Latest news with #MonthlyTelehealthRegionalTracker
Malaysian Reserve
4 days ago
- Health
- Malaysian Reserve
In May, the Percentage of Patients with a Telehealth Claim Increased Nationally and in Every Region
Diabetes Entered Top Five Telehealth Diagnostic Categories in Midwest and West in May for First Time in 2025 NEW YORK, Aug. 15, 2025 /PRNewswire/ — In May 2025, the percentage of patients with a telehealth claim increased nationally and in all four US census regions, according to FAIR Health's Monthly Telehealth Regional Tracker. Nationally, that percentage increased from 14.2 percent of patients in April to 14.3 percent in May, a 0.8 percent rise. In May, the West had the largest share of patients with a telehealth claim, at 18.7 percent, and the Midwest had the smallest share, at 10.8 percent. The data represent the commercially insured population, excluding Medicare Fee-for-Service, Medicare Advantage and Medicaid. From April to May, changes in utilization as measured by telehealth claim lines1 varied. Nationally, telehealth claim lines fell from 5.01 percent of medical claim lines in April to 4.96 percent in May, a decrease of 1.0 percent. In the South, the decrease was 1.7 percent. In all other regions, there was an increase, from 0.4 percent in the West to 3.1 percent in the Northeast. Diagnostic Categories In May 2025, diabetes mellitus entered the top five telehealth diagnostic categories in the Midwest and West for the first time in 2025. In the Midwest, this diagnostic category entered in fifth position, displacing overweight and obesity; in the West, it entered in fourth position, displacing acute respiratory diseases and infections, which fell to the fifth rank, supplanting sleep disorders. In the South, diabetes fell off the list from fifth position, replaced by encounter for examination. In May, mental health conditions remained in first position nationally and in every region, though the percentage of patients with a telehealth claim for this diagnostic category decreased nationally and in all regions. Nationally, it fell from 63.0 percent in April to 62.1 percent in May. Urban versus Rural In May 2025, as in April, telehealth utilization was higher in urban than rural areas nationally and in every region.2 Nationally, 14.5 percent of patients in urban areas had a telehealth claim, compared to 7.5 percent in rural areas. The largest difference occurred in the West, where the percentage of urban patients using telehealth (18.8 percent) was 2.4 times the percentage of rural patients (7.9 percent). The smallest difference was found in the Northeast, where the percentage of patients in urban areas using telehealth (16.7 percent) was 1.5 times the percentage of patients in rural areas using telehealth (11.4 percent). Age Distribution In May 2025, as in April, the age groups 19-30 and 31-40 accounted for the largest percentages of patients with a telehealth claim nationally and in every region. Nationally in May, the age group 31-40 (22.8 percent) displaced the age group 19-30 (22.4 percent) as the age group with the largest percentage of patients having a telehealth claim. The same shift happened in the Northeast and South, though in the Midwest and West, the age group 19-30 still had the largest percentage of patients with a telehealth claim. Nationally and in every region, the age groups 0-9 and 65 and older accounted for the smallest shares (less than 10 percent each) of patients with a telehealth claim. Procedure Categories In May 2025, psychotherapy services and procedures, and established patient office or other outpatient services (including those for mental health conditions), were, as in April, the top two procedure categories nationally and in every region. The order of the two varied: In May, established patient office or other outpatient services ranked first nationally (at 47.7 percent of patients with a telehealth claim) and in the South and West, while psychotherapy services and procedures ranked first in the Midwest and Northeast. In April, established patient office or other outpatient services ranked second nationally (47.48 percent), while psychotherapy services and procedures (47.49 percent) ranked first. About the Monthly Telehealth Regional Tracker Launched in May 2020 as a free service, the Monthly Telehealth Regional Tracker uses FAIR Health data to track how telehealth is evolving from month to month. An interactive map of the four US census regions allows the user to view an infographic on telehealth in a specific month in the nation as a whole or in individual regions. Each year, the infographic introduces varied views into telehealth utilization. In this sixth iteration of the Monthly Telehealth Regional Tracker, each infographic shows month-to-month changes in telehealth utilization, both through telehealth's percentage of medical claim lines and percent of patients with a telehealth claim; that month's top five diagnostic categories; top five procedure categories; age distribution, which captures the percentage of patients within each