Telehealth Finance Variables and Successful Business Models

Authors

  • Bryan T. Arkwright, MHA Director, SCP Consulting Services, Adjunct Faculty, Wake Forest University School of Law, Editorial Board, Telehealth and Medicine Today, and Co-Founder/Chief Research Officer, Cromford Health, USA
  • Monica Leslie Schumacher Clinical Partners, Lafayette, Louisiana, USA
  • Morgan Light School of Law, Wake Forest University, Winston-Salem, North Carolina, USA

DOI:

https://doi.org/10.30953/tmt.v4.140

Keywords:

Business Model, Governance, Compliance, Data, Data Analytics Digital Health, Finance, Health System, Hospital, Leadership, Regulatory, ROI, Startup, Sustainability, Telehealth, Telemedicine, Value, Vendor, Viability, VOI

Abstract

Successful telehealth business models are a topic of regular discussion in the healthcare industry, and the financial details of telehealth programs, initiatives, and companies are central to program viability and sustainability. Claims and total payments toward telehealth services are rapidly increasing each year; therefore, it is becoming imperative that organizations carefully navigate the regulatory, financial, operational, and technical aspects impacting, and many times determining, the financial health of telehealth programs. The objective of this article is to define and articulate the financial variables and business models that are the lifeblood of today’s successful telehealth programs, and also to provide insights and information to assist organizations in navigating the nuances of telehealth financial modeling, monitoring, and management.

The financial and business models surrounding telehealth are unique for a number of reasons, mainly because the calculations and architecture of such models often contain many continuous variables, such as people (clinical providers and patients), geography (rural or metropolitan areas), telehealth governance structure, the service provided, the reimbursement or coverage eligibility, the technology used, the quality of care rendered, and the outcome of the care rendered. In addition, a clear need for a departure from traditional ways of projecting return on investment (ROI) becomes apparent with the layering of additional complexities of restrictive payer requirements, various business models, and the transition from volume to value.

Downloads

Download data is not yet available.

Published

2019-06-27

How to Cite

Arkwright, B. T., Leslie, M., & Light, M. (2019). Telehealth Finance Variables and Successful Business Models. Telehealth and Medicine Today, 4. https://doi.org/10.30953/tmt.v4.140

