Examining the Role of Telehealth in the Treatment of Substance Use Disorders

Providers and patients indicate that telehealth and substance use disorder treatment are priority issues.

With Election Day now behind us and Congress returning, the switch to the new legislative season, both federal and state, has begun. Looking ahead, we expect to see continued discussions surrounding both telehealth and substance use disorder treatment – and recent reports indicate that the two might work together better than one might expect!

A new study released by the Journal of the American Medical Association (JAMA) determined that virtual care during the pandemic both reduced individuals’ risk of overdose, as well as increased the use of medication-assisted treatment. 

The biggest way that telehealth can impact substance use disorder treatment is honestly simple: by expanding access. Individuals are often unwilling or unable to seek substance use disorder treatment for the same reasons any individual can find it difficult to access healthcare: transportation issues, travel time to an office, lack of paid time off, or physical health constraints. 

What is different about substance use disorders, however, is that telehealth also helps mitigate the stigma and shame surrounding the issue – many patients may find that a telehealth appointment is much more comfortable than being seen in an office. There has also historically been a shortage of providers offering necessary treatment, and telehealth has offered an extended reach for the providers that do.

But doctors and advocates alike note that there can also be unique challenges to providing substance use disorder treatment via telehealth, and that there may be a different model lawmakers should consider.

While treating substance use disorders virtually comes with the typical worries about providers missing body-language and nonverbal cues, as well as decreasing patient accountability, one of the specific risks of using telehealth to treat these disorders is the isolation it may bring. 

Whether particularly enjoyable for the patient or not, there is a social aspect of coming into a doctor’s office or attending an in-person treatment group or group therapy. Additionally, the same stigma and shame that might make a patient more comfortable with virtual treatment can at the same time be a risk factor for patients not able to speak candidly if someone else is in the home with them during the appointment.

Many acknowledge that telehealth certainly has its time and place; when the results of the JAMA study came out, the American Telemedicine Association noted that this was “a strong signal to policymakers that telehealth can and should be a permanent part of healthcare delivery.” And indeed, a recent nationwide physician survey found that 85 percent of respondents were in favor of making telehealth permanent for the treatment of opioid use disorder, with 68 percent strongly in favor. 

But it might be better to look at both telehealth and in-office visits as tools in the provider’s belt, rather than an all-encompassing solution, especially for issues as complex as substance use disorder. Providers can pick and choose which tool (or combination of tools) works best for each patient’s situation. Taking this idea, lawmakers are being encouraged to consider a hybrid model of treatment going forward.

As legislators gear up for busy terms in the coming months, they will need to consider how best to support healthcare for this vulnerable population –  and remember that as a Board member of the American Telehealth Association stated recently when speaking on the subject, “laws often constitute a bridge from where our society is, to where we want it to go.” 

Many providers and patients alike have indicated that telehealth and substance use disorder treatment are priority issues for them – so now it’s up to legislators to craft the bridge to that reality.

Facebook
Twitter
LinkedIn

Cate Brantley, JD

Cate Brantley is a Senior Government Affairs Liaison for Zelis. She has over 9 years of experience in both the public and private sector. Cate is licensed to practice law in the state of Oklahoma.

Related Stories

Leave a Reply

Please log in to your account to comment on this article.

Featured Webcasts

CDI Query Mastery: Best Practices for Denial Prevention and Revenue Integrity

Physician queries are essential for accurate documentation and claims data, but they are increasingly scrutinized by payors, leading to denials and revenue leakage. This webcast, led by industry expert Cheryl Ericson, RN, MS, CCDS, CDIP, provides actionable strategies to craft compliant queries, reduce denials, and enhance revenue integrity. Attendees will gain insights into clinical validation queries, how to avoid common pitfalls, and learn best practices to defend against query denials. Don’t miss this opportunity to refine your query process and protect your organization’s financial health.