age group with a telehealth claim; and urban versus rural telehealth usage. For the Monthly Telehealth Regional Tracker, click here. Follow us on X @FAIRHealth About FAIR Health FAIR Health is a national, independent nonprofit organization that qualifies as a public charity under section 501(c)(3) of the federal tax code. It is dedicated to bringing transparency to healthcare costs and health insurance information through data products, consumer resources and health systems research support. FAIR Health possesses the nation's largest collection of commercial healthcare claims data, which includes over 51 billion claim records and is growing at a rate of about 4 billion claim records a year. FAIR Health licenses its commercial data and data products—including benchmark modules, data visualizations, custom analytics and market indices—to commercial insurers and self-insurers, employers, providers, hospitals and healthcare systems, government agencies, researchers and others. Certified by the Centers for Medicare & Medicaid Services (CMS) as a national Qualified Entity, FAIR Health also receives data representing the experience of all individuals enrolled in traditional Medicare Parts A, B and D, which accounts for a separate collection of over 51 billion claim records; FAIR Health includes among the commercial claims data in its database, data on Medicare Advantage enrollees. FAIR Health can produce insightful analytic reports and data products based on combined Medicare and commercial claims data for government, providers, payors and other authorized users. FAIR Health's systems for processing and storing protected health information have earned HITRUST CSF certification and achieved AICPA SOC 2 Type 2 compliance by meeting the rigorous data security requirements of these standards. As a testament to the reliability and objectivity of FAIR Health data, the data have been incorporated in statutes and regulations around the country and designated as the official, neutral data source for a variety of state health programs, including workers' compensation and personal injury protection (PIP) programs. FAIR Health data serve as an official reference point in support of certain state balance billing laws that protect consumers against bills for surprise out-of-network and emergency services. FAIR Health also uses its database to power a free consumer website available in English and Spanish, which enables consumers to estimate and plan for their healthcare expenditures and offers a rich educational platform on health insurance. An English/Spanish mobile app offers the same educational platform in a concise format and links to the cost estimation tools. The website has been honored by the White House Summit on Smart Disclosure, the Agency for Healthcare Research and Quality (AHRQ), URAC, the eHealthcare Leadership Awards, appPicker, Employee Benefit News and Kiplinger's Personal Finance. For more information on FAIR Health, visit Contact:Rachel KentExecutive Director of Communications and MarketingFAIR Health646-396-0795rkent@ 1 A claim line is an individual service or procedure listed on an insurance claim.2 Each telehealth service was attributed to a rural/urban designation in a region based on the patient's medical service area, which FAIR Health determines based on the unique geographical pattern of services utilized by the patient.
Yahoo
15-07-2025
- Health
- Yahoo
Percentage of Patients with Telehealth Claims for Mental Health Conditions Increased Nationally and in Every Region in April
Diabetes Entered Top Five Telehealth Diagnostic Categories in South in April for First Time in 2025 NEW YORK, July 15, 2025 /PRNewswire/ -- The percentage of patients with a telehealth claim for a mental health condition increased nationally and in every US census region in April, according to FAIR Health's Monthly Telehealth Regional Tracker. Mental health conditions remained the top diagnostic category for patients with a telehealth claim nationally and in every region. Nationally, patients diagnosed with mental health conditions accounted for 63.0 percent of patients with a telehealth claim in April, up from 61.6 percent in March. The data represent the commercially insured population, excluding Medicare Fee-for-Service, Medicare Advantage and Medicaid. Diabetes mellitus entered the top five telehealth diagnostic categories in the South in April for the first time in 2025. This diagnostic category entered in fifth position, accounting for 2.0 percent of patients with a telehealth claim; encounter for examination, which ranked in third position in March, fell out of the top five in April. In 2025 thus far, diabetes has not ranked among the top five telehealth diagnostic categories in any other region, though it did rank in fourth place nationally in January. UtilizationIn April 2025, the percentage of patients with a telehealth claim decreased nationally and also in the Midwest and South but increased in the Northeast and West. Nationally, the percentage decreased from 14.3 percent in March to 