Investment moved to specialty workflows
The current wave of investment isn’t in general-purpose video visits — most systems already have that. It’s in specialty-specific workflows: remote patient monitoring for chronic conditions that feeds directly into the care team’s dashboard, asynchronous store-and-forward visits for dermatology and similar specialties, and behavioral health programs built around recurring virtual sessions rather than one-off consults.
The technical bar has risen
Reimbursement now depends on documentation that proves clinical value, not just that a visit occurred, which means telehealth platforms need tight integration with the EHR and care-management systems rather than standing alone as a separate video tool.
Really building remote care operations
Providers building telehealth today are really building remote care operations — scheduling, monitoring, documentation, and billing working together — with video as just one component of a larger connected-care platform.