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Cosmos Study

Expansion of Telehealth During COVID-19 Pandemic

Abstract: Telehealth use increased 300 fold during the pandemic, and was used across all age groups.
May 5, 2020

On March 13, 2020, a United States national emergency was declared due to COVID-19. With many states issuing stay-at-home orders, healthcare organizations have decreased in-person office visits and increased telehealth visits.

Figure 1
Telehealth use during COVID-19 pandemic: Percent of visits management with telehealth (vs office visit) from March 15, 2020, to April 14, 2020
Telehealth use during COVID-19 pandemic: Percent of visits management with telehealth (vs office visit) from March 15, 2020, to April 14, 2020

We use summary level data aggregated from electronic medical records at 22 health systems in the United States, spanning 17 states and covering 7 million patients to compare data from March 15, 2019-April 14, 2019 with data from March 15, 2020-April 14, 2020. We found that telehealth visits increased 300-fold in this timeframe in 2020, and adoption of telehealth was consistent across adult age groups.

However, this increase has not offset the decrease of in-person office visits, as the total number of in-person and telehealth visits is still down over 50% in our year-over-year comparison. This information may be helpful as organizations continue to look to telehealth to support areas that previously may have relied on in-person visits, as well as for policy makers looking to understand the impact of the COVID-19 pandemic on health system volumes.

Figure 2
Care volume during COVID-19 pandemic: March 15 to April 14 care volume in 2019 vs 2020
Care volume during COVID-19 pandemic: March 15 to April 14 care volume in 2019 vs 2020