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Telemedicine Startup Costs: How to Start A Telemedicine Business?

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Posted in Telemedicine

Last Updated | May 9, 2023

Everyone is a busy bee in this modern world, and with COVID-19 being unstoppable, the demand for virtual healthcare has become a necessity that the human race needs desperately. That being said, the use of the telemedicine industry has spiked up. Telemedicine is all about connecting patients with healthcare providers virtually through well-designed and encrypted technology.

The medical industry is turning to telemedicine technology for cutting down costs, generating profits, ensuring effective patient experience, and maintaining patient loyalty. With the massive demand, new telemedicine startups have started rising in a bet to get their chunk of this massive potential market. If you are also looking to jump into telemedicine technology, continue to read on as we share all about the startup costs for telemedicine in this article!

When Did Telemedicine Emerge?

Telemedicine technology is still considered a young arena because it became a part of the healthcare industry back in the late 1960s. Telemedicine was used when a TV link was developed between Norfolk State Hospital and Nebraska Psychiatric Institute for getting psychiatric consultations. This is a closed-circuit link which makes it one of the first applications of telemedicine. Also, Willem Einthoven is known to be the first physician who used telemedicine to transfer electrocardiograms.

What Is Telemedicine In Healthcare?

Telemedicine is basically a medicinal practice with the integration of technology. It is used to deliver healthcare services to patients from a distance and through online infrastructures. With the proper use of telemedicine in healthcare, patient satisfaction can be improved, long-term patient care management will be improved, and patient information can be easily communicated with the doctors.

How Does Telemedicine Work In Healthcare?

Telemedicine technology is enabling patients to have seamless communication with healthcare providers through the technology protocols, rather than visiting the doctors in hospitals and clinics. With the implementation of telemedicine, users can discuss medical issues and symptoms through online portals, emails, and video conferencing.

The patients can receive the diagnosis reports, gain knowledge about the treatment options, and receive a prescription from the doctors. In some cases, the healthcare providers can also administer the readings of medical reports and devices on a remote basis. Telemedicine is available in three types, such as interactive medicine, remote patient monitoring, and store & forward.

For instance, the patients can schedule virtual meetings with a healthcare provider when they experience a cut and discuss the treatment. Even more, the patients can virtually connect with the healthcare providers while on vacation. On top of everything, the patients can discuss birth control options through virtual meetings.

The delivery of remote healthcare services started back in the 1950s and was offered through landline telephones. With the improvement in technology standards, there are various ways of delivering telemedicine, such as video software solutions and apps for better management. On the contrary, it is important to remember that telemedicine to date doesn’t suffice for emergency and severe cases.

Can Telemedicine Be Improved With HL7 Specification?

Telemedicine is a powerful and emerging concept in the healthcare and medical industry. It is all about allowing streamlined communication between the patients and healthcare providers through digital channels. The technology is credited to reduce the need for in-person visits to hospitals and clinics. However, telemedicine involves sharing medical and healthcare information. For this purpose, there is a need for standards to ensure only the complied information is shared with the patients, and that’s where HL7 comes to the rescue.

It’s the combination of standards for streamlining information sharing and communication between two parties. The HL7 specification must be considered, which is the definitive specification of standard messages that are analyzed for the specific use case. In addition, it offers a set of constraints upon the standard messages. In simpler words, it can describe the messages and data sent or received by the interface.

With HL7 Specification, the description is made precise and can support the trigger events. HL7 Specification can also describe the data semantics and formats along with message acknowledgment obligations. The healthcare providers can get the consultants and patients on one page with HL7 Specification. In addition, HL7 can identify the risks in the systems and develop documentation that can be shared with the medical team and patients.

With the utilization of HL7 Specification, the validation reports and gap analysis reports can be generated, which improves the delivery of virtual medical services.

HL7 integration service

How To Get Started With Telemedicine EMR?

  • When starting with telemedicine practice, you should start using the video conference or chat option with colleagues. It is because they need to get used to the technology and don’t forget to play with audio and video settings to get the best outcome
  • Sign up for the virtual waiting room apps because they help efficiently handle patients while physicians complete the video chat with one patient. In addition, some of these apps also allow the doctors to share the patient’s documents and stream the imaging to make a diagnosis
  • Always get the right equipment before you start offering telemedicine services, such as a webcam, tablet, computer, speakers, microphone, and internet
  • Provide training to your entire team and make changes that improve their understanding (they should provide feedback)
  • Make sure the telemedicine program is compliant with HIPAA regulations

HIPAA-compliant software

Telemedicine Pricing Model – How Much Does Telemedicine Cost?

What Is Telemedicine Platform Cost?

