I think the thing that most people miss, regarding telehealth, is that it's only a component of overall care. By breaking down health care engagements into smaller pieces, we can make it easier and more convenient to do much of the evaluative and upfront pay of an engagement.
People have always made major health decisions on their own. Generally, this problem is serious enough to warrant scheduling an appointment, taking off work and going into a medical office. They pay the bill for the visits and labs.
Telehealth is fantastic for supporting the decision and for RPM-like(remote patient monitoring) care, and for virtual CCM.