The future of anesthesiology requires a very targeted market growth strategy. In the last decade, we have seen major health care legislation expand the number of potential patients who will access our system, and yet revenues are at risk with a challenged payer mix and lower future reimbursements. Technology has often been a market enabler for disruptive business models to deliver services for less overhead cost, which is a major tenet of strategy to bend the cost curve of health care. With new economic pressures, a changing health care customer emerging in the future marketplace, and great strides and adoption in mobile technology, telemedicine offers the anesthesiologist a newer platform on which to develop innovative models of care delivery such as the Perioperative Surgical Home (PSH) and enhanced recovery after surgery (ERAS).

The costs of health care continue to escalate, particularly after the Affordable Care Act, which increased...

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