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Livemed — Care, intelligently.
Working Paper Series · 2026

Research on virtual
specialty infrastructure.

Working papers from the Livemed clinical research team. Read inline, explore the interactive figure, or download.

Paper No. 01 · April 2026 · 18 pages

The Geography of Specialty Care

Where virtual specialty care concentrates — and why it matters.

A 24-month descriptive analysis of 6,899 inpatient encounters across 22 rural and critical-access hospitals — establishing where virtual specialty care is actually deployed and which sites absorb the highest share of impact.

6,899
Inpatient encounters
22
Hospitals studied
68%
Volume from 6 sites
70%
Acute care managed locally
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Paper No. 02 · May 2026 · 16 pages

The Specialty Value Multiplier

Specialty access as healthcare infrastructure — the value cascade.

A conceptual framework arguing virtual specialty care is best understood as infrastructure whose value compounds across five domains — clinical, financial, workforce, community, and regional-economic — and a prospective scoring index (SVI) for deployment at any hospital.

5
Compounding value domains
SVI
Specialty deployment index
4
Specialties modeled
40%
Encounters in ID alone
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