technology companies. By overcoming these obstacles, telehealth can become a more integral part of rural healthcare.

The Future of Telehealth in Rural Healthcare

Lin et al (2018) found that health centers located in rural areas were associated with a 10-percentage-point increase in the probability of telehealth use, and 12.2 percentage points more likely to use telehealth for mental health care, compared to those in urban areas. 

Several years later, technology continues to improve, and telehealth plays an even more important role in providing healthcare to people in rural communities. Here are some trends and developments to watch.

Emerging technologies enhancing telehealth capabilities 

Innovations like wearable devices and artificial intelligence (AI) are expanding the possibilities of telehealth. These technologies provide more comprehensive monitoring and personalized care.

Policy changes and initiatives regarding rural telehealth 

Governments and organizations recognize the importance of telehealth in rural areas. However, telehealth in those communities can negatively impact their local healthcare access, and several federal waivers are set to expire soon. 

Rural vs. urban healthcare systems

Empty winding road

A study by the University of Tennesee at Knoxville found that rural hospitals often lose patients to urban hospitals offering telehealth services. This shift results in financial strain for rural hospitals, affecting their investment choices and capital structure. As a result, some rural hospitals may have to cut back on staff, including doctors and nurses, or even close down intensive care units. And in extreme cases, this can lead to bankruptcy. 

These financial challenges arise because rural hospitals lose revenue when patients opt for telehealth services from urban providers. This situation is worsened because rural hospitals typically face higher financial risks. 

Policymakers and patients should consider these long-term financial impacts when using telehealth services, as they can have unintended negative consequences for rural healthcare providers. Initiatives aimed at expanding broadband access and simplifying regulatory processes are crucial for the continued growth of telehealth.

Federal waiver expirations

At the end of September 2025, six federal waivers and provisions will end  unless the U.S. government takes further action:

  • Site Waivers: Temporary Medicare changes, including geographic and site flexibilities, are set to expire, which affects FQHCs and Rural Health Clinics (RHCs).

  • In-Person Follow-Ups for Mental Telehealth: A waiver that removes the need for an in-person visit within six months of an initial telemental health visit is expiring.
  • HSA Safe Harbor: Laws that allow high-deductible health plans to cover telehealth services without affecting health savings accounts is ending.
  • Controlled Substance Prescribing: The temporary Drug Enforcement Administration (DEA) guidelines that allow telehealth providers to prescribe controlled substances without an in-person visit are set to expire.
  • Provider Privacy: Medicare telehealth providers currently have privacy regarding their location on claim forms, but this may change.
  • Acute Hospital Care at Home: A waiver that allows remote patient monitoring by eliminating the need for 24/7 on-site nursing is expiring.

Integration with other healthcare services and systems

Telehealth is becoming more integrated with traditional healthcare services, offering a seamless experience for patients. This integration can improve care coordination and ensure that telehealth complements in-person care effectively.

Potential for addressing healthcare disparities

Asian woman looking at phone in disgust

Telehealth has the potential to reduce healthcare disparities by providing equitable access to care for underserved populations. By making healthcare more accessible, telehealth can help address some of the systemic issues contributing to health disparities.

Conclusion

Quality healthcare should be equitable and available for everyone, regardless of their zip code. Telehealth can be a powerful tool to address the healthcare needs of rural communities. By breaking down geographical barriers, it’s bringing quality care to those who need it most. 

As technology advances and policies adapt, there are many opportunities for telehealth to further improve rural healthcare. By continuing to innovate and address existing challenges, telehealth can become a cornerstone of rural healthcare delivery.

Whether you’re a patient, provider, or policymaker, embracing telehealth could be the key to ensuring that everyone, regardless of location, has access to the care they deserve. The future of rural healthcare is here, and it’s digital. Are you ready to connect?