14.2 percent in April, a 0.8 percent drop. In the Midwest, the drop was 5.7 percent and, in the South, it was 1.2 percent. In the Northeast, the percentage of patients with a telehealth claim increased 2.0 percent, and in the West, it increased 0.7 percent. During the same period, telehealth claim lines1 increased as a percentage of all medical claim lines nationally and in every region except the Midwest. Nationally, the percentage increased 1.1 percent, from 4.96 percent in March to 5.01 percent in April. The regional increases varied from 2.6 percent in the Northeast to 1.4 percent in the South and 0.4 percent in the West. In the Midwest, telehealth claim lines decreased 8.3 percent. Urban versus RuralAs in March, in April 2025, telehealth utilization was higher in urban than rural areas nationally and in all four regions.2 Nationally, 14.3 percent of patients in urban areas had a telehealth claim, compared to 7.4 percent in rural areas. The largest difference occurred in the West, where the percentage of urban patients using telehealth (18.6 percent) was 2.3 times the percentage of rural patients (8.1 percent). The smallest difference was found in the Northeast, where the percentage of patients in urban areas using telehealth (16.5 percent) was 1.4 times the percentage of patients in rural areas using telehealth (11.4 percent). Age DistributionAs in March, in April 2025, the age groups 19-30 and 31-40 accounted for the largest percentages of patients with a telehealth claim nationally and in every region. On the national level, 23.3 percent of patients in the age group 19-30 had a telehealth claim, and 22.6 percent of patients in the age group 31-40 had a telehealth claim. Nationally and in every region, the age groups 0-9 and 65 and older accounted for the smallest shares (less than 10 percent each) of patients with a telehealth claim. Procedure CategoriesIn April 2025, psychotherapy services and procedures, and established patient office or other outpatient services (including those for mental health conditions), were, as in March, the top two procedure categories nationally and in every region. The order of the two varied by region and, at the national level, by month. Nationally and in the Midwest and Northeast, psychotherapy services and procedures ranked first in April; nationally, this procedure category accounted for 47.49 percent of patients with a telehealth claim. While this category also ranked first in March in the Midwest and Northeast, it ranked second nationally in March (at 46.1 percent of patients with a telehealth claim). In the South and West, established patient office or other outpatient services ranked first in April, as it had in March. On the national level, established patient office or other outpatient services ranked second in April, accounting for 47.48 percent of patients with a telehealth claim (down from 48.9 percent in March, when it ranked first). About the Monthly Telehealth Regional TrackerLaunched in May 2020 as a free service, the Monthly Telehealth Regional Tracker uses FAIR Health data to track how telehealth is evolving from month to month. An interactive map of the four US census regions allows the user to view an infographic on telehealth in a specific month in the nation as a whole or in individual regions. Each year, the infographic introduces varied views into telehealth utilization. In this sixth iteration of the Monthly Telehealth Regional Tracker, each infographic shows month-to-month changes in telehealth utilization, both through telehealth's percentage of medical claim lines and percent of patients with a telehealth claim; that month's top five diagnostic categories; top five procedure categories; age distribution, which captures the percentage of patients within each age group with a telehealth claim; and urban versus rural telehealth usage. For the Monthly Telehealth Regional Tracker, click here. Follow us on X @FAIRHealth About FAIR HealthFAIR Health is a national, independent nonprofit organization that qualifies as a public charity under section 501(c)(3) of the federal tax code. It is dedicated to bringing transparency to healthcare costs and health insurance information through data products, consumer resources and health systems research support. FAIR Health possesses the nation's largest collection of commercial healthcare claims data, which includes over 51 billion claim records and is growing at a rate of about 4 billion claim records a year. FAIR Health licenses its commercial data and data products—including benchmark modules, data visualizations, custom analytics and market indices—to commercial insurers and self-insurers, employers, providers, hospitals and healthcare systems, government agencies, researchers and others. Certified by the Centers for Medicare & Medicaid Services (CMS) as a national Qualified Entity, FAIR Health also receives data representing the experience of all individuals enrolled in traditional Medicare Parts A, B and D, which accounts for a separate collection of over 51 billion claim