Provide critical preventive, primary, and secondary health care services to patients in parts of the country that are either remote and/or not covered by the public healthcare system, offering better access to more specialists regardless of location.

Remote analysis and monitoring services significantly reduce healthcare service costs, saving patients' money, doctors, and insurance companies. Telemedicine also reduces unnecessary non-urgent ER visits and eliminates transportation expenses for regular checkups.

Telemedicine can create efficiencies with staff, and therefore reduce costs while improving the quality of services. It reduces costs by lowering readmission rates as telemedicine leads to increased frequency of consultations with patients who have been discharged (11).

> The decrease in demand for other services such as transportation, local pharmacies, due to changes in the service.

> The face-to-face demand could be relegated to strictly serious things, increasing morality or illness indicators.

> Increase in energy consumption.

Execution risk: >There is a lack of equipment, forms and means of communication, and technical platforms required to develop the infrastructure that guarantees connectivity for the implementation. > Training talent in health informatics and strengthening health personnel's capacities and competencies through virtual platforms is vital for the development of this initiative.

Stakeholder participation risk: > There may be patients who do not feel comfortable with the virtual modality, so there would be a lack of education on the functionalities that this modality can bring. > The Government, together with the National Development Plan, must fulfill its digital transformation initiative. > Enough service providers are needed to meet the demand that is needed in all regions.

Drop off risk: > That the conditions provided by this initiative do not satisfy the medical providers' expectations or conditions, who could leave the service.

External risk: > In many remote rural locations, robust and reliable internet connectivity is not available, making implementation still problematic. > Colombian health system should include this service within what is covered by the subsidized regimen.

Unexpected impact risk: > Weather conditions that hinder infrastructure or internet transmission. For example, strong winds or other natural disasters that damage the connection.

Gender inequality and/or marginalization risk: > Distant or remote communities may have difficulty accessing good connectivity and the necessary tools to make telemedicine appointments.

This initiative intends to provide medicine to underserved communities as a remote medical service to prevent treatable diseases.

(National Development Plan): Improve population's health, guaranteeing high-quality standards and user satisfaction by supporting the implementation of telehealth projects aimed at remote populations and comprehensive treatment healthcare models (19).

(Ten-year Public Health Plan 2012-2021): Seeks to achieve zero tolerance for preventable morbidity, mortality, and disability. The latter refers to health services and the technology necessary for the damage to be preventable (33).

(National Rural Health Plan): Aims to close the gaps in health services between urban and rural areas with a gender focus, prioritization of childhood and old age, social inclusion with people with disabilities, and ethnic focus, among others (34).

Financial incentives: Colciencias launches multiple calls to finance innovation projects to strengthen the health sector through the generation, adaptation, and use of new technologies (23). Funds such as Ewa Capital have invested in remote platforms for health services such as 1DOC3 (4).

Fiscal incentives: Article 9 of Law 100 of 1993 establishes that the resources of social security institutions in health may not be allocated or used for purposes other than it. The resources of the social security system in health are parafiscal income because they are contributions that have a specific sector of the population as a taxpayer and are destined for their benefit.

(Law 1955 of 2019): MinSalud must promote the management of the provision of health services, through advances and improvements in connectivity in remote areas of the country, in coordination with the guidelines of MinTIC (e.g., telehealth programs)(20)

(Law 1419 of 2010): aims to develop Telehealth in Colombia, in support of the General Social Security System, under the principles of efficiency, universality, solidarity, integrity, and quality (21).

(Decree 1848 of 2017): establishes a unique qualification system for indigenous EPS, which includes the set of requirements and procedures that determine the administrative, scientific, technical, cultural, and financial conditions, to guarantee access to health services with a differential approach to their affiliates, attending to the socio-cultural and geographical particularities of indigenous peoples.

Teletropic is a web-access platform that provides telemedicine services. It is a start-up that won the Emprende con Datos competition, a project led by MinTic and RutaN (22). Health-tech funding and start-ups have skyrocketed in LatAm: between 2014 and 2019, the number of health start-ups jumped from 160 to 389 in the region (24). Bive.co is a low-cost annual membership that allows families to access particular health services efficiently (25).

MinSalud published the guidelines for implementing telehealth activities, including care in the modality of telemedicine and tele-orientation in the context of COVID-19 for Health Service Providers.

UNICEF has adapted and expanded its digital platforms for communication, monitoring, and remote programming. These platforms include virtual learning courses, educational sessions on radio and television, telemedicine services, among others (12).