I was confused by the direction not to "cherry pick" or refuse patients for virtual care based on complexity but at the same time needing to assess whether a patient is appropriate for virtual care based on their complexity. I am thinking about services whose physicians may live in urban areas but that offer virtual care to patients in rural areas where there is a physician shortage. In my mind, the service is only appropriate for less complex patients but at least that offloads those patient who are less complex but do not have access to a local family MD from having to go to ER. If that is considered a benefit, how can the physicians providing the service make pre-arrangements for patients to receive care other than at the ER if there are no local physicians accepting patients for primary care?