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Nontraditional models

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The Telemedicine Magazine defines three non-traditional, yet successful, telemedicine business models: 

Institution-to-institution model: An academic medical center can offer the expertise of its specialists to patients outside its location. This medical center can sign contracts with rural hospitals or other institutions who need on-demand specialty expertise. Compensation methodologies can include a monthly rate, a hybrid payment, a fee schedule menu of different specialist services, etc. This model can be built independently of an external FFS reimbursement. 

Accountable Care Organizations (ACOs) providing telehealth services: Telemedicine technology companies and startups can provide ACOs with services, adding quality and improving costs for the prerequisites needed for ACOs to receive Medicare incentive payments. 

Offering care for employer workforces: A telemedicine provider can offer telemedicine-based care to the workforce of an employer through a combination of an on-site kiosk and an online app. The compensation approaches here can include a per-encounter fee, a base services rate combined with a reduced per-encounter fee, a fully capitated per employee per month payment, a shared savings fee model, etc.