records; FAIR Health includes among the commercial claims data in its database, data on Medicare Advantage enrollees. FAIR Health can produce insightful analytic reports and data products based on combined Medicare and commercial claims data for government, providers, payors and other authorized users. FAIR Health's systems for processing and storing protected health information have earned HITRUST CSF certification and achieved AICPA SOC 2 Type 2 compliance by meeting the rigorous data security requirements of these standards. As a testament to the reliability and objectivity of FAIR Health data, the data have been incorporated in statutes and regulations around the country and designated as the official, neutral data source for a variety of state health programs, including workers' compensation and personal injury protection (PIP) programs. FAIR Health data serve as an official reference point in support of certain state balance billing laws that protect consumers against bills for surprise out-of-network and emergency services. FAIR Health also uses its database to power a free consumer website available in English and Spanish, which enables consumers to estimate and plan for their healthcare expenditures and offers a rich educational platform on health insurance. An English/Spanish mobile app offers the same educational platform in a concise format and links to the cost estimation tools. The website has been honored by the White House Summit on Smart Disclosure, the Agency for Healthcare Research and Quality (AHRQ), URAC, the eHealthcare Leadership Awards, appPicker, Employee Benefit News and Kiplinger's Personal Finance. For more information on FAIR Health, visit Contact:Rachel KentExecutive Director of Communications and MarketingFAIR Health646-396-0795rkent@ 1 A claim line is an individual service or procedure listed on an insurance claim.2 Each telehealth service was attributed to a rural/urban designation in a region based on the patient's medical service area, which FAIR Health determines based on the unique geographical pattern of services utilized by the patient. View original content to download multimedia: SOURCE FAIR Health Sign in to access your portfolio
Yahoo
17-06-2025
- Health
- Yahoo
National Median Cost for C-Section Covered by Commercial Insurance Is More Than $19,000
Alaska Has Highest Median In-Network Amount for Vaginal Delivery and C-Section, According to FAIR Health Cost of Giving Birth Tracker NEW YORK, June 17, 2025 /PRNewswire/ -- The national median1 total cost for a C-section for commercially insured patients staying in network is more than $19,000, and for vaginal delivery it is more than $15,000, according to FAIR Health's Cost of Giving Birth Tracker. These figures reflect the national median allowed (in-network) amount2 for the procedures, and include both the portion to be paid by the plan member and the portion to be paid by the plan. The Cost of Giving Birth Tracker is a free, interactive tool, updated today, that tracks the cost of giving birth state by state. Available on FAIR Health's website the Cost of Giving Birth Tracker consists of heat maps that show state-specific and national median charge3 and allowed amounts for vaginal deliveries and C-sections. The tool draws on the national, independent nonprofit FAIR Health's database of over 51 billion commercial healthcare claim records—the largest such repository in the country. The Cost of Giving Birth Tracker includes inpatient and outpatient facility and professional costs. Services include the delivery itself (e.g., pharmacy, nursery, labor and delivery room, medical and surgical supplies, room and board for the mother), anesthesia, fetal nonstress tests, ultrasounds, laboratory work and a breast pump. The data come from the September 2024 release of the vaginal delivery and C-section FH® Total Treatment Cost benchmarks. Among the findings of the Cost of Giving Birth Tracker: Alaska is the state with the highest median allowed amount for vaginal deliveries, $29,152.08, followed by (in order from highest to lowest) New York, New Jersey, Connecticut and California. Alaska also has the highest median allowed amount for C-sections, $39,531.62, followed by Maine, Vermont, Oregon and New Jersey. Mississippi has the lowest median allowed amount for vaginal deliveries, $9,847.37, followed by (in order from lowest to highest) Alabama, Arkansas, Louisiana and Missouri. Mississippi also has the lowest median allowed amount for C-sections, $11,110.18, followed by Alabama, Arkansas, Louisiana and Tennessee. The Cost of Giving Birth Tracker is one of FAIR Health's series of FH® Trackers offering geographic windows into healthcare data. The series also includes the Monthly Telehealth Regional Tracker, which tracks telehealth utilization by region across the nation, and the Opioid Tracker, which tracks opioid abuse and dependence. For the Cost of Giving Birth Tracker, click here. Follow us on X @FAIRHealth About FAIR Health FAIR Health is a national, independent nonprofit organization that qualifies