Access TeleCare is the largest and oldest specialty telemedicine company in the country, and after twenty years of deployment, its results are hard to argue with. In this Health Moonshot Update, CEO Josh DeTillio joins StartUp Health co-founder Unity Stoakes to talk about the growing physician shortage, why hundreds of hospitals are at risk of closing, and how a multi-specialty virtual care model is helping community hospitals retain patients, stay financially viable, and deliver better outcomes. DeTillio also shares what's ahead: a deliberate AI strategy, a deepening enterprise approach, and a vision for the virtual hospital as the new community care standard.

🏥 Access TeleCare is the largest and oldest specialty telemedicine company, operating for over 20 years and serving all 50 states.

👨‍⚕️ The platform connects hospitals to eight specialty service lines, including neurology, cardiology, infectious disease, nephrology, behavioral health, pulmonary critical care, hospitalists, and maternal-fetal medicine.

🌎 The company primarily serves health systems rather than direct-to-patient care, enabling hospitals to keep patients local instead of transferring them to urban centers.

🚑 Telemedicine reduces unnecessary transfers, improves patient outcomes, and helps hospitals maintain financial stability, especially in rural and underserved areas.

🏚️ Over 750 US hospitals are at risk of closing, and telemedicine is positioned as a key solution to preserve access to local care and protect community hospitals.

🧠 Physician shortages and changing workforce preferences are accelerating demand for telemedicine support across both rural and major urban hospitals.

🤖 AI is being actively piloted to improve efficiency, clinical decision-making, and speed up consult workflows for clinicians and APCs.

🧑‍⚕️ CEO Josh DeTillio shares his perspective as a former hospital COO and past customer of the platform, reinforcing its clinical impact.

🏥 His experience using telemedicine for stroke care highlights how remote specialists can save lives by enabling rapid treatment and improving outcomes (“time is brain”).