  • The Integration of Features & Medical Devices

The telemedicine startup costs increased with the integration of medical devices and features. Generally, the devices include an ENT scope, digital telescope, and examination camera. The cost may rise by $5,000 to $10,000 for each device.

  • Licensing 

When it comes down to creating the pricing model, it has to include the costs of telemedicine platform license costs. The per-patient costs of the software will cost around $1,500 even without paying the monthly costs.

  • Communication Devices & Platforms

In case you want to create a telemedicine portal with multiple features, such as patient consultation hosting, the costs will range anything from $1,000 to $1,500. On the other hand, the hardware solutions will range from $7,000 to $10,000.

  • Equipment Costs 

The telemedicine equipment costs include the hardware components, such as cases, wall mounts, and carts. It’s suggested to opt for modular packaging since it has an easy configuration. On the other hand, you can also opt for the all-in-one telemedicine system, which may cost anything from $20,000.

  • General Costs 

When it comes down to telemedicine app development and software development, it costs around $25,000 for the basic apps. On the contrary, complex solutions may cost anywhere from $50,000 to hundreds of thousands of dollars on average. Discover how Telemedicine brings down the cost.

How to Start Telemedicine in Your Practice?

Implementing telemedicine programs in your practice can be challenging, especially when you don’t want any disruption in your practice. For this purpose, there is a checklist that you can follow to ensure the seamless launch of telemedicine programs in your practice, such as;

  • Set the goals you want to achieve with the telemedicine program, such as reducing clinical visits and helping patients who are more comfortable with technology. This will help you decide which telemedicine practices you should deploy
  • There are different types of telemedicine out there, such as audio-video for payers while asynchronous telemedicine is better for dermatology cases, so weigh your options
  • See if your parents will be comfortable with tele-visits. If they are comfortable, what sort of services would they be interested in? It’s best to design a questionnaire
  • Ask the nursing and other staff about this change and take their input. Also, involving them will help with better implementation
  • Always check the coverage of telemedicine programs because some of them only allow video chats with teachers while Medicaid programs need the patients to visit the hospital
  • You must keep up with the telemedicine regulations because every state has different regulations. In addition, if you are offering telemedicine services to patients, you must have their signed consent form
  • Always inform patients that you have a telemedicine program available, explain the benefits, and what it would mean for them
  • Start by offering limited services through a telemedicine program to ensure the staff gets acquainted with the system first
  • Telemedicine software must be convenient for the patients and staff to use. In addition, the program must be smooth
  • The telemedicine program should be integrated with the EHR systems to ensure everything appears on the patient’s schedules to reduce the chances of clashes
  • Always test and try the system before you launch it to public

How to launch a telemedicine startup on a shoestring budget

How to launch a telemedicine startup on a shoestring budget
How to Choose the Best Healthcare Software Companies to Work for Startup?

  • Building the App Scope 

To begin with, small-scale and startup healthcare facilities will not need full-fledged software and app development services. That being said, it’s important to determine the scope of the app. For this purpose, one has to understand the services needed for the solutions and the desired features.

  • Review The Company’s Portfolio

Telemedicine protocols and standards development and implementation will never be certain if you don’t review the portfolio of the company. When you are consulting with the companies, it’s suggested to ask them about the completed projects and review all of them. In addition, you should check the live apps and websites.

  • Analysis of Expertise 

For starting a telemedicine startup, you have to create an app or software optimized for different operating systems and devices. For this purpose, you need to ensure that your chosen company has the capacity to create such diverse and integrated solutions.

  • Evaluation of Communication Levels 

In case the company is an expert and experienced to develop telemedicine software solutions and apps, you have to check the communication protocols. Proper communication is important for ensuring that the development is happening on time and the expectations are met.

  • Maintenance Services

In case you have signed a contract with the development company, you have to ensure that the company is offering maintenance services. It’s suggested to ask for post-launch maintenance and support from the company. Also, don’t forget to ask about the costs for each new release or update.

Now that you’ve cleared up everything regarding communication, portfolio, experience, and maintenance, don’t forget to ask about their expertise in UX design for healthcare apps. This is because a seamless telemedicine software solution cannot be attained without expertise in UX design.

What Is Telemedicine Equipment?

