The editorial focuses on innovations in telehealth care that improve accessibility, usability and satisfaction for older patients. The COVID-19 pandemic has significantly increased the use of telehealth among seniors, with 43.3% of patients older than 65 using it, compared to 29.4% among young adults aged 18–29[2]. A study from UCSF found that 38% of older Americans (13 million) were unprepared for video visits in 2018, mainly due to a lack of experience with technology and physical disabilities, compared to 72% of those over 85[1]. Elderly patients expressed high satisfaction with telehealth, with an average rating of 6 out of 7 points, appreciating convenience, video quality and privacy[2]. Willingness to use telemedicine was 64.5% overall, but lower for those over 55, rising to 83% for low cost, familiar provider, or ease of use[3]. Major barriers include age, low income, rural areas and health limitations, but audio calling is key for 47% of older adults[2][1]. Innovations must address these challenges in order for telehealth to serve all seniors effectively[1][7].