References

Azar, R., Chan, R., Sarkisian, M., Burns, R. D., Marcin, J. P. , Gotthardt, C. De Guzman, K. R., Rosenthal, J. L., & Haynes, S. C. (2024). Adapting telehealth to address health equity: Perspectives of primary care providers across the United States. Journal of Telemedicine and Telecare; 1-7. doi:10.1177/1357633X241238780

Butzner, M., & Cuffee, Y. (2021). Telehealth Interventions and Outcomes Across Rural Communities in the United States: Narrative Review. Journal of Medical Internet Research; 23(8). doi.org/10.2196/29575

Expanding access to emergency care in rural hospitals. (2024). Health Resources and Services Administration (HRSA). Retrieved from https://telehealth.hhs.gov/community-stories/expanding-access-emergency-care-rural-hospitals

Gurupur, V. P., & Miao, Z. (2022). A brief analysis of challenges in implementing telehealth in a rural setting. MHealth; 8. doi.org/10.21037/mhealth-21-38

Home-based, hybrid health care in rural communities. (2024). Health Resources and Services Administration (HRSA). Retrieved from https://telehealth.hhs.gov/community-stories/home-based-hybrid-health-care-rural-communities

Kolluri, S., Stead, T. S., Mangal, R. K., Littell, J., & Ganti, L. (2022). Telehealth in Response to the Rural Health Disparity. Health Psychology Research; 10(3). doi.org/10.52965/001c.37445

Lin, C. C., Dievler, A. , Robbins, C., Sripipatana, A., Quinn, M. & Nair, S. (2018). Telehealth in Health Centers: Key Adoption Factors, Barriers, and Opportunities. Retrieved from 

https://www.healthaffairs.org/doi/10.1377/hlthaff.2018.05125

Mobile clinics for substance use disorder. (2024). Health Resources and Services Administration (HRSA). Retrieved from https://telehealth.hhs.gov/community-stories/mobile-clinics-substance-use-disorder

Stewart, H. (2024). Telehealth trends in 2024: Converging challenges on the virtual care frontier. CHG Healthcare. Retrieved from https://chghealthcare.com/blog/telehealth-trends

Telehealth and Health Information Technology in Rural Healthcare. (2024). Rural Health Information Hub. Retrieved from https://www.ruralhealthinfo.org/topics/telehealth-health-it

Telemedicine usage can have unexpected impact on rural communities’ access to local care. (2024). News Medical. Retrieved from https://www.news-medical.net/news/20240801/Telemedicine-usage-can-have-unexpected-impact-on-rural-communities-access-to-local-care.aspx

The Key Benefits of Telehealth in Rural Areas. (n.d.). Health Recovery Solutions. Retrieved from https://www.healthrecoverysolutions.com/blog/the-key-benefits-of-telehealth-in-rural-areas

Telehealth vs. In-Person Visits: Pros and Cons

Telehealth vs. In-Person Visits: Pros and Cons

by Ree Health Tech

Telehealth is a viable alternative to traditional in-person care, sparking an ongoing debate about each of their relative merits. This may leave people wondering about the differences between telehealth vs. in-person visits.

In this article, we’ll explore the pros and cons of telehealth and in-person care so you make informed decisions about your healthcare needs, and determine which option is right for you.

Contents

 

What is Telehealth?

Telehealth, also known as telemedicine, involves the use of digital tools to provide healthcare services remotely. A few examples:

  • Sending and receiving direct messages from your healthcare provider via a patient portal.

  • Email or text reminders about prescriptions.

  • Remote monitoring of your blood sugar, heart rate, sleep patterns, etc.

More background on what telehealth is and its benefits.

Telehealth can be synchronous, where the patient and provider interact in real-time, or asynchronous, where information is shared and reviewed at different times. Types of telehealth services include:

  • Synchronous Telehealth: Real-time interactions via video calls or phone calls.

  • Asynchronous Telehealth: Store-and-forward technology where data, images, or messages are sent and reviewed later.

  • Remote Patient Monitoring (RPM): Continuous monitoring of patients‘ health data using devices that send information to healthcare providers.

Advantages of Telehealth

Telehealth offers several advantages, especially in today’s fast-paced world. An AMA study found that medical practitioners who use telehealth the most were radiologists (39.5%), psychiatrists (27.8%), and cardiologists (24.1%). 

Convenience and accessibility

One of the most attractive things about telehealth is its convenience:

  • No Travel Required: You can have a consultation from the comfort of your home, office, or even while on vacation.

  • Flexible Scheduling: Appointments can be scheduled outside of traditional office hours, making it easier for those with busy schedules.

Cost-effectiveness

With insurance

Telehealth can be less expensive than in-person visits due to lower overhead costs for providers and no travel expenses for patients. 

Many insurance plans cover telehealth services, making it a more affordable option. 

