Custom TelehealthVSTeladoc

Custom Telehealth vs Teladoc

Compare custom telehealth platform development vs Teladoc. Analyze features, revenue models, and ROI for your healthcare organization.

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Feature Comparison

Compare capabilities between custom telehealth and Teladoc.

Feature	Custom Telehealth	Teladoc
Video Consultations HIPAA-compliant video visits
White-Label Platform Your branding throughout
EHR Integration Connect to existing records		Limited
Custom Workflows Specialty-specific visit flows		Standardized
Patient Scheduling Online appointment booking
Prescription Management E-prescribing capabilities
Provider Selection Use your own physicians		Teladoc network
Revenue Model Control Set your own pricing		Teladoc pricing
Data Ownership Full patient data control		Shared with Teladoc
Mobile App Native iOS/Android apps

Losing 50-70% of telehealth revenue to platform fees?

Custom telehealth lets you keep 100% of visit revenue.

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Cost Analysis

Revenue & TCO Analysis

Compare revenue retention and costs between custom and Teladoc.

Custom Telehealth

Initial Setup$75,000 - $200,000

Per-Visit Fees$0

Monthly Platform Fee$0

Annual at 1,000 visits/mo$20,000 - $50,000

Revenue Retention100%

5-Year TCO (1,000 visits/mo)$175,000 - $450,000

5-Year TCO$175,000 - $450,000

Teladoc

Initial Setup$0 - $25,000

Per-Visit Fees$40 - $75/visit (to Teladoc)

Monthly Platform Fee$10,000 - $50,000/mo

Annual at 1,000 visits/mo$600,000 - $1,500,000

Revenue Retention30-50% (after Teladoc share)

5-Year TCO (1,000 visits/mo)$3,000,000 - $7,500,000

5-Year TCO$3,000,000 - $7,500,000

Potential Savings with Custom Telehealth

$2,825,000 - $7,050,000

over 5 years compared to Teladoc

Advantages & Disadvantages

Understand the benefits and trade-offs.

Custom Telehealth

Advantages

Keep 100% of visit revenue
Your brand, your patient relationships
Use your own physician network
Custom workflows for your specialty
Full patient data ownership
Integrate with your existing EHR

Disadvantages

Upfront development investment
Must build/maintain physician network
Handle own regulatory compliance
Longer time to market

Teladoc

Advantages

Immediate national physician network
Established platform infrastructure
Quick deployment (weeks)
Teladoc handles compliance
24/7 availability through their network

Disadvantages

Significant per-visit revenue share
Patients become Teladoc's, not yours
Limited customization options
Generic patient experience
No control over physician quality

Which is Right for You?

Consider these scenarios for your decision.

Choose Custom Telehealth if you...

Health System

Want to extend care with your providers

Specialty Practice

Unique telehealth workflow needs

Telehealth Startup

Building telehealth as core business

Revenue Focus

Want to capture 100% of visit fees

Choose Teladoc if you...

Quick Deployment

Need telehealth capability immediately

No Physician Network

Don't have providers for telehealth

Employee Benefit

Offering telehealth as HR benefit

Low Volume Expected

Under 100 visits monthly

Own Your Telehealth Platform

Keep your patients, your providers, and 100% of your revenue with custom telehealth.

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Our Solutions

Explore Our Healthcare Solutions

Custom software for modern healthcare delivery.

Healthcare Software Development

Custom HIPAA-compliant software for healthcare.

Telehealth platforms
Patient portals
EHR integration

Learn more

Patient Engagement CRM

Manage patient relationships and communication.

Appointment reminders
Follow-up automation
Patient outreach

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Patient Acquisition Platform

Grow your telehealth patient base.

Marketing automation
Lead tracking
Conversion optimization

Learn more

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Comparison

Teladoc typically charges per-visit fees ($40-$75) or monthly platform fees ($10,000-$50,000 for enterprise). They retain the patient relationship and use their physician network. You effectively become a referral source. With custom telehealth, you charge patients directly and keep 100% of revenue.

Yes. Custom telehealth platforms let you use your own physician network, maintaining continuity of care and patient relationships. Teladoc uses their own network of contracted physicians who have no prior relationship with your patients.

Custom telehealth platforms achieve HIPAA compliance through encrypted video (AES-256), secure data storage, access controls, audit logging, and BAA agreements. We build compliance into the architecture. Many custom platforms use HIPAA-compliant video APIs (Twilio, Vonage) as the foundation.

A full-featured custom telehealth platform takes 12-20 weeks to develop, including video visits, scheduling, EHR integration, and mobile apps. Basic video visit functionality can be delivered in 6-8 weeks with additional features added iteratively.

At 1,000 visits/month charging $100/visit, you'd pay Teladoc $40,000-$75,000 monthly in per-visit fees. Custom platform maintenance costs $2,000-$4,000/month. The $75,000-$200,000 development investment pays back in 2-4 months at this volume.

Yes. Custom platforms can integrate via HL7 FHIR or direct API with any EHR (Epic, Cerner, Athena, eClinicalWorks, etc.). Visit notes, patient data, and scheduling can sync automatically. Teladoc has limited EHR integration options.

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