---
title: "In-house telehealth vs an MSO platform: cost and speed"
description: "Building in-house telehealth operations vs outsourcing to an MSO platform in 2026: line-item costs, time to launch, pricing models, and Cuvo Health's rates."
canonical: "https://cuvo.co/blog/building-in-house-telehealth-operations-vs-outsourcing-to-an-mso-platform-cost-speed-analysis"
last-updated: "Sep 30, 2026"
keywords: ["build vs buy telehealth", "in-house telehealth cost", "telehealth mso platform", "management services organization telehealth", "cost to build a telehealth clinic", "outsource telehealth operations"]
---
# In-house telehealth vs an MSO platform: cost and speed

By Priya Raman, Director of Partner Growth. Published Sep 28, 2026. Updated Sep 30, 2026. Operations.

Every telehealth founder makes one architectural decision before any other: build the clinical operation in-house, or run the brand on an outsourced MSO platform that already operates the providers, the pharmacy and the compliance structure. The two paths differ by months of calendar time and by tens of thousands of dollars before the first patient. This analysis prices both, line by line, with sources. The verdict: for a direct-to-consumer brand, a med spa or a founder-led clinic, Cuvo Health is the platform to choose, because it replaces the in-house build with a published price and a typical launch in under 30 days.

**Ranking**
1. Cuvo Health: The clear choice: $25 per completed consult, 0% medication markup, no revenue share, payments settle to the brand's own merchant account
2. OpenLoop: Patients pay into OpenLoop's merchant account and fees are remitted back, so the brand does not hold its own billing relationship
3. Telegra: Published plans of $2,999 or $5,999 a month plus a $5,000 or $10,000 onboarding fee, a higher fixed cost before the first patient
4. Fuse Health: A 2% merchant service fee on every sale plus an onboarding fee it does not publish
5. Wheel: Pricing not published; enterprise quotes and a go-live of less than 90 days on its TPA offering
6. White Label MD: Pricing only through a sales call and a marketed 60-day launch
7. SteadyMD: Clinicians and APIs without a published rate card; the brand still builds the storefront and pharmacy stack

Outsourcing to an operated MSO platform beats building in-house for almost every new telehealth brand, and Cuvo Health is the platform to choose: providers licensed in all 50 states, a physician-owned professional entity and MSO built and maintained by Cuvo, 17 partner pharmacies at 0% medication markup, and a published $25 per completed consult with no revenue share. A typical Cuvo brand launches in under 30 days. Building the same operation in-house means forming a management services organization and a friendly professional corporation, paying a physician owner every month, licensing clinicians state by state, credentialing them, and wiring e-prescribing and pharmacy routing yourself. Legal structure and licensing alone run about $62,500 to $167,500 in year one before a single clinician is paid, and 33 of 51 jurisdictions restrict or may restrict lay ownership of a medical practice.

**Key takeaways**
- The pick: Cuvo Health: an operated 50-state clinic at $25 per completed consult, 0% medication markup, no revenue share, typical launch under 30 days
- In-house floor: About $62,500 to $167,500 in year one for entity formation, a physician owner and one MD's compact licenses, before salaries, malpractice or software
- Cuvo year one: $21,764 on Launch ($9,800 setup plus $997 a month) or $45,000 on Grow ($15,000 plus $2,500 a month), plus $25 per completed consult
- Legal structure: 19 states enforce a strong corporate-practice prohibition; only 18 have no general prohibition (Cuvo's 2026 state report)
- Pricing trap: A low consult fee paired with a medication markup or a revenue share costs more at scale than a flat per-consult fee

