Mark Treat Posted about 3 years ago What can a sustainable telemedicine business model look like, and how do we get buy-in from those with the resources to make it happen? [Part 2 of thread from Mark Treat / was cut off] • New payment and reimbursement models which cover remote care – which is dependent upon proven financial models for remote care which justify the payment and reimbursement models. Justification is measured both in terms of health outcomes and cost savings Our observation is that even in the United States, where much of the health and technology infrastructure already exists, telemedicine programs often fail. The reason is that many of the pilot programs focus on one piece of the system (such as the introduction of an individual new technology or device), not the system as a whole. The changes in delivery processes and impact on other parts of the system are often ignored. Most importantly, the necessary support of the people who are stockholders in the system are also ignored. There must be a concerted effort to not only train the actors who participate in the system, but also properly communicate with them in order to overcome the natural human resistance to change. There is much discussion on the lack of money or reimbursement models which have certainly delayed the adoption of telemedicine. We must also recognize, however, that significant funds have been invested into pilot telemedicine programs. Unfortunately many of these programs have failed to take a holistic or systemic approach to the overall health delivery model and therefore have failed to demonstrate the promised value proposition. These failures can create reluctance to invest more heavily in rolling out telemedicine technologies. My sincere hope is that future programs will take a more holistic systemic approach to telemedicine.