At the start of the COVID-19 pandemic, most U.S. health systems scrambled to assemble telehealth capabilities to safely serve patients. The fixes they found were often pricey and weren’t designed to be long-term solutions for virtual care. Now, consumers are familiar with telehealth—and it’s popular. As midsized healthcare systems devise their long-term virtual care approaches, they should consider the regulatory and cybersecurity landscape, account for efficient payment methods and enter smart partnerships with valuable vendors.