E-visit bill was implemented at the system on Aug. 18, 2023. The study, published Dec. 31, 2025, in Annals of Internal Medicine, compared the volume of patient-initiated medical advice message threads pre- and postimplementation and the perceptions of providers answering messages. Here are four findings:
1. Six months after implementing billing, the volume of message threads decreased by 8.8% — going from 1,813,818 messages to 1,653,708.
2. Of messages sent, 0.3%, or 5,183, were billed.
3. There was no difference in the seven-day use of emergency services in patients who sent a message compared to those who did not send a message.
4. Providers overall said they found the new process acceptable.
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