When it comes down to telemedicine, it’s needless to say that it’s a combination of software and hardware. The equipment might change with the telemedicine program because they are tailored according to the healthcare providers. However, there are some core pieces of equipment, such as;

  • Webcam – it must be high-quality because doctors need to check the patients through these cameras. Generally, it’s suggested that a webcam has a high-resolution and top-notch video quality to capture the patient’s condition
  • Internet – telemedicine programs need a high-speed and reliable internet connection to keep the online patient visits as seamless and distortion-free as possible
  • Failover line – it is essential to have a failover line, so doctors can offer assistance to patients if the telemedicine program is down or if there is an internet outage
  • SD-WAN – this is optional equipment, but it can eliminate the need for broadband packages and link different departments
  • Digital accessories – these digital accessories include a digital stethoscope which uses the microphone port to capture and stream the audio files
  • Tablets – these are versatile and portable, which also helps provide quick access to patient notes. It can also transfer the records to the EHR systems

Telemedicine Equipment Costs – What Equipment Do You Need For Telemedicine?

When it comes down to telemedicine startups in the USA, there are different prerequisites associated with the equipment. The full-fledged telemedicine system and equipment will cost anything from $20,000 to $100,000+. As far as the equipment is concerned, you have to consider the following equipment, such as;

  • Internet – This is the most basic requirement for the implementation of telemedicine equipment. In addition, it’s suitable to have an internet connection ranging from 40Mbps to 100Mbps for seamless video quality and high-end data transfer
  • Video Interface – The video interface is an important part of the telemedicine system because it is crucial for communication between patients and doctors.
  • Computer System – For the implementation of a telemedicine system, a suitable computer system is important because it optimizes the utilization of the telemedicine infrastructure
  • Recording Device – As per the state requirements and practicing, having a recording device is important since it helps archive and records the video communication

Telemedicine Business Ideas

  • AI-Compliant Diagnosis 

The importance of artificial intelligence is spiking up, and it has become an important part of tech systems. That being said, AI-compliant diagnosis is a good startup idea for healthcare facilities. For the most part, the AI-compliant diagnosis will improve the process of diagnosis and treatment for patients.

  • Customized Healthcare Services

One of the most common misperceptions about telemedicine applications is that the practice often leads to malpractice. This is because patients often feel dejected to receive treatments from a robot, rather than a qualified healthcare practitioner. This in turn leads many patients to leave the treatment in the middle, which may pose a serious risk for patients.

However, this also offers an ideal situation for telemedicine startups that can create high-quality telemedicine applications backed by qualified doctors to offer tailored healthcare solutions to Patients. For instance, creating a heart health monitoring application backed by qualified cardiac doctors may help startups quickly gain a customized customer base.

  • Telemedicine Project Proposal

The telemedicine project proposal should identify different aspects and components of the operations of telemedicine facilities. In the first place, it must outline the collaboration tools, which are the components for connecting the healthcare providers and patients. Secondly, it must outline the medical peripherals.

Medical peripherals are diagnostic tools that are widely used in the telemedicine industry. It includes ultrasound machines, otoscopes, and digital stethoscopes. While designing the telemedicine project proposal, these peripherals must be added because it offers high-end data, images, videos, and audio for proper treatment and diagnosis.

Thirdly, it has to outline the workflow. It is the documentation of the modalities. With the telemedicine project proposal, the facilities have to integrate software and hardware solutions for streamlined process management. These systems ensure that the patients are connected to medical professionals, along with the seamless integration of telemedicine with EHR and IT systems.

What are the top 5 costs associated with starting a telemedicine company?

What are the top 5 costs associated with starting a telemedicine company

How Long Does It Take To Start Telemedicine?

Telemedicine is a relatively new arena in healthcare and requires healthcare providers to have certain experiences to start working as telemedicine doctors. To begin with, doctors have to take medical exams to obtain a license after the residency. In addition to these certifications and licenses, doctors need to work for at least four years after the residency to start working in telemedicine.

Telehealth Cost-Benefit Analysis

According to the cost-benefit analysis of telehealth, one patient costs around $167. The continuous use of these systems tends to save about $2468 cost savings on every ED visit. These are the average numbers, but nearly every study suggests that ED and healthcare costs reduce with telehealth programs.

Which Is An Example Of Telemedicine?

The Kaiser Permanente dermatologists in San Diego is one of the many successful telemedicine business plan examples that shows how technology can vastly improve efficiency and productivity in the medical industry. The hospital uses telemedicine technology to send patients’ images for review to concerned physicians. The technology over the years has helped physicians to review over 800 patients/month remotely, rather than visiting each patient in person. On average, the telemedicine technology solution has increased the efficiency of physicians by at least 50%.

How To Start A Telehealth Nursing Business?