If you are planning a telehealth appointment, ask your health plan if telehealth is covered and the copay or coinsurance amount. Your telehealth appointment may be through your in-network provider or a telehealth company your insurer contracts with.

Without insurance

If you don’t have health insurance, you can contact a telehealth company like AmWell, Teladoc, Doctor On Demand, or MD Live for a medical consultation and get a quote.

More access to specialists

  • Specialist Referrals: Telehealth makes it easier to get specialist consultations, especially for those living in rural or underserved areas (Gajarawala & Pelkowski, 2021).

  • Integrated Care: Health providers can seamlessly integrate telehealth into their healthcare systems, improving overall care coordination.

Mental health services

Telehealth has made mental health services more accessible, giving people access to counseling and therapy without the stigma of visiting a clinic (Harris, 2022).

Limitations of Telehealth

Lock octagon illustration

Despite its many benefits, telehealth also has its drawbacks. Here are some of the biggest limitations.

Technology barriers and connectivity issues

Lack of physical exams

  • Inability to Perform Comprehensive Exams: Some conditions require a physical examination that a health provider can’t do as well via telehealth (Saljoughian, 2021).

  • Potential for Misdiagnosis: Without the ability to perform a hands-on examination, there is a higher risk of misdiagnosis (Gajarawala & Pelkowski, 2021). For example, The Doctors Company said that nearly 70% of their telehealth-related claims have alleged diagnostic errors.

Privacy and security concerns

  • Data Security: While most telehealth platforms are encrypted, there is always a risk of data breaches or hacking (HHS, 2023).

  • Confidentiality: Ensuring privacy during a telehealth session can be challenging, especially if the patient is in a shared or public space (Houser et al., 2023).

When to Choose Telehealth

Elderly woman on Zoom with health provider

Telehealth is not suitable for every situation, but it excels in several areas.

Routine check-ups and consultations

  • Primary Care: Regular check-ups and follow-up appointments can be easily managed through telehealth.

  • Preventive Care: Screenings and preventive measures can often be discussed and managed remotely.

Mental health services

Telehealth provides a convenient and private way to receive mental health support like counseling and therapy.

Chronic disease management

People with chronic conditions like diabetes or hypertension can manage them through regular telehealth consultations and RPM (Harris, 2022).

Minor acute conditions

Health providers can diagnose and treat conditions like colds, minor infections, and rashes via telehealth.

What is In-Person Care?

In-person care is the traditional model of healthcare where patients visit a clinic, hospital, or specialty center to receive medical attention. This type of care is essential for many medical conditions and treatments. In-person healthcare settings include:

  • Clinics: Primary care and specialized clinics offer a wide range of services.

  • Hospitals: For emergency care, surgeries, and complex treatments.

  • Specialty Centers: Focused on specific areas like cardiology, oncology, or orthopedics.

Advantages of In-Person Care

Doctor shows patient Rx

In-person care remains crucial for many reasons. In the same AMA study medical practitioners who use telehealth the least (in favor of in-person care) were obstetrician-gynecologists (9.3%), gastroenterologists (7.9%), and allergists/immunologists (6.1%). 

In-person care offers several unique benefits that are worth considering, as follows.

Comprehensive physical exams

  • Hands-On Assessment: Allows for thorough physical examinations, which are essential for accurate diagnosis and treatment (Saljoughian, 2021).

  • Immediate Diagnostic Tests: Access to lab tests, imaging, and other diagnostic procedures during the visit.

Face-to-face interaction and rapport 

  • Personal Connection: Face-to-face interactions help build trust and rapport between patients and healthcare providers.

  • Non-Verbal Cues: Providers can pick up on non-verbal cues that are easy to miss in virtual consultations.

Complex treatments and surgeries

  • Surgical Procedures: In-person care is necessary for any surgical intervention or complex medical procedures.

  • Emergency Care: Immediate, hands-on care is essential in emergencies.

Drawbacks of In-Person Care

While in-person care has its strengths, it also comes with several disadvantages.

People in waiting room wearing face masks

Longer wait times and scheduling difficulties

  • Appointment Delays: Patients often face long wait times for appointments and in waiting rooms.

  • Scheduling Conflicts: Finding a convenient time for both the patient and provider can be challenging.