as a public charity under section 501(c)(3) of the federal tax code. It is dedicated to bringing transparency to healthcare costs and health insurance information through data products, consumer resources and health systems research support. FAIR Health possesses the nation's largest collection of commercial healthcare claims data, which includes over 51 billion claim records and is growing at a rate of about 4 billion claim records a year. FAIR Health licenses its commercial data and data products—including benchmark modules, data visualizations, custom analytics and market indices—to commercial insurers and self-insurers, employers, providers, hospitals and healthcare systems, government agencies, researchers and others. Certified by the Centers for Medicare & Medicaid Services (CMS) as a national Qualified Entity, FAIR Health also receives data representing the experience of all individuals enrolled in traditional Medicare Parts A, B and D, which accounts for a separate collection of over 51 billion claim records; FAIR Health includes among the commercial claims data in its database, data on Medicare Advantage enrollees. FAIR Health can produce insightful analytic reports and data products based on combined Medicare and commercial claims data for government, providers, payors and other authorized users. FAIR Health's systems for processing and storing protected health information have earned HITRUST CSF certification and achieved AICPA SOC 2 Type 2 compliance by meeting the rigorous data security requirements of these standards. As a testament to the reliability and objectivity of FAIR Health data, the data have been incorporated in statutes and regulations around the country and designated as the official, neutral data source for a variety of state health programs, including workers' compensation and personal injury protection (PIP) programs. FAIR Health data serve as an official reference point in support of certain state balance billing laws that protect consumers against bills for surprise out-of-network and emergency services. FAIR Health also uses its database to power a free consumer website available in English and Spanish, which enables consumers to estimate and plan for their healthcare expenditures and offers a rich educational platform on health insurance. An English/Spanish mobile app offers the same educational platform in a concise format and links to the cost estimation tools. The website has been honored by the White House Summit on Smart Disclosure, the Agency for Healthcare Research and Quality (AHRQ), URAC, the eHealthcare Leadership Awards, appPicker, Employee Benefit News and Kiplinger's Personal Finance. For more information on FAIR Health, visit Contact: Rachel Kent Executive Director of Communications and Marketing FAIR Health 646-396-0795 rkent@ 1 A median is the midpoint of the distribution of values below and above which there is an equal number of values. 2 An allowed amount is the total fee negotiated between an insurance plan and a provider for an in-network service. 3 A charge amount is the amount charged to a patient who is uninsured or obtaining an out-of-network service. View original content to download multimedia: SOURCE FAIR Health
Malaysian Reserve
16-06-2025
- Health
- Malaysian Reserve
Sleep Disorders Entered the National Top Five Telehealth Diagnostic Categories in March 2025
In March, the Percentage of Patients with a Telehealth Claim Decreased Nationally and in Every Region Except the West, Where It Increased NEW YORK, June 16, 2025 /PRNewswire/ — Sleep disorders entered the national top five telehealth diagnostic categories in March 2025 in fifth position, according to FAIR Health's Monthly Telehealth Regional Tracker. At the national level, this diagnostic category accounted for 1.8 percent of patients with a telehealth claim. Joint/soft tissue diseases and issues, which had been in fifth position in the national top five in February, rose to fourth, and overweight and obesity, which had been in fourth position in February, dropped off the list in March. In the West, sleep disorders also entered the top five in fifth position, displacing overweight and obesity, which fell off the list there as well. The data represent the commercially insured population, excluding Medicare Fee-for-Service, Medicare Advantage and Medicaid. Mental health conditions remained the top diagnostic category nationally and in every US census region in March. This category accounted for 61.6 percent of patients with a telehealth claim nationally, down from 62.3 percent in February. Regionally, in March, the percentage varied from 68.2 percent in the Northeast to 55.9 percent in the South. Utilization In March 2025, the percentage of patients with a telehealth claim decreased nationally and in every region except the West. Nationally, that percentage decreased from 14.5 percent of patients in February to 14.3 percent in March, a 1.2 percent drop. Regionally, the decreases varied from 0.8 percent in the Northeast to 2.4 percent in the Midwest. In the