Starting a telehealth nursing business revolves around designing telehealth programs for nursing departments. In addition, it also involves the implementation of telehealth programs, but certain aspects need to be kept in mind, such as;

  • Understand the costs because designing custom software will cost you at least $50,000, and the majority of healthcare providers ask for custom programs because it helps streamline the clinical workflow (you might have to raise money for the business through VC funding and/or bootstrapping)
  • Understand the telehealth nursing in your country or state to ensure the systems comply with the regulations
  • Understand the target market and see if you can design the desired features and functionalities
  • You must find the right team of developers
  • Always write an in-depth business plan to ensure you are aware of the following steps
  • Once you’ve launched the business, make sure to build a positive referral program, offer round-the-clock customer service, and diversify the product range

Telemedicine Business Plan

When it comes down to the telemedicine business plan, it has to cover different strategies for delivering healthcare services through the implementation of technological infrastructures. Telemedicine is the integration of different strategies for the provision of medical education and care. The business plan must include strategies for treatment, diagnosis, consultation, self-management, and care.

The telemedicine business plan must outline the market position, which shares details about the non-clinical and clinical services offered in the telemedicine industry. Last but not least, it has to identify the operational plan of the telemedicine business. The operational plan includes the services offered and how the services will be provided to the patients.

As far as the marketing section is concerned, it has to outline the tools that guide the market analysis of the industry. In addition, it should outline the promotional strategies and market segmentation. The promotional strategies include different tactics for how the telemedicine services will be marketed and promoted to the target audience.

On top of everything, the telemedicine business plan has to have a financial projection section. The financial projection section will show the expectations with returns on investment. It includes the revenue assumptions as well as the projected expenses.

Do you know how much would a Telemedicine app cost you?

How To Create A Telehealth Business Development Plan?

Having a business development plan gives a clear direction in the telehealth field. This is because development covers every aspect of the telehealth program, including the marketing, implementation, and more. For this reason, we are sharing a checklist for designing the business development plan;

  • Executive summary – it should provide a precise and to-the-point overview of the telehealth plan
  • Background and introduction – it should cover the reason behind the implementation of telehealth business, key players, how telehealth will improve the facilities, and goals
  • Assessment of needs and demands – you need to evaluate the needs and demands and conduct surveys to get viable data
  • Service plan – it should cover how telehealth services will be provided to the users, along with the deployment plan and technology requirements
  • External and internet assessment – for this purpose, you can create a SWOT analysis
  • Marketing plan – this part needs to have information about market positioning, market segmentation, market targeting, market growth, marketing availability, promotion, brand identity, and current position
  • Technical plan – it needs to have information about equipment, functionality, availability of technical staff, and integration with EHR
  • Regulatory environment – the development plan should cover how the telehealth business and products will comply with required regulations and policies
  • Management plan – it should cover the team and their roles, reporting relationships, and communicators
  • Financial plan – everything related to finances has to be added here, such as expenses, revenues, ways of increasing profit, training costs, and more

Go through a guide on the Telemedicine business model.

Telemedicine Business Opportunities

  • Computer & Phone Applications 

The business opportunities in the telemedicine industry include computer and phone applications. Companies need to create apps with quick configuration.

  • Cybersecurity Design 

With the increasing concerns about patient safety and security, integrating cybersecurity standards will improve the security and protection of sensitive patient information. Overall, creating a positive and reliable experience for patients.

  • Telemedicine Business Model

The telemedicine business is about providing healthcare services through technological standards. This business model is designed for communicating the consultation, diagnosis, care, treatment, awareness, and management of the patients on a remote basis.

Framework for the Implementation Of A Telemedicine Service

The telemedicine services framework should be developed according to the needs assessment. The framework should outline the data collection, assessment of available needs, perception, and affordability standards. In addition, the framework must outline the demand for healthcare services that balance the supply limitations and implementation of the telemedicine service.

The implementation of a streamlined telemedicine service framework helps identify the healthcare needs of the community. Also, it must help prioritize healthcare needs.

Do you need guidance on which vendor to hire for Clinical Data Management System?

How To Set Up A Telemedicine Program Checklist?

  • Design a proper telemedicine implementation plan, including the equipment requirement and training
  • Select the right telemedicine form according to the facility’s needs
  • Ask your patients if they would be comfortable with telemedicine (explain what telemedicine is and what it would mean for them)
  • Always involve your staff, explain to them the pros of shifting to telemedicine, and use their feedback to improve the telemedicine program
  • Determine which departments and health services will be covered through telemedicine programs
  • You must ensure that the telemedicine program is complying with state laws and HIPAA regulations
  • Make sure that every patient knows about the availability of telemedicine program
  • Acquire the essential equipment to ensure seamless use of the telemedicine program

How To Become A Telehealth Provider?

