Telehealth has passed the tipping point of market momentum. It is universally understood that telehealth is a necessary form of care delivery to address the supply-and-demand challenges that healthcare faces in the U.S., and to achieve the Triple Aim of improving quality of care, reducing healthcare costs, and enhancing population health. Unfortunately, many telehealth initiatives have suffered from a narrow service-line focus and lack of financial sustainability. In many cases, telehealth clinical services and settings are fragmented and data is siloed, with low-volume telehealth services such as those for specific locations or clinical specialties standing alone rather than being designed as part of a larger, integrated system. As these fragmented systems proliferate, they result in costly, redundant software infrastructure and endpoints that limit the potential to improve overall quality and access to care. These fragmented systems also make it difficult for payers (government agencies, private insurers, and employers) to gain access to the comprehensive member data needed for claims and utilization management systems, and add to the challenges of performance tracking, reimbursement, and incentives.