West, however, the percentage of patients with a telehealth claim increased 1.8 percent. During the same period, telehealth claim lines1 decreased as a percentage of all medical claim lines nationally, in the South and in the Midwest, but they increased in the Northeast and West. Nationally, the percentage decreased 3.1 percent, from 5.1 percent of claim lines in February to 5.0 percent in March. In both the South and Midwest, telehealth claim lines decreased 5.2 percent. The increases were 2.5 percent in the Northeast and 0.7 percent in the West. Urban versus Rural As in February, in March 2025, telehealth utilization was higher in urban than rural areas nationally and in all four regions.2 Nationally, 14.5 percent of patients in urban areas used telehealth, compared to 7.2 percent in rural areas. The largest difference occurred in the South, where the percentage of urban patients using telehealth (12.6 percent) was 2.3 times the percentage of rural patients (5.4 percent). The smallest difference was found in the Northeast, where the urban share (16.2 percent) was 1.5 times the rural share (11.0 percent). Age Distribution As in February, in March 2025, the age groups 19-30 and 31-40 accounted for the largest percentages of patients with a telehealth claim nationally and in every region. On the national level, 23.3 percent of patients in the age group 19-30 had a telehealth claim, and 22.6 percent of patients in the age group 31-40 had a telehealth claim. Nationally and in every region, the age groups 0-9 and 65 and older accounted for the smallest shares (less than 10 percent each) of patients with a telehealth claim. Procedure Categories In March 2025, as in February, the top two procedure categories nationally and in every region were established patient office or other outpatient services, and psychotherapy services and procedures. The order of the two varied by region. Nationally and in the South and West, established patient office or other outpatient services ranked first; in the Midwest and Northeast, psychotherapy services and procedures ranked first. On the national level, established patient office or other outpatient services (including those for mental health conditions) accounted for 48.9 percent of patients with a telehealth claim (up from 48.1 percent in February), while psychotherapy services and procedures accounted for 46.1 percent (down from 47.1 percent). About the Monthly Telehealth Regional Tracker Launched in May 2020 as a free service, the Monthly Telehealth Regional Tracker uses FAIR Health data to track how telehealth is evolving from month to month. An interactive map of the four US census regions allows the user to view an infographic on telehealth in a specific month in the nation as a whole or in individual regions. Each year, the infographic introduces varied views into telehealth utilization. In this sixth iteration of the Monthly Telehealth Regional Tracker, each infographic shows month-to-month changes in telehealth utilization, both through telehealth's percentage of medical claim lines and percent of patients with a telehealth claim; that month's top five diagnostic categories; top five procedure categories; age distribution, which captures the percentage of patients within each age group with a telehealth claim; and urban versus rural telehealth usage. For the Monthly Telehealth Regional Tracker, click here. Follow us on X @FAIRHealth About FAIR Health FAIR Health is a national, independent nonprofit organization that qualifies as a public charity under section 501(c)(3) of the federal tax code. It is dedicated to bringing transparency to healthcare costs and health insurance information through data products, consumer resources and health systems research support. FAIR Health possesses the nation's largest collection of commercial healthcare claims data, which includes over 51 billion claim records and is growing at a rate of about 4 billion claim records a year. FAIR Health licenses its commercial data and data products—including benchmark modules, data visualizations, custom analytics and market indices—to commercial insurers and self-insurers, employers, providers, hospitals and healthcare systems, government agencies, researchers and others. Certified by the Centers for Medicare & Medicaid Services (CMS) as a national Qualified Entity, FAIR Health also receives data representing the experience of all individuals enrolled in traditional Medicare Parts A, B and D, which accounts for a separate collection of over 51 billion claim records; FAIR Health includes among the commercial claims data in its database, data on Medicare Advantage enrollees. FAIR Health can produce insightful analytic reports and data products based on combined Medicare and commercial claims data for government, providers, payors and other authorized users. FAIR Health's systems for processing and storing protected health information have earned HITRUST CSF certification and achieved AICPA SOC 2 Type 2 compliance by meeting the rigorous data security requirements of these