In the A case, Dr. Carol Evans is preparing for a December 2019 meeting with the leaders of Garfield Health Sciences (GHS) Center, about launching a full-fledged direct-to-consumer (DTC) telemedicine offering. This B case picks up a few months later, in March 2020. Now, in light of the looming COVID-19 pandemic, GHS leaders must make an urgent decision: Should they select a single EMR platform to expand GHS’s virtual offerings or should they democratize the process and use systems like Zoom? 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."