Issue

Section

Original Market Research
array(3) { [0]=> object(Author)#89 (6) { ["_data"]=> array(15) { ["id"]=> int(236) ["email"]=> string(21) "arkwrightbt@gmail.com" ["includeInBrowse"]=> bool(true) ["publicationId"]=> int(105) ["seq"]=> int(1) ["userGroupId"]=> int(14) ["country"]=> string(2) "US" ["orcid"]=> string(0) "" ["url"]=> string(0) "" ["affiliation"]=> array(1) { ["en_US"]=> string(197) "Director, SCP Consulting Services, Adjunct Faculty, Wake Forest University School of Law, Editorial Board, Telehealth and Medicine Today, and Co-Founder/Chief Research Officer, Cromford Health, USA" } ["biography"]=> array(1) { ["en_US"]=> string(0) "" } ["familyName"]=> array(1) { ["en_US"]=> string(9) "Arkwright" } ["givenName"]=> array(1) { ["en_US"]=> string(8) "Bryan T." } ["preferredPublicName"]=> array(1) { ["en_US"]=> string(23) "Bryan T. Arkwright, MHA" } ["submissionLocale"]=> string(5) "en_US" } ["_hasLoadableAdapters"]=> bool(false) ["_metadataExtractionAdapters"]=> array(0) { } ["_extractionAdaptersLoaded"]=> bool(false) ["_metadataInjectionAdapters"]=> array(0) { } ["_injectionAdaptersLoaded"]=> bool(false) } [1]=> object(Author)#115 (6) { ["_data"]=> array(14) { ["id"]=> int(275) ["email"]=> string(16) "jr@medcomres.com" ["includeInBrowse"]=> bool(true) ["publicationId"]=> int(105) ["seq"]=> int(1) ["userGroupId"]=> int(14) ["country"]=> string(2) "US" ["orcid"]=> string(0) "" ["url"]=> string(0) "" ["affiliation"]=> array(1) { ["en_US"]=> string(55) "Schumacher Clinical Partners, Lafayette, Louisiana, USA" } ["biography"]=> array(1) { ["en_US"]=> string(0) "" } ["familyName"]=> array(1) { ["en_US"]=> string(6) "Leslie" } ["givenName"]=> array(1) { ["en_US"]=> string(6) "Monica" } ["submissionLocale"]=> string(5) "en_US" } ["_hasLoadableAdapters"]=> bool(false) ["_metadataExtractionAdapters"]=> array(0) { } ["_extractionAdaptersLoaded"]=> bool(false) ["_metadataInjectionAdapters"]=> array(0) { } ["_injectionAdaptersLoaded"]=> bool(false) } [2]=> object(Author)#121 (6) { ["_data"]=> array(14) { ["id"]=> int(276) ["email"]=> string(16) "jr@medcomres.com" ["includeInBrowse"]=> bool(true) ["publicationId"]=> int(105) ["seq"]=> int(1) ["userGroupId"]=> int(14) ["country"]=> string(2) "US" ["orcid"]=> string(0) "" ["url"]=> string(0) "" ["affiliation"]=> array(1) { ["en_US"]=> string(73) "School of Law, Wake Forest University, Winston-Salem, North Carolina, USA" } ["biography"]=> array(1) { ["en_US"]=> string(0) "" } ["familyName"]=> array(1) { ["en_US"]=> string(5) "Light" } ["givenName"]=> array(1) { ["en_US"]=> string(6) "Morgan" } ["submissionLocale"]=> string(5) "en_US" } ["_hasLoadableAdapters"]=> bool(false) ["_metadataExtractionAdapters"]=> array(0) { } ["_extractionAdaptersLoaded"]=> bool(false) ["_metadataInjectionAdapters"]=> array(0) { } ["_injectionAdaptersLoaded"]=> bool(false) } }

Most read articles by the same author(s)

