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		COVID-19 Telehealth Impact Study
							| Telehealth and Medicine Today
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<meta name="DC.Creator.PersonalName" content="Stephen Ommen"/>
<meta name="DC.Creator.PersonalName" content="Helayne  Sweet"/>
<meta name="DC.Creator.PersonalName" content="Nilay Shah"/>
<meta name="DC.Creator.PersonalName" content="Barbra Rabson"/>
<meta name="DC.Creator.PersonalName" content="Nick Dougherty"/>
<meta name="DC.Creator.PersonalName" content="Jennifer Goldsack"/>
<meta name="DC.Creator.PersonalName" content="Peter Sylvester"/>
<meta name="DC.Creator.PersonalName" content="Karen Jones"/>
<meta name="DC.Creator.PersonalName" content="Aaron Burgman"/>
<meta name="DC.Creator.PersonalName" content="Nathalie McIntosh"/>
<meta name="DC.Creator.PersonalName" content="Lindsey Sangaralingham"/>
<meta name="DC.Creator.PersonalName" content="David Jiang"/>
<meta name="DC.Creator.PersonalName" content="Jeffrey McGinn"/>
<meta name="DC.Creator.PersonalName" content="Ricardo Rojas"/>
<meta name="DC.Creator.PersonalName" content="Tim Suther"/>
<meta name="DC.Creator.PersonalName" content="Brian Anderson"/>
<meta name="DC.Creator.PersonalName" content="John Halamka"/>
<meta name="DC.Date.created" scheme="ISO8601" content="2021-07-30"/>
<meta name="DC.Date.dateSubmitted" scheme="ISO8601" content="2021-05-19"/>
<meta name="DC.Date.issued" scheme="ISO8601" content="2021-07-30"/>
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<meta name="DC.Description" xml:lang="en" content="Importance:&amp;nbsp; This three-part study characterizes the widespread implementation of telehealth during the first year of the COVID-19 pandemic, giving us insight into the role of telehealth as we enter a stage of “new normal” healthcare delivery in the U.S.
Objective: The COVID-19 Telehealth Impact Study was designed to describe the natural experiment of telehealth adoption during the pandemic.&amp;nbsp; Using a large claims data stream and surveys of providers and patients, we studied telehealth in all 50 states to inform healthcare leaders.&amp;nbsp;
Design, Setting, Participants: In March 2020, the MITRE Corporation and Mayo Clinic founded the COVID-19 Healthcare Coalition (C19HCC), to respond to the pandemic. We report trends using a dataset of over 2 billion healthcare claims covering over 50% of private insurance activity in the U.S. (January 2019-December 2020), along with key elements from our provider survey (July-August 2020) and patient survey (November 2020 - February 2021).
Main Outcomes and Measures: There was rapid and widespread adoption of telehealth in Spring 2020 with over 12 million telehealth claims in April 2020, accounting for 49.4% of total health care claims. Providers and patients expressed high levels of satisfaction with telehealth. 75% of providers indicated that telehealth enabled them to provide quality care.&amp;nbsp; 84% of patients agreed that quality of their telehealth visit was good.
Results: Peak levels of telehealth use varied widely among states ranging from 74.9% in Massachusetts to 25.4% in Mississippi.&amp;nbsp; Every clinical discipline saw a steep rise with the largest claims volume in behavioral health. Provision of care by out-of-state provider was common at 6.5% (October-December 2020). Providers reported multiple modalities of telehealth care delivery.&amp;nbsp; 74% of patients indicated they will use telehealth services in the future.