standards. As a testament to the reliability and objectivity of FAIR Health data, the data have been incorporated in statutes and regulations around the country and designated as the official, neutral data source for a variety of state health programs, including workers' compensation and personal injury protection (PIP) programs. FAIR Health data serve as an official reference point in support of certain state balance billing laws that protect consumers against bills for surprise out-of-network and emergency services. FAIR Health also uses its database to power a free consumer website available in English and Spanish, which enables consumers to estimate and plan for their healthcare expenditures and offers a rich educational platform on health insurance. An English/Spanish mobile app offers the same educational platform in a concise format and links to the cost estimation tools. The website has been honored by the White House Summit on Smart Disclosure, the Agency for Healthcare Research and Quality (AHRQ), URAC, the eHealthcare Leadership Awards, appPicker, Employee Benefit News and Kiplinger's Personal Finance. For more information on FAIR Health, visit Contact: Rachel Kent Executive Director of Communications and Marketing FAIR Health 646-396-0795 rkent@ 1 A claim line is an individual service or procedure listed on an insurance claim. 2 Each telehealth service was attributed to a rural/urban designation in a region based on the patient's medical service area, which FAIR Health determines based on the unique geographical pattern of services utilized by the patient.
Yahoo
16-06-2025
- Health
- Yahoo
Sleep Disorders Entered the National Top Five Telehealth Diagnostic Categories in March 2025
In March, the Percentage of Patients with a Telehealth Claim Decreased Nationally and in Every Region Except the West, Where It Increased NEW YORK, June 16, 2025 /PRNewswire/ -- Sleep disorders entered the national top five telehealth diagnostic categories in March 2025 in fifth position, according to FAIR Health's Monthly Telehealth Regional Tracker. At the national level, this diagnostic category accounted for 1.8 percent of patients with a telehealth claim. Joint/soft tissue diseases and issues, which had been in fifth position in the national top five in February, rose to fourth, and overweight and obesity, which had been in fourth position in February, dropped off the list in March. In the West, sleep disorders also entered the top five in fifth position, displacing overweight and obesity, which fell off the list there as well. The data represent the commercially insured population, excluding Medicare Fee-for-Service, Medicare Advantage and Medicaid. Mental health conditions remained the top diagnostic category nationally and in every US census region in March. This category accounted for 61.6 percent of patients with a telehealth claim nationally, down from 62.3 percent in February. Regionally, in March, the percentage varied from 68.2 percent in the Northeast to 55.9 percent in the South. Utilization In March 2025, the percentage of patients with a telehealth claim decreased nationally and in every region except the West. Nationally, that percentage decreased from 14.5 percent of patients in February to 14.3 percent in March, a 1.2 percent drop. Regionally, the decreases varied from 0.8 percent in the Northeast to 2.4 percent in the Midwest. In the West, however, the percentage of patients with a telehealth claim increased 1.8 percent. During the same period, telehealth claim lines1 decreased as a percentage of all medical claim lines nationally, in the South and in the Midwest, but they increased in the Northeast and West. Nationally, the percentage decreased 3.1 percent, from 5.1 percent of claim lines in February to 5.0 percent in March. In both the South and Midwest, telehealth claim lines decreased 5.2 percent. The increases were 2.5 percent in the Northeast and 0.7 percent in the West. Urban versus Rural As in February, in March 2025, telehealth utilization was higher in urban than rural areas nationally and in all four regions.2 Nationally, 14.5 percent of patients in urban areas used telehealth, compared to 7.2 percent in rural areas. The largest difference occurred in the South, where the percentage of urban patients using telehealth (12.6 percent) was 2.3 times the percentage of rural patients (5.4 percent). The smallest difference was found in the Northeast, where the urban share (16.2 percent) was 1.5 times the rural share (11.0 percent). Age Distribution As in February, in March 2025, the age groups 19-30 and 31-40 accounted for the largest percentages of patients with a telehealth claim nationally and in every region. On the national level, 23.3 percent of patients in the age group 19-30 had a telehealth claim, and 22.6 percent of patients in the age group 31-40 had a telehealth claim. Nationally and in every region, the age groups 0-9 and 65 and older accounted for the smallest shares (less than 10 percent each) of patients with a telehealth claim. Procedure Categories