Telehealth has become an excellent option for breaking healthcare barriers, which improves patient outcomes and reduces costs. So, if you want to become a telehealth provider, you need to consider the following steps;

  • You must know your options, such as video chats, interactive and integrated devices for evidence-based medical consultation, and transmission of imaging results
  • You must develop a strategy to see what you will provide to the clients
  • You must understand the basics of licensing and reimbursement because they are different for every state and city
  • Have proper communication with the IT team to determine the visual prospects and design the communication networks
  • You must evaluate different telehealth systems available in the market and see which ones meet the needs of your target audience
  • Indulge in practice sessions to ensure you design the programs according to different medical conditions
  • Telehealth programs keep advancing, so make sure that you are regularly learning about new technologies and how your clients could benefit from them

How Do Telemedicine Companies Make Money?

Telemedicine companies generally create monetization models and earn money through memberships and visit fees. The telemedicine monetization models include the insurance plan details, so the patients pay the fees after deductions of insurance plans. Some telemedicine companies also charge according to the consultation time and patient visit period.


How is telemedicine profitable?

According to the American Medical News, telemedicine services managed to generate over $1.9 million back in 2013. Over time, the profits and revenues of telemedicine companies have skyrocketed. Especially in the wake of Covid-19, the surge in demand for telemedicine solutions has reinforced the technology as a highly-profitable business model.

Is telemedicine worth it?

Telemedicine has the capacity to improve the overall health and well-being of patients. In addition, it can offer effective treatments while cutting down costs. The cost-benefit is mutual for patients and doctors all the same.

What is the telemedicine financial model?

The financial model of telemedicine services includes all the costs associated with the operations of the telemedicine business. The financial model includes the revenue assumption and projection expenses.

How do I set up telemedicine at home?

Setting up telemedicine at home is not common, but that doesn’t make it impossible. So, if you have the telemedicine program, you need to have a computer with a fully functional camera, microphone, speakers, high-speed internet connections, an uninterred room, an ergonomic mouse, and a keyboard to work through a tablet if needed.

How much does telehealth therapy cost?

According to research, telehealth therapy will cost anything between $2 to $5 per minute. However, telehealth therapy wasn’t covered by health insurance plans previously, but some insurance companies have started covering telehealth therapy as well, so check your insurance plan as well.

How to start your own telemedicine business associate agreement HIPAA?

It’s essential to get in touch with HIPAA-compliant business associates to start a telemedicine business. However, if you want to start on your own, you need to create security and privacy regulations. In addition, the security office and privacy officer for HIPAA should be created, security policies should be implemented, and self-audits need to be done regularly. The business associates are the ones who need to ensure compliance with HIPAA rules, so keep a check on everything you need to do.

How to start a telehealth business in California?

In California, you can start a telehealth business just like anywhere else. However, you must ensure that you are complying with Californian regulations while operating and designing telehealth businesses. Also, Folio3 is a California-based software service provider, and they can design the telehealth program for you according to the healthcare facility’s needs.

How to start your own telehealth business at home?

To be honest, starting the telehealth business from home can be challenging because you need to set up the equipment, hire the development team, and acquire the clients. In addition, you need to get a license for starting a business, which requires a commercial address.

How to start a telehealth practice for healthcare providers in Texas?

In Texas, the telehealth practice is somewhat similar to other states. However, there are some exceptions, such as requiring a dated and signed consent form from patients before telehealth services are provided. Also, even if you aren’t from Texas, you can get a telehealth practice license to provide services within the state.

How to start a telemedicine practice in Washington DC?

For starting the telemedicine practice in Washington, DC, you need to get certification from the respective medical board and have the license for initiating medical practice. In addition, you need to apply for a national provider identifier and employer identification number. Once you have these licenses and certifications, you can set up the telemedicine programs. Also, if you are deploying the telemedicine program, make sure that the respective staff has all the required certifications, licenses, and training.

How much does telehealth benefit healthcare?

The implementation of telehealth in healthcare will eliminate transportation costs and care issues for patients. The healthcare providers will have access to on-demand healthcare options and get in quick consultations with health experts. Eventually, it will reduce the crowd in waiting areas while enhancing patient satisfaction standards.

What equipment is needed for a telehealth dental office?

The telehealth-based dental offices need a high-end webcam to have proper insights into a person’s mouth for a checkup, a reliable internet connection, appropriate audio systems, and a microphone. In addition, it’s better to have a tablet because it can be used to treat one patient while you are helping an in-person patient and have easier access to patient data online.

How many telemedicine companies are there?

Currently, more than 260 companies are working in telehealth since the demand is increasing.

Check out the case study on our client Ivision who acquired Telemedicine solutions from Folio3 Software.