Conclusions and Relevance: Innovation shown by providers and patients during this period of rapid telehealth expansion constitutes a great natural experiment in care delivery with evidence supporting widespread clinical adoption and satisfaction on the part of both patients and clinicians. The authors encourage continued broad access to telehealth over the next 12 months to allow telehealth best practices to emerge, creating a more effective and resilient system of care delivery."/>
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<meta name="DC.Rights" content="Copyright (c) 2021 Francis Campion, Stephen Ommen, Helayne  Sweet, Nilay Shah, Barbra Rabson, Nick Dougherty, Jennifer Goldsack, Peter Sylvester, Karen Jones, Aaron Burgman, Nathalie McIntosh, Lindsey Sangaralingham, David Jiang, Jeffrey McGinn, Ricardo Rojas, Tim Suther, Brian Anderson, John Halamka,"/>
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<meta name="DC.Title" content="COVID-19 Telehealth Impact Study"/>
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<meta name="citation_title" content="COVID-19 Telehealth Impact Study: Exploring One Year of Telehealth Experimentation"/>
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		  	 <article class="obj_article_details">

		
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		COVID-19 Telehealth Impact Study
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			Exploring One Year of Telehealth Experimentation
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                       <ul class="item authors">
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					<h2 class="pkp_screen_reader">Authors</h2>
					<ul class="authors">
											<li>
							<span class="name">
								Francis Campion
							</span>
															<span class="affiliation">
									MITRE Corporation
																	</span>
																						<span class="orcid">
									<svg class="orcid_icon" viewBox="0 0 256 256" aria-hidden="true">
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	</g>
</svg>
									<a href="https://orcid.org/0000-0002-0757-9305" target="_blank">
										https://orcid.org/0000-0002-0757-9305
									</a>
								</span>
													</li>
											<li>
							<span class="name">
								Stephen Ommen
							</span>
															<span class="affiliation">
									Mayo Clinic
																	</span>
																				</li>
											<li>
							<span class="name">
								Helayne  Sweet
							</span>
															<span class="affiliation">
									MITRE Corporation
																	</span>
																				</li>
											<li>
							<span class="name">
								Nilay Shah
							</span>
															<span class="affiliation">
									Mayo Clinic
																	</span>
																				</li>
											<li>
							<span class="name">
								Barbra Rabson
							</span>
															<span class="affiliation">
									Massachusetts Health Quality Partners
																	</span>
																						<span class="orcid">
									<svg class="orcid_icon" viewBox="0 0 256 256" aria-hidden="true">
	<style type="text/css">
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	<path class="st0" d="M256,128c0,70.7-57.3,128-128,128C57.3,256,0,198.7,0,128C0,57.3,57.3,0,128,0C198.7,0,256,57.3,256,128z"/>
	<g>
		<path class="st1" d="M86.3,186.2H70.9V79.1h15.4v48.4V186.2z"/>
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	</g>
</svg>
									<a href="https://orcid.org/0000-0002-8188-3006" target="_blank">
										https://orcid.org/0000-0002-8188-3006
									</a>
								</span>
													</li>
											<li>
							<span class="name">
								Nick Dougherty
							</span>
															<span class="affiliation">
									Allways Heath Partners
																	</span>
																				</li>
											<li>
							<span class="name">
								Jennifer Goldsack
							</span>
															<span class="affiliation">
									Digital Medical Society
																	</span>
																				</li>
											<li>
							<span class="name">
								Peter Sylvester
							</span>
															<span class="affiliation">
									MITRE Corporation
																	</span>
																				</li>
											<li>
							<span class="name">
								Karen Jones
							</span>
															<span class="affiliation">
									MITRE Corporation
																	</span>
																				</li>
											<li>
							<span class="name">
								Aaron Burgman
							</span>
															<span class="affiliation">
									MITRE Corporation
																	</span>
																				</li>
											<li>
							<span class="name">
								Nathalie McIntosh
							</span>
															<span class="affiliation">
									Massachusetts Health Quality Partners
																	</span>
																						<span class="orcid">
									<svg class="orcid_icon" viewBox="0 0 256 256" aria-hidden="true">
	<style type="text/css">
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		.st1{fill:#FFFFFF;}
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		<path class="st1" d="M86.3,186.2H70.9V79.1h15.4v48.4V186.2z"/>
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			c34.9,0,42.9-26.5,42.9-39.7c0-21.5-13.7-39.7-43.7-39.7h-23.7V172.4z"/>
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</svg>
									<a href="https://orcid.org/0000-0002-5627-281X" target="_blank">
										https://orcid.org/0000-0002-5627-281X
									</a>
								</span>
													</li>
											<li>
							<span class="name">
								Lindsey Sangaralingham