Travel requirements and associated costs

Traveling to and from healthcare facilities can be time-consuming and costly, especially for those in rural areas (Harris, 2022).

Exposure to other patients and potential infections

Visiting a healthcare facility increases the risk of exposure to other illnesses, including infectious diseases (Saljoughian, 2021).

Time away from work or family obligations

In-person visits often require taking time off work or away from family responsibilities, resulting in lost productivity.

When to Opt for In-Person Care

Empty white hospital hallway

In-person care is indispensable in some situations, as follows.

Emergencies

Conditions like heart attacks, strokes, and severe injuries require immediate, hands-on medical attention.

Chronic or complex medical conditions

Conditions that require specialized treatment plans and hands-on management benefit from in-person care.

Diagnostic procedures and lab tests

You must complete certain tests and procedures, like blood work and imaging, in a healthcare facility for the most accurate diagnosis.

Hands-on treatments and therapies

Rehabilitation and physical therapy usually require direct interaction with healthcare providers.

Telehealth and in-person care each have their merits. Now, let’s explore how these two approaches can be combined.

Integrating Telehealth and In-Person Care

The future of healthcare likely lies in a hybrid model that combines the strengths of both telehealth and in-person care.

Woman getting a shot in her arm

Hybrid models of care

A blended approach that combines telehealth for routine check-ups and follow-ups with in-person visits can better address more complex needs.

Coordinating care between virtual and physical settings

Ensuring that patient information and care plans are consistent across both telehealth and in-person settings.

Using telehealth for follow-ups after in-person visits

Follow-up appointments can often be conducted via telehealth, saving time and resources.

To sum up the differences in a handy-dandy chart, look at this one from Mira.

Comparison chart - In person vs virtual care chart
Source: Mira (talktomira.com)

Virtual and in-person visits each have unique advantages and limitations. Telehealth offers convenience, cost savings, and improved access to care, especially for routine consultations and mental health services. However, it falls short in situations that require hands-on examinations and immediate medical interventions. 

In-person care remains essential for physical exams, complex treatments, and emergencies, but comes with the drawbacks of longer wait times, travel, and potential exposure to infections.

The best choice between telehealth and in-person care isn’t always black and white. It often depends on your specific health needs, preferences, and circumstances. When you understand the pros and cons of each approach, you can make more informed decisions about your healthcare.  

As technology continues to advance, the integration of telehealth and in-person care will likely become more innovative, sophisticated, and widespread. Remember, the goal is to find the right balance that ensures you receive the best possible care, whether it’s through a screen or in a doctor’s office.

References

Bean, K. (2023). In-Person Vs. Virtual Care: What’s The Difference & Which Is Best. Mira. Retrieved from https://www.talktomira.com/post/telehealth-vs-in-person-care-pros-and-cons

Feldman, D. L. (n.d.). Top Seven Tips for Telehealth. The Doctors Company. Retrieved from https://www.thedoctors.com/articles/top-seven-tips-for-telehealth/

Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth Benefits and Barriers. The Journal for Nurse Practitioners, 17(2), 218-221. doi.org/10.1016/j.nurpra.2020.09.013

Harris, A. (2022). Differences between telehealth vs. in-person care. Everlywell. Retrieved from  https://www.everlywell.com/blog/virtual-care/telehealth-vs-in-person-care/

Henderson, E. (2020). Telemedicine or in-person visit? Pros and cons. News Medical. Retrieved from https://www.news-medical.net/news/20201027/Telemedicine-or-in-person-visit-Pros-and-cons.aspx

Houser, S. H., Flite, C. A., & Foster, S. L. (2023). Privacy and Security Risk Factors Related to Telehealth Services – A Systematic Review. Perspectives in Health Information Management; 20(1). 

Robeznieks, A. (2019). Which medical specialties use telemedicine the most? American Medical Association (AMA). Retrieved from https://www.ama-assn.org/practice-management/digital/which-medical-specialties-use-telemedicine-most

Saljoughian, M. (2021). The Benefits and Limitations of Telehealth. U.S. Pharmacist. Retrieved from https://www.uspharmacist.com/article/the-benefits-and-limitations-of-telehealth

Telehealth Privacy and Security Tips for Patients. (2023). U.S. Department of Health and Human Services (HHS). Retrieved from  https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/telehealth-privacy-security/index.html