On a bike ride recently, a good friend of mine, who is a practicing physician got to talking about delivering care via telephone or email. While he sees great value and utility in using such tools he does not has the vast majority of payers do not reimburse for such services.
Looks like that may be changing. A recent article on Modern Healthcare Online talks about how some payers are starting to open up their purse strings reimbursing doctors for such virtual services.
Going rate, about $50.00/virtual visit.
Of course, if a virtual visit is not your bag, you could always go retro with the house calling doctor of NYC, Jay Parkinson. Good interview with Jay over at HIStalk.