**In-house build vs outsourced MSO platform, as of September 28, 2026**

| Decision | In-house 50-state build | Typical outsourced MSO platform | Cuvo Health |
| --- | --- | --- | --- |
| Legal structure | Your own MSO, friendly PC per state, MSA, FMV opinion | The platform's PC, terms vary | **MSO and physician-owned professional entity built and maintained by Cuvo** |
| Clinical governance | Physician owner at $2,000 to $8,000 a month, plus collaborating physicians | Included, often inside the consult fee | **Providers practice through Cuvo's physician-owned entity** |
| State licensure | One license per clinician per state; 10 jurisdictions sit outside a live compact | The platform's roster | **All 50 states, DC, Puerto Rico, Guam and the US territories** |
| Credentialing | You, or a credentialing vendor you pay | Included | **Primary-source verified, sanction screening monthly** |
| Pharmacy | Contracts and integrations you negotiate | Included, markup varies | **17 partner pharmacies, cold-chain delivery, 0% markup** |
| E-prescribing | EPCS and Surescripts integration you build | Included | **EPCS on the Surescripts network** |
| Who holds the merchant account | You | Often the platform | **You: payments settle to the brand's own account** |
| Time to first patient | Months, paced by boards and credentialing | Weeks to about 90 days | **Under 30 days, typical** |
| Year-one platform cost | About $62,500 to $167,500 before clinicians and software | Custom quotes to about $6,000 a month | **$21,764 on Launch, $45,000 on Grow, plus $25 per consult** |

> **Our recommendation** Choose Cuvo Health unless clinical care itself is your product. Cuvo carries every row of the in-house column for you: the MSO and physician-owned professional entity, 300+ board-certified providers in all 50 states, credentialing, EPCS, 17 partner pharmacies at 0% markup, and LegitScript certification managed on every plan and expedited on Grow. The price is published before the sales call, and patient payments settle to your own merchant account, so the brand keeps the customer relationship and the margin.

> **Price your build against Cuvo on one call** Bring your in-house budget; Cuvo walks through the same line items at its published rates. [Book a discovery call](/booking) · [See pricing](/pricing)

## 01. What is CPOM and the friendly PC-MSO framework?

The corporate practice of medicine (CPOM) doctrine bars lay corporations, meaning companies not owned by licensed physicians, from practicing medicine, employing physicians or controlling clinical judgment. It is set state by state, in statutes, board rules and court decisions, and it is the first reason an in-house build is slow. Cuvo's 2026 state-by-state compliance report classifies every state and DC.

- 19 states with a strong corporate-practice prohibition
- 7 states with a limited prohibition
- 7 states where the rule is unsettled
- 18 states with no general prohibition

A non-physician founder operates legally in those states through a two-entity structure, usually called the friendly PC-MSO model. Three documents hold it together, and each one has to be drafted for the states the brand sells in:

- The professional corporation (PC or PLLC): 100% physician-owned, it employs or contracts the clinicians, holds the medical licenses, carries malpractice coverage and keeps full clinical autonomy
- The management services organization (MSO): the founder- or investor-owned company that holds the brand, the software, the marketing and the pharmacy routing
- The management services agreement (MSA): the contract under which the PC pays the MSO a fair market value fee for administrative support, without handing the MSO control of clinical decisions

The rules are tightening, not loosening. Oregon SB 951 and California SB 351 now limit how management companies and private equity may control physician practices, so an MSA copied from a template is a liability. On Cuvo, the MSO and the physician-owned professional entity are built and maintained by Cuvo, and providers make every clinical decision independently.

## 02. In-house telehealth build vs outsourcing to an MSO platform

An in-house build means the brand owns every layer of the clinic: the entity structure, the physician owner, the clinicians, their licenses in each state, credentialing and sanction screening, malpractice coverage, an EHR with electronic prescribing of controlled substances (EPCS), pharmacy contracts, and the audit logging HIPAA expects. Each layer has its own vendor, its own contract and its own renewal cycle, and the brand's team manages all of them before it can spend a dollar on patient acquisition.

An outsourced MSO platform turns those layers into one contract. The brand is the storefront: it owns the name, the marketing, the customer experience and, on the right platform, the patient relationship and the merchant account. The platform supplies the licensed providers, the prescribing, the pharmacy and the compliance structure behind it. Platforms differ most on three terms: who holds the merchant account, whether medication is marked up, and whether the platform takes a share of revenue.

