# Telehealth vs In-Person Outpatient Mental Health Service Use and Spending Among Medicare Beneficiaries From 2019 to 2023

**Authors:** Ryan K. McBain, Jonathan Cantor, Rose Kerber, Cheryl L. Damberg, Christopher M. Whaley

PMC · DOI: 10.1001/jamanetworkopen.2025.52239 · JAMA Network Open · 2026-01-05

## TL;DR

The study compares telehealth and in-person mental health service use and spending for several conditions among Medicare beneficiaries from 2019 to 2023.

## Contribution

The study provides new insights into how telehealth use and spending changed for mental health conditions during and after the pandemic.

## Key findings

- Telehealth utilization increased during the pandemic for mental health conditions.
- Spending patterns shifted toward telehealth services during the pandemic.
- Post-pandemic trends show a partial return to in-person services.

## Abstract

This cross-sectional study identifies patterns of telehealth utilization and spending for anxiety, depression, bipolar disorder, schizophrenia, and posttraumatic stress disorder before, during, and after the COVID-19 pandemic among Medicare fee-for-service beneficiaries.

## Linked entities

- **Diseases:** anxiety (MONDO:0005618), depression (MONDO:0002050), bipolar disorder (MONDO:0004985), schizophrenia (MONDO:0005090), posttraumatic stress disorder (MONDO:0005146)

## Full-text entities

- **Diseases:** COVID-19 (MESH:D000086382), depression (MESH:D003866), anxiety disorders (MESH:D001008), Diseases (MESH:D004194), bipolar disorder (MESH:D001714), anxiety (MESH:D001007), schizophrenia spectrum disorders (MESH:D019967), schizophrenia (MESH:D012559), PTSD (MESH:D013313), mental disorder (MESH:D001523)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12771218/full.md

## References

6 references — full list in the complete paper: https://tomesphere.com/paper/PMC12771218/full.md

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Source: https://tomesphere.com/paper/PMC12771218