In this A case, it’s December 2019, and Dr. Carol Evans is preparing for a meeting with the leaders of Garfield Health Sciences (GHS) Center. She aims to persuade them to launch a full-fledged direct-to-consumer (DTC) telemedicine offering. Evans needs to articulate a value proposition that secures support and funding for the initiative and pushes GHS to take on a leadership role in telemedicine. She considers ways GHS could expand its telemedicine offerings, including a program around e-consult for primary care providers, which she would like to expand to specialists. She also is aware of competition among programs for DTC virtual care. The case set provides students with a deep look into telemedicine. It offers a brief history of telemedicine initiatives since the 1990s, demonstrating how telemedicine can improve care and extend reach for both patients and medical professionals, while also addressing the myriad challenges associated with implementation. These challenges include integrating EMRs, billing virtual consults, and securing grants. This case set is taught in Darden's elective, "Solutions and Innovations in Health Care."