  • array(2) { [0]=> object(Author)#2529 (6) { ["_data"]=> array(15) { ["id"]=> int(251) ["email"]=> string(21) "arkwrightbt@gmail.com" ["includeInBrowse"]=> bool(true) ["publicationId"]=> int(111) ["seq"]=> int(2) ["userGroupId"]=> int(14) ["country"]=> string(2) "US" ["orcid"]=> string(0) "" ["url"]=> string(0) "" ["affiliation"]=> array(1) { ["en_US"]=> string(221) "Schumacher Clinical Partners, Lafayette, Louisiana, USA. School of Law, Wake Forest University, Winston-Salem, NC, USA. Cromford Health, Charlotte, North Carolina, USA. Partners in Digital Health, New York, New York, USA." } ["biography"]=> array(1) { ["en_US"]=> string(0) "" } ["familyName"]=> array(1) { ["en_US"]=> string(9) "Arkwright" } ["givenName"]=> array(1) { ["en_US"]=> string(8) "Bryan T." } ["preferredPublicName"]=> array(1) { ["en_US"]=> string(23) "Bryan T. Arkwright, MHA" } ["submissionLocale"]=> string(5) "en_US" } ["_hasLoadableAdapters"]=> bool(false) ["_metadataExtractionAdapters"]=> array(0) { } ["_extractionAdaptersLoaded"]=> bool(false) ["_metadataInjectionAdapters"]=> array(0) { } ["_injectionAdaptersLoaded"]=> bool(false) } [1]=> object(Author)#2525 (6) { ["_data"]=> array(14) { ["id"]=> int(264) ["email"]=> string(34) "Monica_Nash@schumacherclinical.com" ["includeInBrowse"]=> bool(true) ["publicationId"]=> int(111) ["seq"]=> int(2) ["userGroupId"]=> int(14) ["country"]=> string(2) "US" ["orcid"]=> string(0) "" ["url"]=> string(0) "" ["affiliation"]=> array(1) { ["en_US"]=> string(48) "Schumacher Clinical Partners, Lafayette, LA, USA" } ["biography"]=> array(1) { ["en_US"]=> string(0) "" } ["familyName"]=> array(1) { ["en_US"]=> string(4) "Nash" } ["givenName"]=> array(1) { ["en_US"]=> string(13) "Monica Leslie" } ["submissionLocale"]=> string(5) "en_US" } ["_hasLoadableAdapters"]=> bool(false) ["_metadataExtractionAdapters"]=> array(0) { } ["_extractionAdaptersLoaded"]=> bool(false) ["_metadataInjectionAdapters"]=> array(0) { } ["_injectionAdaptersLoaded"]=> bool(false) } } Bryan T. Arkwright, MHA, Monica Leslie Nash, Maximizing Your Telehealth Return on Investment (ROI): Five Best Practices to Increase Billing and Reimbursement , Telehealth and Medicine Today: Volume 4, 2019
  • array(4) { [0]=> object(Author)#2540 (6) { ["_data"]=> array(14) { ["id"]=> int(84) ["email"]=> string(16) "jr@medcomres.com" ["includeInBrowse"]=> bool(true) ["publicationId"]=> int(38) ["seq"]=> int(2) ["userGroupId"]=> int(14) ["country"]=> string(2) "US" ["orcid"]=> string(0) "" ["url"]=> string(0) "" ["affiliation"]=> array(1) { ["en_US"]=> string(0) "" } ["biography"]=> array(1) { ["en_US"]=> string(0) "" } ["familyName"]=> array(1) { ["en_US"]=> string(7) "Osborne" } ["givenName"]=> array(1) { ["en_US"]=> string(9) "Thomas F." } ["submissionLocale"]=> string(5) "en_US" } ["_hasLoadableAdapters"]=> bool(false) ["_metadataExtractionAdapters"]=> array(0) { } ["_extractionAdaptersLoaded"]=> bool(false) ["_metadataInjectionAdapters"]=> array(0) { } ["_injectionAdaptersLoaded"]=> bool(false) } [1]=> object(Author)#2543 (6) { ["_data"]=> array(14) { ["id"]=> int(85) ["email"]=> string(16) "jr@medcomres.com" ["includeInBrowse"]=> bool(true) ["publicationId"]=> int(38) ["seq"]=> int(2) ["userGroupId"]=> int(14) ["country"]=> string(2) "US" ["orcid"]=> string(0) "" ["url"]=> string(0) "" ["affiliation"]=> array(1) { ["en_US"]=> string(0) "" } ["biography"]=> array(1) { ["en_US"]=> string(0) "" } ["familyName"]=> array(1) { ["en_US"]=> string(9) "Arkwright" } ["givenName"]=> array(1) { ["en_US"]=> string(8) "Bryan