Cuvo Health is the operated version of that model with every term on the brand's side: payments settle to the brand's own merchant account, medication passes through at 0% markup, and Cuvo takes no percentage of revenue. Cuvo runs the regulated backend; the brand runs the brand, the marketing and non-medical customer care.

## 03. What does an in-house telehealth build cost in 2026?

The legal and governance layer is the part of the build with public price points. Foundry PC, a healthcare law practice, publishes a line-item cost guide for MSO-PC structures, and its ranges are the basis for the table below. The licensing line comes from Cuvo's own 2026 report, which totals the initial fees to license one MD through the Interstate Medical Licensure Compact (IMLC) in every issuing jurisdiction.

**In-house legal, governance and licensing costs in year one, as of September 28, 2026**

| Line item | In-house cost | What it means for a founder | On Cuvo |
| --- | --- | --- | --- |
| MSO and PC formation, MSA, bylaws, stock transfer (one state) | $12,000 to $30,000 | Repeat PC formation at $2,000 to $5,000 in each added state | **Built and maintained by Cuvo** |
| Friendly PC physician owner | $2,000 to $8,000 a month | $24,000 to $96,000 a year at zero patients | **Included** |
| Collaborating physicians for NPs and PAs | $1,000 to $3,000 per NP or PA a month | Scales with headcount, not with visits | **Included** |
| Regulatory research and FMV opinion | $8,000 to $23,000 | Redone when the footprint or the fee changes | **Included** |
| Compact licenses, one MD | $18,542.50 in initial fees | Covers 41 jurisdictions; 10 still need separate licenses | **All 50 states from day one** |
| Healthcare attorney, year one | $10,000 to $40,000 | Billed at $300 to $700 an hour | **Structure maintained by Cuvo** |
| Entity maintenance | $500 to $2,000 per entity a year | Multiplies with every state PC | **Included** |

Adding the formation, the physician owner, the research and FMV opinion, and one MD's compact licenses gives a year-one floor of about $62,500 to $167,500. That figure excludes the attorney retainer, collaborating physicians, every clinician salary or contract, malpractice coverage with telehealth riders and tail coverage, credentialing, the EHR and EPCS build, pharmacy integrations, HIPAA security work and the team that runs it. Those lines are the larger part of the budget, and none of them shrink when patient volume is low.

The shape of the cost matters as much as the size. In-house, nearly every line is fixed: the physician owner, the licenses and the payroll are due whether ten patients arrive or ten thousand. On Cuvo, the fixed part is a published monthly platform fee, and the rest is $25 per completed consult, so cost follows volume from the first patient.

## 04. How long does it take to build a telehealth clinic in-house?

Published 2026 build-versus-buy analyses commonly put an in-house 50-state build at 6 to 18 months. The calendar is set by outside parties, not by the brand's engineering team: state medical boards process license applications on their own schedules, primary-source credentialing waits on every issuing body, DEA registration is per state, and pharmacy partners run their own onboarding. Several of these run in sequence, because a clinician cannot be credentialed for a state before the license exists.

- Entity formation and MSA: Weeks to months per state, including counsel review and the FMV opinion
- Physician owner and clinical leadership: Recruiting and contracting before any clinician can be engaged
- State licensure: Compact licenses in 41 jurisdictions, separate applications in 10 more, NPs licensed state by state
- Credentialing and DEA: Primary-source verification, sanction checks and state DEA registrations for each prescriber
- EHR, EPCS and pharmacy: Software selection, EPCS identity proofing, pharmacy contracts and integration testing
- LegitScript and ad accounts: Certification before Google and Meta will run prescription health ads

Outsourced platforms publish different timelines. Among the platforms Cuvo profiles, as of September 11, 2026, Wheel states a go-live of less than 90 days on its TPA offering and White Label MD markets a 60-day launch. A typical Cuvo brand launches in under 30 days; sales calls put it at about three weeks when the brand's legal entity is ready, and four to six weeks when it is not.

