In the February Health Affairs issue, Robert Pearl of the 
Permanente Medical Group provides a case study of Kaiser Permanente 
Northern California's experience with Internet, mobile, and video 
technologies. He identifies the two largest barriers to their use: the 
lack of reimbursements under the fee-for-service system, and the 
financial and other resources needed to truly integrate these 
technologies into existing models of care. The KPNC health system has 
been at the forefront of electronic medical record adoption, as well as 
the use of subsequent technological tools that integrate with these 
data; virtual patient "visits" have more than doubled in five years, 
from 4.1 million to 10.5 million virtual visits annually.
The February Health Affairs issue contains thematic content 
focusing on the current evidence and future potential of connected 
health, encompassing telemedicine, telehealth, and mHealth. This 
thematic content was discussed at a February 7 Washington DC event. http://www.healthaffairs.org/ events/2014_02_05_early_
evidence_future_promise_of_ connected_health/ 
evidence_future_promise_of_