T." } ["submissionLocale"]=> string(5) "en_US" } ["_hasLoadableAdapters"]=> bool(false) ["_metadataExtractionAdapters"]=> array(0) { } ["_extractionAdaptersLoaded"]=> bool(false) ["_metadataInjectionAdapters"]=> array(0) { } ["_injectionAdaptersLoaded"]=> bool(false) } [2]=> object(Author)#2542 (6) { ["_data"]=> array(14) { ["id"]=> int(86) ["email"]=> string(16) "jr@medcomres.com" ["includeInBrowse"]=> bool(true) ["publicationId"]=> int(38) ["seq"]=> int(2) ["userGroupId"]=> int(14) ["country"]=> string(2) "US" ["orcid"]=> string(0) "" ["url"]=> string(0) "" ["affiliation"]=> array(1) { ["en_US"]=> string(0) "" } ["biography"]=> array(1) { ["en_US"]=> string(0) "" } ["familyName"]=> array(1) { ["en_US"]=> string(5) "Reich" } ["givenName"]=> array(1) { ["en_US"]=> string(7) "Joel J." } ["submissionLocale"]=> string(5) "en_US" } ["_hasLoadableAdapters"]=> bool(false) ["_metadataExtractionAdapters"]=> array(0) { } ["_extractionAdaptersLoaded"]=> bool(false) ["_metadataInjectionAdapters"]=> array(0) { } ["_injectionAdaptersLoaded"]=> bool(false) } [3]=> object(Author)#2527 (6) { ["_data"]=> array(14) { ["id"]=> int(87) ["email"]=> string(16) "jr@medcomres.com" ["includeInBrowse"]=> bool(true) ["publicationId"]=> int(38) ["seq"]=> int(2) ["userGroupId"]=> int(14) ["country"]=> string(2) "US" ["orcid"]=> string(0) "" ["url"]=> string(0) "" ["affiliation"]=> array(1) { ["en_US"]=> string(0) "" } ["biography"]=> array(1) { ["en_US"]=> string(0) "" } ["familyName"]=> array(1) { ["en_US"]=> string(10) "Russo, Jr." } ["givenName"]=> array(1) { ["en_US"]=> string(4) "John" } ["submissionLocale"]=> string(5) "en_US" } ["_hasLoadableAdapters"]=> bool(false) ["_metadataExtractionAdapters"]=> array(0) { } ["_extractionAdaptersLoaded"]=> bool(false) ["_metadataInjectionAdapters"]=> array(0) { } ["_injectionAdaptersLoaded"]=> bool(false) } } Thomas F. Osborne, Bryan T. Arkwright, Joel J. Reich, John Russo, Jr., A Comprehensive Overview of Home Telehealth , Telehealth and Medicine Today: Vol. 1 No. 1 (2016): April Issue
  • array(1) { [0]=> object(Author)#2545 (6) { ["_data"]=> array(14) { ["id"]=> int(135) ["email"]=> string(16) "jr@medcomres.com" ["includeInBrowse"]=> bool(true) ["publicationId"]=> int(73) ["seq"]=> int(1) ["userGroupId"]=> int(14) ["country"]=> string(2) "US" ["orcid"]=> string(0) "" ["url"]=> string(0) "" ["affiliation"]=> array(1) { ["en_US"]=> string(0) "" } ["biography"]=> array(1) { ["en_US"]=> string(0) "" } ["familyName"]=> array(1) { ["en_US"]=> string(9) "Arkwright" } ["givenName"]=> array(1) { ["en_US"]=> string(8) "Bryan T." } ["submissionLocale"]=> string(5) "en_US" } ["_hasLoadableAdapters"]=> bool(false) ["_metadataExtractionAdapters"]=> array(0) { } ["_extractionAdaptersLoaded"]=> bool(false) ["_metadataInjectionAdapters"]=> array(0) { } ["_injectionAdaptersLoaded"]=> bool(false) } } Bryan T. Arkwright, A Reliable Approach for Sustainable Telehealth Partnerships , Telehealth and Medicine Today: Vol. 1 No. 4 (2016): October Issue
