A clinician typing on a laptop next to a stethoscope, the setup behind a telehealth or virtual patient visit
Telehealth is no longer a workaround. For many visits it is simply where the conversation happens. Photo via Unsplash.

Let us start with the number that ends the "is it a fad" debate. When the consulting firm McKinsey tracked telehealth use after the 2020 spike, it did not crash back to where it started. It stabilized at roughly 38 times higher than before the pandemic. The peak was a panic. The plateau is a habit. Patients tried virtual care, a lot of them liked it, and they kept asking for it.

That single fact reframes the whole question. The decision is not "do I jump on a trend." It is "do I offer something a large share of patients now expect, or do I make them go find it somewhere else." And somewhere else is rarely your neighbor down the street. It is often a slick national telehealth brand that will happily keep that patient forever.

~38x How much higher telehealth use settled compared to before 2020, after the initial spike came back down. Source: McKinsey.

What telehealth actually does for a practice that wants to grow

Forget the pandemic framing for a second. Look at telehealth purely as a growth and operations tool, and three real benefits show up.

It widens who can actually reach you

Plenty of patients do not skip care because they do not want it. They skip it because a visit means taking half a day off work, finding childcare, or driving an hour each way. A working parent will put off a follow up for months rather than burn a vacation day on a 15 minute check in. Offer that same check in by video and they keep it. You are not inventing new demand here. You are catching the patients who were slipping out of your schedule.

It cuts no shows

A no show is almost always friction winning. The drive, the parking, the waiting room, the day getting away from someone. A virtual visit removes most of that friction, so it is far easier to keep. A patient who would have ghosted a 4pm in person slot will often join a 4pm video call from their kitchen. We have written a whole guide on how to reduce patient no shows, and offering a virtual option for the right visits is one of the most underrated tools on that list.

It is a real differentiator in your market

Most patients now compare two or three local practices before they book. When one of them clearly offers virtual visits that fit a busy schedule and the others make you guess, that is a tiebreaker. It is also something you can say out loud in your social media and your local listings, which is a far more useful message than another generic "we care about our patients" post.

The visits that work over video, and the ones that do not

Telehealth is not a replacement for your exam rooms. It is a second lane. The trick is knowing which visits belong in which lane, and that line is clearer than people expect.

Virtual tends to work beautifully for medication follow ups, reviewing lab or test results, mental health and therapy sessions, chronic condition check ins, minor or recurring complaints, and the quick "how are you healing" call after a procedure. In fact behavioral health is the single largest category of telehealth by claim volume, according to the FAIR Health monthly tracker, because so much of that care is the conversation itself.

It does not work for anything that needs hands, eyes on a body, imaging, or a procedure. A new lump, a real exam, a vaccine, a cleaning, an injection. Those stay in person, full stop. The simple gut check: if the value of the visit lives in the conversation, it can probably be virtual. If the value lives in the physical exam, it cannot.

Before you build anything: check coverage

This is the one part you cannot eyeball. The emergency telehealth rules from 2020 loosened a lot of reimbursement, and many of those flexibilities have been changing and expiring on their own timelines since. Medicare, Medicaid, and each private payer set their own telehealth policies, and they differ by state. Behavioral health often has the most durable coverage. Verify the current rules with your payers and your state board before you design your virtual visit menu around them. Do not assume what was true in 2021 is true today.

So should you offer it? Our honest take

For most outpatient practices, our answer is yes, with one big condition. Yes, because the demand is real, it is sticky, and a growing share of patients now treat a virtual option the way they treat online booking: not a perk, an expectation. Skipping it does not save you work so much as hand a slice of patients to whoever offers it.

But, and this is the condition, telehealth only grows a practice if patients can actually find it and use it without friction. This is exactly where most practices fumble it. They buy a video platform, mention it nowhere, bury it on page four of the website, and then conclude "nobody wanted telehealth." Nobody could find telehealth. That is a marketing failure dressed up as a demand problem.

The technology is the easy part now

Here is the thing owners get backwards. Standing up a secure, HIPAA compliant video platform is close to a solved problem in 2026. There are many good ones built for healthcare. The hard part, the part that actually decides whether telehealth grows your numbers, is everything around the video call: can a patient discover that you offer it, book it from their phone in under a minute, get a clear reminder, and join without a tech headache? That is not an IT question. That is a website, booking, and front desk question.

How to make telehealth actually pay off

If you are going to offer virtual visits, do these three things or do not bother.

One, put it on your website where people look. A dedicated, plain language page that says what telehealth you offer, which visits qualify, and how it works. Then mention the option on your booking flow itself. A website that converts treats telehealth as a headline feature, not a footnote.

Two, make booking it dead simple. If a patient has to call, leave a message, and wait for someone to explain the process, you have lost the exact convenience that makes telehealth attractive. Online booking that lets them pick a virtual slot and get a join link is the whole point.

Three, make sure the question gets answered the moment it comes in. A lot of telehealth interest starts with a simple "do you do video visits for this?" If that message hits a voicemail at lunch or an inbox nobody checks until tomorrow, the patient has already booked elsewhere. This is where our AI receptionist earns its keep: it answers that question instantly, day or night, explains the virtual option, and books the visit on the spot instead of letting the patient drift.

A quick story from the trenches

A behavioral health practice came to us convinced telehealth was overrated. They had set up a video tool a year earlier and "barely anyone used it." We took one look at their site and found the problem in about a minute: the only mention of telehealth was a single sentence on an About page, and there was no way to book a virtual visit online at all. You had to call and know to ask for it. We gave it a real page, added it to the booking flow, and put a line about it in their reminders and social posts. Within two months virtual visits were a healthy chunk of their schedule, and their no show rate dropped along the way. The demand had been there the whole time. The practice had just hidden the door.

Where this fits in the bigger picture

Telehealth is one more channel into your practice, and like every channel, it is only as good as the system around it. A virtual visit option nobody can find is wasted. One that is easy to discover, easy to book, and backed by a front desk that answers fast turns into real, steady patients, and into a genuine edge over the practice next door that still makes everyone drive in for a five minute follow up.

That system is what we build at EtherealMinds. We run patient acquisition for healthcare practices across the United States, and only healthcare. We make your services, virtual and in person, easy to find on Google, clear on a website that converts, simple to book, and impossible to miss when a patient reaches out. Telehealth is a great tool. We just make sure patients can actually use it.

Thinking about adding telehealth, or wondering why yours is not catching on?

Book a free strategy call. We will look at how patients find and book you today, show you exactly where a virtual option fits, and make sure it is something people can discover and book in under a minute instead of a secret only your staff knows about.

Book a free strategy call →