Out-of-Pocket Payment Deters Telemental Healthcare Use

Recent research shows that requiring patients to pay out of pocket for telehealth visits is linked to substantially fewer telemental health visits.Published in JAMA Network Open, the study assessed the effect of a regulatory exemption on telehealth utilization among patients seeking mental healthcare. The exemption allowed people with high deductible health plans (HDHPs) to have telehealth visits without paying a deductible. The exemption is slated to expire at the end of 2024.Researchers from Harvard Medical School, telehealth provider Included Health, the University of Michigan, and Beth Israel Deaconess Medical Center set out to examine telemental healthcare utilization changes linked to the reintroduction of cost sharing.

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FAIR Health data shows that mental health conditions were the top conditions diagnosed via telehealth in April 2024, encompassing 68.9 percent of telehealth claim lines nationally.Additionally, mental health conditions remained the top-ranking diagnostic category nationally and in every region from March to April 2024. Generalized anxiety disorder and major depressive disorder were the top mental health diagnoses in April, accounting for 34.7 percent and 21.6 percent of telemental health claim lines, respectively.


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