  • array(1) { [0]=> object(Author)#2552 (6) { ["_data"]=> array(14) { ["id"]=> int(77) ["email"]=> string(16) "jr@medcomres.com" ["includeInBrowse"]=> bool(true) ["publicationId"]=> int(33) ["seq"]=> int(2) ["userGroupId"]=> int(14) ["country"]=> string(2) "US" ["orcid"]=> string(0) "" ["url"]=> string(0) "" ["affiliation"]=> array(1) { ["en_US"]=> string(0) "" } ["biography"]=> array(1) { ["en_US"]=> string(0) "" } ["familyName"]=> array(1) { ["en_US"]=> string(6) "Leslie" } ["givenName"]=> array(1) { ["en_US"]=> string(6) "Monica" } ["submissionLocale"]=> string(5) "en_US" } ["_hasLoadableAdapters"]=> bool(false) ["_metadataExtractionAdapters"]=> array(0) { } ["_extractionAdaptersLoaded"]=> bool(false) ["_metadataInjectionAdapters"]=> array(0) { } ["_injectionAdaptersLoaded"]=> bool(false) } } Monica Leslie, Telehealth Vendor Selection: Get Intentional, Not Overwhelmed , Telehealth and Medicine Today: Vol. 2 No. 2 (2017): March Issue
  • array(2) { [0]=> object(Author)#2562 (6) { ["_data"]=> array(14) { ["id"]=> int(113) ["email"]=> string(16) "jr@medcomres.com" ["includeInBrowse"]=> bool(true) ["publicationId"]=> int(57) ["seq"]=> int(2) ["userGroupId"]=> int(14) ["country"]=> string(2) "US" ["orcid"]=> string(0) "" ["url"]=> string(0) "" ["affiliation"]=> array(1) { ["en_US"]=> string(0) "" } ["biography"]=> array(1) { ["en_US"]=> string(0) "" } ["familyName"]=> array(1) { ["en_US"]=> string(6) "Leslie" } ["givenName"]=> array(1) { ["en_US"]=> string(6) "Monica" } ["submissionLocale"]=> string(5) "en_US" } ["_hasLoadableAdapters"]=> bool(false) ["_metadataExtractionAdapters"]=> array(0) { } ["_extractionAdaptersLoaded"]=> bool(false) ["_metadataInjectionAdapters"]=> array(0) { } ["_injectionAdaptersLoaded"]=> bool(false) } [1]=> object(Author)#2558 (6) { ["_data"]=> array(14) { ["id"]=> int(114) ["email"]=> string(16) "jr@medcomres.com" ["includeInBrowse"]=> bool(true) ["publicationId"]=> int(57) ["seq"]=> int(2) ["userGroupId"]=> int(14) ["country"]=> string(2) "US" ["orcid"]=> string(0) "" ["url"]=> string(0) "" ["affiliation"]=> array(1) { ["en_US"]=> string(0) "" } ["biography"]=> array(1) { ["en_US"]=> string(0) "" } ["familyName"]=> array(1) { ["en_US"]=> string(6) "Virani" } ["givenName"]=> array(1) { ["en_US"]=> string(5) "Rehan" } ["submissionLocale"]=> string(5) "en_US" } ["_hasLoadableAdapters"]=> bool(false) ["_metadataExtractionAdapters"]=> array(0) { } ["_extractionAdaptersLoaded"]=> bool(false) ["_metadataInjectionAdapters"]=> array(0) { } ["_injectionAdaptersLoaded"]=> bool(false) } } Monica Leslie, Rehan Virani, Modeling Value on Investment: A Crucial Strategy Adopted by Successful Chronic Condition Management Programs , Telehealth and Medicine Today: Vol. 1 No. 2 (2016): June 2016
  • array(4) { [0]=> object(Author)#2569 (6) { ["_data"]=> array(14) { ["id"]=> int(120) ["email"]=> string(16) "jr@medcomres.com" ["includeInBrowse"]=> bool(true) ["publicationId"]=> int(62) ["seq"]=> int(1) ["userGroupId"]=> int(14) ["country"]=> string(2) "US" ["orcid"]=> string(0) "" ["url"]=> string(0) "" ["affiliation"]=> array(1) { ["en_US"]=> string(0) "" } ["biography"]=> array(1) { ["en_US"]=> string(0) "" } ["familyName"]=> array(1) { ["en_US"]=> string(7) "Osborne" } ["givenName"]=> array(1) { ["en_US"]=> string(9) "Thomas F." } ["submissionLocale"]=> string(5) "en_US" } ["_hasLoadableAdapters"]=> bool(false) ["_metadataExtractionAdapters"]=> array(0) { } ["_extractionAdaptersLoaded"]=> bool(false) ["_metadataInjectionAdapters"]=> array(0) { } ["_injectionAdaptersLoaded"]=> bool(false) } [1]=> object(Author)#2570 (6) { ["_data"]=> array(14) { ["id"]=> int(121) ["email"]=> string(16) "jr@medcomres.com" ["includeInBrowse"]=> bool(true) ["publicationId"]=> int(62) ["seq"]=> int(1) ["userGroupId"]=> int(14) ["country"]=> string(2) "US" ["orcid"]=> string(0) "" ["url"]=> string(0) "" ["affiliation"]=> array(1) { ["en_US"]=> string(0) "" } ["biography"]=> array(1) { ["en_US"]=> string(0) "" } ["familyName"]=> array(1) { ["en_US"]=> string(5) "Reich" } ["givenName"]=> array(1) { ["en_US"]=> string(7) "Joel J." } ["submissionLocale"]=> string(5) "en_US" } ["_hasLoadableAdapters"]=> bool(false) ["_metadataExtractionAdapters"]=> array(0) { } ["_extractionAdaptersLoaded"]=> bool(false) ["_metadataInjectionAdapters"]=> array(0) { } ["_injectionAdaptersLoaded"]=> bool(false) } [2]=> object(Author)#2559 (6) { ["_data"]=> array(14) { ["id"]=> int(122) ["email"]=> string(16) "jr@medcomres.com" ["includeInBrowse"]=> bool(true) ["publicationId"]=> int(62) ["seq"]=> int(1) ["userGroupId"]=> int(14) ["country"]=> string(2) "GB" ["orcid"]=> string(0) "" ["url"]=> string(0) "" ["affiliation"]=> array(1) { ["en_US"]=> string(0) "" } ["biography"]=> array(1) { ["en_US"]=> string(0) "" } ["familyName"]=> array(1) { ["en_US"]=> string(9) "Arkwright" } ["givenName"]=> array(1) { ["en_US"]=> string(8) "Bryan T." } ["submissionLocale"]=> string(5) "en_US" } ["_hasLoadableAdapters"]=> bool(false) ["_metadataExtractionAdapters"]=> array(0) { } ["_extractionAdaptersLoaded"]=> bool(false) ["_metadataInjectionAdapters"]=> array(0) { } ["_injectionAdaptersLoaded"]=> bool(false) } [3]=> object(Author)#2549 (6) { ["_data"]=> array(14) { ["id"]=> int(123) ["email"]=> string(16) "jr@medcomres.com" ["includeInBrowse"]=> bool(true) ["publicationId"]=> int(62) ["seq"]=> int(1) ["userGroupId"]=> int(14) ["country"]=> string(2) "US" ["orcid"]=> string(0) "" ["url"]=> string(0) "" ["affiliation"]=> array(1) { ["en_US"]=> string(0) "" } ["biography"]=> array(1) { ["en_US"]=> string(0) "" } ["familyName"]=> array(1) { ["en_US"]=> string(10) "Russo, Jr." } ["givenName"]=> array(1) { ["en_US"]=> string(4) "John" } ["submissionLocale"]=> string(5) "en_US" } ["_hasLoadableAdapters"]=> bool(false) ["_metadataExtractionAdapters"]=> array(0) { } ["_extractionAdaptersLoaded"]=> bool(false) ["_metadataInjectionAdapters"]=> array(0) { } ["_injectionAdaptersLoaded"]=> bool(false) } } Thomas F. Osborne, Joel J. Reich, Bryan T. Arkwright, John Russo, Jr., On the Digital Road to Improved Home Healthcare , Telehealth and Medicine Today: Vol. 1 No. 3 (2016): August Issue
  • array(1) { [0]=> object(Author)#2566 (6) { ["_data"]=> array(14) { ["id"]=> int(99) ["email"]=> string(16) "jr@medcomres.com" ["includeInBrowse"]=> bool(true) ["publicationId"]=> int(45) ["seq"]=> int(1) ["userGroupId"]=> int(14) ["country"]=> string(2) "US" ["orcid"]=> string(0) "" ["url"]=> string(0) "" ["affiliation"]=> array(1) { ["en_US"]=> string(0) "" } ["biography"]=> array(1) { ["en_US"]=> string(0) "" } ["familyName"]=> array(1) { ["en_US"]=> string(9) "Arkwright" } ["givenName"]=> array(1) { ["en_US"]=> string(8) "Bryan T." } ["submissionLocale"]=> string(5) "en_US" } ["_hasLoadableAdapters"]=> bool(false) ["_metadataExtractionAdapters"]=> array(0) { } ["_extractionAdaptersLoaded"]=> bool(false) ["_metadataInjectionAdapters"]=> array(0) { } ["_injectionAdaptersLoaded"]=> bool(false) } } Bryan T. Arkwright, TMT Interview with Bryan T. Arkwright: Is Your Hospital or Health System Ready for Telehealth Adoption? Four Key Questions , Telehealth and Medicine Today: Vol. 1 No. 1 (2016): April Issue