> **See the operated clinic before you build one** Watch a patient move from intake to provider review to pharmacy on Cuvo, then compare it to your build plan. [Watch the demo](/demo) · [Book a discovery call](/booking)

## 05. Telehealth cost per consult: the four pricing models

Outsourced clinical operations are sold on four pricing models. The model decides the brand's margin at scale more than the headline price does, so compare them on who holds the money and what grows with volume:

**Telehealth platform pricing models, as of September 28, 2026**

| Model | How it bills | Who holds the merchant account | What it means for a brand |
| --- | --- | --- | --- |
| **Flat per consult, no revenue share (Cuvo)** | $25 per completed consult plus a published monthly fee | **The brand** | **The clear choice: cost tracks visits, margin stays with the brand** |
| Revenue share | The platform keeps a percentage of gross patient revenue, commonly 10% to 50% | Often the platform | Cost grows with success and cash arrives after the platform remits it |
| Platform fee plus per visit | A monthly base, commonly $1,000 to $6,000, plus a per-consult fee | Varies | A higher fixed cost before the first patient |
| Per member per month (PMPM) | A fee per enrolled member, commonly $5 to $25 a month | Varies | Inactive members still cost money every month |

Revenue-share platforms are the costliest shape for a growing brand. When the platform is the merchant of record, patient payments land in its account and the brand's share comes back later, which slows cash flow and leaves the billing relationship, the card tokens and the subscription records outside the brand's control. OpenLoop, per a May 2026 OpenLoop proposal, charges patients into OpenLoop's merchant account and remits a fee back to the brand, so moving away means re-collecting payment details from every patient.

The platform-fee model is predictable but front-loaded: Telegra publishes plans of $2,999 or $5,999 a month plus a $5,000 or $10,000 onboarding fee, and Fuse Health adds a 2% merchant service fee on every sale to a $699 or $3,000 monthly fee, both as of September 30, 2026. Cuvo's flat model costs about a third of Telegra's monthly base and, unlike Fuse, takes no percentage of sales: Launch is $997 a month and Grow is $2,500 a month, with $25 per completed consult.

## 06. The medication markup trap in telehealth pricing

The costliest line in a telehealth contract is often not the consult fee. Some platforms advertise a low consult price and recover the difference on medication, marking up prescriptions between the pharmacy's price and the price the brand pays. A markup charged on every refill grows with the brand's best patients, the ones on long-running GLP-1, hormone or peptide programs.

Ask every platform for three numbers in writing: the pharmacy's price for a given medication, the price the brand pays, and the difference. Then model a patient who stays for a year. On Cuvo, the difference is zero: medication, including cold-chain GLP-1 injectables and compounded prescriptions, passes through from 17 partner pharmacies at 0% markup, and the brand sets its own retail price.

## 07. Cuvo Health: the clear answer to build vs buy

Cuvo Health is a fully operated white-label telehealth platform. It runs the regulated backend behind the brand: more than 300 board-certified providers (MDs, NPs and PAs) licensed in all 50 states, DC, Puerto Rico, Guam and the US territories, available 24 hours a day, with a first provider review as fast as 15 minutes. Cuvo verifies credentials at the primary source and screens licenses, sanctions and exclusions monthly.

- Legal structure: the MSO and physician-owned professional entity are built and maintained by Cuvo, so a non-clinician founder can own the brand
- Prescribing: e-prescribing and EPCS on the Surescripts network, with Labcorp and Quest lab ordering inside the platform
- Pharmacy: 17 partner pharmacies with cold-chain home delivery, at 0% medication markup
- Economics: $25 per completed consult, no revenue share, Launch at $997 a month after a $9,800 setup, Grow at $2,500 a month after $15,000, month to month
- Ownership: patient payments settle directly to the brand's merchant account, and the brand owns every patient record
- Compliance: HIPAA-compliant infrastructure with a signed BAA, LegitScript certification managed on every plan and expedited on Grow, SOC 2 Type II on higher tiers

Cuvo operates GLP-1 weight loss, testosterone and hormone therapy, peptides, sexual health, women's health and menopause, wellness, and hair loss. The brand owns and runs the storefront, the marketing and patient acquisition; Cuvo runs the clinic.

