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PEBB panel highlights limits of virtual care in rural Washington, calls for broadband and house‑call supports

Public Employees Benefits Board · March 13, 2026
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Summary

Panelists said virtual care improves access but cannot fully replace in‑person services in rural areas because of broadband gaps and clinical limitations; they urged investments in house calls, training pipelines and interoperability.

Panelists at the Public Employees Benefits Board retreat described virtual care as a valuable but incomplete tool for rural access.

Dr. Ward and Dr. Ankeny said virtual visits can increase contact rates and triage needs, but clinicians still need the option to examine patients in person. "Virtual is a solution, but it doesn't work for all the cases," Dr. Ward said, noting broadband and trust issues among some rural patients. Michelle Vollrath of UnitedHealthcare described house‑call programs for retirees that allow hour‑long visits to assess environment, medications and social needs, and said they can uncover needs that a 15‑minute clinic visit would miss.

Speakers also argued for continued investments in training programs that place clinicians in rural settings and for improved health information exchange so patient histories travel with them. The discussion flagged substantial practical limitations—transportation, provider supply, and interoperability—that members said will shape any statewide access strategy.