Traditional drivers in the adoption and use of telehealth have been the shortage of providers and geographic barriers to accessing services, particularly in rural and underserved areas. The expansion of telehealth services has more recently been driven by advances in technology and increasingly the transformation of national health systems globally.However, the scope and scale of telehealth practices to date have largely been restricted by laws and regulations that govern how telehealth may be practiced and paid for, which ultimately incentivize adoption and use, more than it has by technology factors. U.S. providers often encounter a patchwork of conflicting and disparate legal and regulatory requirements for coverage and practice as a result of an inconsistent state-by-state approach to governing how telehealth may be practiced, and the fact that the majority of payment flows in healthcare continue to favor delivery processes tied to traditional care settings.

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