In March 2025, as in February, the top two procedure categories nationally and in every region were established patient office or other outpatient services, and psychotherapy services and procedures. The order of the two varied by region. Nationally and in the South and West, established patient office or other outpatient services ranked first; in the Midwest and Northeast, psychotherapy services and procedures ranked first. On the national level, established patient office or other outpatient services (including those for mental health conditions) accounted for 48.9 percent of patients with a telehealth claim (up from 48.1 percent in February), while psychotherapy services and procedures accounted for 46.1 percent (down from 47.1 percent). About the Monthly Telehealth Regional Tracker Launched in May 2020 as a free service, the Monthly Telehealth Regional Tracker uses FAIR Health data to track how telehealth is evolving from month to month. An interactive map of the four US census regions allows the user to view an infographic on telehealth in a specific month in the nation as a whole or in individual regions. Each year, the infographic introduces varied views into telehealth utilization. In this sixth iteration of the Monthly Telehealth Regional Tracker, each infographic shows month-to-month changes in telehealth utilization, both through telehealth's percentage of medical claim lines and percent of patients with a telehealth claim; that month's top five diagnostic categories; top five procedure categories; age distribution, which captures the percentage of patients within each age group with a telehealth claim; and urban versus rural telehealth usage. For the Monthly Telehealth Regional Tracker, click here. Follow us on X @FAIRHealth About FAIR Health FAIR Health is a national, independent nonprofit organization that qualifies as a public charity under section 501(c)(3) of the federal tax code. It is dedicated to bringing transparency to healthcare costs and health insurance information through data products, consumer resources and health systems research support. FAIR Health possesses the nation's largest collection of commercial healthcare claims data, which includes over 51 billion claim records and is growing at a rate of about 4 billion claim records a year. FAIR Health licenses its commercial data and data products—including benchmark modules, data visualizations, custom analytics and market indices—to commercial insurers and self-insurers, employers, providers, hospitals and healthcare systems, government agencies, researchers and others. Certified by the Centers for Medicare & Medicaid Services (CMS) as a national Qualified Entity, FAIR Health also receives data representing the experience of all individuals enrolled in traditional Medicare Parts A, B and D, which accounts for a separate collection of over 51 billion claim records; FAIR Health includes among the commercial claims data in its database, data on Medicare Advantage enrollees. FAIR Health can produce insightful analytic reports and data products based on combined Medicare and commercial claims data for government, providers, payors and other authorized users. FAIR Health's systems for processing and storing protected health information have earned HITRUST CSF certification and achieved AICPA SOC 2 Type 2 compliance by meeting the rigorous data security requirements of these standards. As a testament to the reliability and objectivity of FAIR Health data, the data have been incorporated in statutes and regulations around the country and designated as the official, neutral data source for a variety of state health programs, including workers' compensation and personal injury protection (PIP) programs. FAIR Health data serve as an official reference point in support of certain state balance billing laws that protect consumers against bills for surprise out-of-network and emergency services. FAIR Health also uses its database to power a free consumer website available in English and Spanish, which enables consumers to estimate and plan for their healthcare expenditures and offers a rich educational platform on health insurance. An English/Spanish mobile app offers the same educational platform in a concise format and links to the cost estimation tools. The website has been honored by the White House Summit on Smart Disclosure, the Agency for Healthcare Research and Quality (AHRQ), URAC, the eHealthcare Leadership Awards, appPicker, Employee Benefit News and Kiplinger's Personal Finance. For more information on FAIR Health, visit Contact: Rachel Kent Executive Director of Communications and Marketing FAIR Health 646-396-0795 rkent@ 1 A claim line is an individual service or procedure listed on an insurance claim. 2 Each telehealth service was attributed to a rural/urban designation in a region based on the patient's medical service area, which FAIR Health determines based on the unique geographical pattern of services utilized by the patient. View original content to download multimedia: SOURCE FAIR Health