March 27, 2025
Heart Failure Coding Essentials: Ensuring Compliance and Optimal Reimbursement

Heart Failure Coding Essentials: Ensuring Compliance and Optimal Reimbursement

Master the complexities of heart failure coding with this expert-led webcast by Emily Montemayor, CCS, CMBCS, COC, CPC, CPMA. Discover strategies to ensure compliance with ICD-10-CM guidelines, documentation integrity, and capture comorbidities like CKD and hypertension. Learn how to resolve coding challenges, improve documentation practices, and submit clean claims to minimize denials and safeguard your organization’s financial health. With practical insights and real-world examples, this session equips you to prevent revenue leakage, enhance compliance, and secure optimal reimbursement—all while supporting better patient outcomes.

February 26, 2025
Decoding 2025 OPPS Charge Capture and Coding Complexities: Strategies for Success

Decoding 2025 OPPS Charge Capture and Coding Complexities: Strategies for Success

Prepare your organization for the 2025 OPPS updates with expert insights from Tiffani Bouchard, CCS, CRCR, a Revenue Integrity Professional with over 30 years of experience. This webcast will address critical challenges in charge capture and coding, providing clarity on APC policies, C-APC packaging, exclusions, and payer-specific requirements. Attendees will learn actionable strategies to ensure compliance, optimize reimbursement, and mitigate risks of claim denials. Gain the knowledge needed to implement updates effectively, educate your team, and maintain seamless revenue cycle operations in the face of evolving OPPS complexities.

January 29, 2025

Trending News

Featured Webcasts

Utilization Review Essentials: What Every Professional Needs to Know About Medicare

Utilization Review Essentials: What Every Professional Needs to Know About Medicare

Dr. Ronald Hirsch dives into the basics of Medicare for clinicians to be successful as utilization review professionals. He’ll break down what Medicare does and doesn’t pay for, what services it provides and how hospitals get paid for providing those services – including both inpatient and outpatient. Learn how claims are prepared and how much patients must pay for their care. By attending our webcast, you will gain a new understanding of these issues and be better equipped to talk to patients, to their medical staff, and to their administrative team.

March 20, 2025

Rethinking Observation Metrics: Standardizing Data for Better Outcomes

Hospitals face growing challenges in measuring observation metrics due to inconsistencies in classification, payer policies, and benchmarking practices. Join Tiffany Ferguson, LMSW, CMAC, ACM, and Anuja Mohla, DO, FACP, MBA, ACPA-C, CHCQM-PHYADV as they provide critical insights into refining observation metrics. This webcast will address key issues affecting observation data integrity and offer strategies for improving consistency in reporting. You will learn how to define meaningful metrics, clarify commonly misinterpreted terms, and apply best practices for benchmarking, and gain actionable strategies to enhance observation data reliability, mitigate financial risk, and drive better decision-making.

February 25, 2025
Navigating the 2025 Medicare Physician Fee Schedule: Key Changes and Strategies for Success

Navigating the 2025 Medicare Physician Fee Schedule: Key Changes and Strategies for Success

The 2025 Medicare Physician Fee Schedule brings significant changes to payment rates, coverage, and coding for physician services, impacting practices nationwide. Join Stanley Nachimson, MS., as he provides a comprehensive guide to understanding these updates, offering actionable insights on new Medicare-covered services, revised coding rules, and payment policies effective January 1. Learn how to adapt your practices to maintain compliance, maximize reimbursement, and plan for revenue in 2025. Whether you’re a physician, coder, or financial staff member, this session equips you with the tools to navigate Medicare’s evolving requirements confidently and efficiently.

January 21, 2025
Patient Notifications and Rights: What You Need to Know

Patient Notifications and Rights: What You Need to Know

Dr. Ronald Hirsch provides critical details on the new Medicare Appeal Process for Status Changes for patients whose status changes during their hospital stay. He also delves into other scenarios of hospital patients receiving custodial care or medically unnecessary services where patient notifications may be needed along with the processes necessary to ensure compliance with state and federal guidance.

December 5, 2024

Trending News

Happy National Doctor’s Day! Learn how to get a complimentary webcast on ‘Decoding Social Admissions’ as a token of our heartfelt appreciation! Click here to learn more →

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24