							</span>
																				</li>
											<li>
							<span class="name">
								David Jiang
							</span>
																				</li>
											<li>
							<span class="name">
								Jeffrey McGinn
							</span>
																				</li>
											<li>
							<span class="name">
								Ricardo Rojas
							</span>
																				</li>
											<li>
							<span class="name">
								Tim Suther
							</span>
																				</li>
											<li>
							<span class="name">
								Brian Anderson
							</span>
																				</li>
											<li>
							<span class="name">
								John Halamka
							</span>
															<span class="affiliation">
									Mayo Clinic
																	</span>
																				</li>
										</ul>
				</section>
			
																																					<section class="item doi">
						<h2 class="label">
														DOI:
						</h2>
						<span class="value">
							<a href="https://doi.org/10.30953/tmt.v6.280">
								https://doi.org/10.30953/tmt.v6.280
							</a>
						</span>
					</section>
							
									<section class="item keywords">
				<h2 class="label">
										Keywords:
				</h2>
				<span class="value">
											telehealth, 											telemedicine, 											COVID-19, 											claims data, 											pandemic									</span>
			</section>
			
										<section class="item abstract">
					<h2 class="label">Abstract</h2>
					<p><strong>Importance:</strong>  This three-part study characterizes the widespread implementation of telehealth during the first year of the COVID-19 pandemic, giving us insight into the role of telehealth as we enter a stage of “new normal” healthcare delivery in the U.S.</p>
<p><strong>Objective:</strong> The COVID-19 Telehealth Impact Study was designed to describe the natural experiment of telehealth adoption during the pandemic.  Using a large claims data stream and surveys of providers and patients, we studied telehealth in all 50 states to inform healthcare leaders. </p>
<p><strong>Design, Setting, Participants:</strong> In March 2020, the MITRE Corporation and Mayo Clinic founded the COVID-19 Healthcare Coalition (C19HCC), to respond to the pandemic. We report trends using a dataset of over 2 billion healthcare claims covering over 50% of private insurance activity in the U.S. (January 2019-December 2020), along with key elements from our provider survey (July-August 2020) and patient survey (November 2020 - February 2021).</p>
<p><strong>Main Outcomes and Measures:</strong> There was rapid and widespread adoption of telehealth in Spring 2020 with over 12 million telehealth claims in April 2020, accounting for 49.4% of total health care claims. Providers and patients expressed high levels of satisfaction with telehealth. 75% of providers indicated that telehealth enabled them to provide quality care.  84% of patients agreed that quality of their telehealth visit was good.</p>
<p><strong>Results:</strong> Peak levels of telehealth use varied widely among states ranging from 74.9% in Massachusetts to 25.4% in Mississippi.  Every clinical discipline saw a steep rise with the largest claims volume in behavioral health. Provision of care by out-of-state provider was common at 6.5% (October-December 2020). Providers reported multiple modalities of telehealth care delivery.  74% of patients indicated they will use telehealth services in the future.</p>
<p><strong>Conclusions and Relevance:</strong> Innovation shown by providers and patients during this period of rapid telehealth expansion constitutes a great natural experiment in care delivery with evidence supporting widespread clinical adoption and satisfaction on the part of both patients and clinicians. The authors encourage continued broad access to telehealth over the next 12 months to allow telehealth best practices to emerge, creating a more effective and resilient system of care delivery.</p>
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								<a class="title" href="https://bhty.journals.publicknowledgeproject.org/index.php/journal/issue/view/21">
									Volume 6, Issue 3, 2021
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																										<p>Copyright (c) 2021 Francis Campion, Stephen Ommen, Helayne  Sweet, Nilay Shah, Barbra Rabson, Nick Dougherty, Jennifer Goldsack, Peter Sylvester, Karen Jones, Aaron Burgman, Nathalie McIntosh, Lindsey Sangaralingham, David Jiang, Jeffrey McGinn, Ricardo Rojas, Tim Suther, Brian Anderson, John Halamka,</p>
														<a rel="license" href="https://creativecommons.org/licenses/by-nc/4.0/"><img alt="Creative Commons License" src="//i.creativecommons.org/l/by-nc/4.0/88x31.png" /></a><p>This work is licensed under a <a rel="license" href="https://creativecommons.org/licenses/by-nc/4.0/">Creative Commons Attribution-NonCommercial 4.0 International License</a>.</p>
																<p>Authors retain copyright of their work, with first publication rights granted to  <em>Telehealth and Medicine Today (TMT).</em></p>
<p><em>TMT is published under a <a href="http://creativecommons.org/licenses/by-nc/4.0/" rel="license">Creative Commons Attribution-NonCommercial 4.0 International License</a>. </em></p>
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<p>For the Latest Information on COVID-19 in the USA, see:</p>
<p>Covid-19 Healthcare Coalition -&nbsp;<a href="https://c19hcc.org/">https://c19hcc.org/</a></p>
<p>Centers for Disease Control &amp; Prevention -&nbsp;<a href="https://www.cdc.gov/">https://www.cdc.gov/</a>&nbsp;&nbsp;</p>
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