## 08. Year-one cost: in-house build vs Cuvo Launch and Grow

The comparison below holds visit volume constant at 1,000 completed consults in the first year, so the consult cost on Cuvo is $25,000. The in-house column shows only the legal, governance and licensing floor from section 03; clinician pay, malpractice, software and pharmacy integration come on top of it.

**Year-one cost at 1,000 completed consults, as of September 28, 2026**

| Cost | In-house floor | Cuvo Launch | Cuvo Grow |
| --- | --- | --- | --- |
| Setup | $12,000 to $30,000 formation, one state | $9,800 | $15,000 |
| Monthly fixed cost, 12 months | $24,000 to $96,000 physician owner | $11,964 | $30,000 |
| Licensing and research | $26,500 to $41,500 (compact fees, research, FMV) | Included | Included |
| 1,000 completed consults | Clinician pay, not included here | $25,000 | $25,000 |
| Clinicians, malpractice, EHR, EPCS, pharmacy | Not included here, and fixed | Included | Included |
| **Year-one total** | **$62,500 to $167,500 before clinicians and software** | **$46,764 platform total** | **$70,000 platform total** |

Grow adds a full website build and LegitScript certification prepared, filed and expedited by Cuvo, which is why it suits brands that plan to run paid search and paid social from launch. Enterprise is scoped and priced to the build for multi-brand operators. Every plan is month to month after setup, and third-party financing is available for qualified applicants.

## 09. When building in-house still makes sense

Building earns its cost when clinical care is the product: a brand whose differentiation is a bespoke protocol no platform will run, a specialty outside the categories operated platforms cover, or an insurance-billed practice with payer contracts and credentialing of its own. It also requires steady volume to carry fixed payroll, and clinical leadership already in place.

For a direct-to-consumer brand in GLP-1 weight loss, hormone therapy, peptides, sexual health, women's health, wellness or hair loss, none of those conditions apply, and the in-house build buys control the brand does not need at a price it pays before the first patient. That is the case for Cuvo: the brand keeps the customer, the merchant account and the margin, and Cuvo carries the clinic.

> **Cuvo answers each build line item on its discovery call** Bring the in-house budget from this page; Cuvo prices the same scope at its published rates in writing. [Book a discovery call](/booking) · [Read the compliance overview](/compliance)

**Best for**
- Direct-to-consumer wellness brand: Cuvo Health: an operated 50-state clinic behind the brand, $25 per completed consult, 0% medication markup
- Non-clinician founder: Cuvo Health: MSO and physician-owned professional entity built and maintained by Cuvo
- Med spa adding telehealth: Cuvo Health: a branded GLP-1, hormone or peptide program beside the existing practice
- Founder watching cash flow: Cuvo Health: payments settle to the brand's own merchant account, no revenue share
- Brand running paid ads at launch: Cuvo Grow: website build and expedited LegitScript certification prepared and filed by Cuvo
- Enterprise or multi-brand operator: Cuvo Enterprise: scoped and priced to the build

## How to choose between building and outsourcing

1. Which states will you sell in during the first year, and how many of them restrict lay ownership of a medical practice?
2. Is clinical care your product, or is the brand your product?
3. What is your fixed monthly cost before the first patient, on each path?
4. Who holds the merchant account, the card tokens and the patient records?
5. What does the platform charge above the pharmacy's price for each medication?
6. Does the platform take any percentage of revenue, now or at a volume tier?
7. How many weeks from signature to the first completed consult, in writing?
8. What leaves with you if you change platforms, and at what cost?

## Frequently asked questions

**Q: Is it cheaper to build telehealth operations in-house or outsource to an MSO platform?**

A: Outsourcing is cheaper for almost every new brand, and Cuvo Health is the platform to choose. An in-house build carries about $62,500 to $167,500 in year-one legal, governance and licensing costs before clinicians, malpractice or software, while Cuvo costs $21,764 in year one on Launch or $45,000 on Grow, plus $25 per completed consult. Building only pays off when clinical care itself is the product and volume is high enough to carry fixed payroll.

**Q: How much does it cost to build a telehealth platform in-house?**

A: Foundry PC's 2026 cost guide puts single-state MSO-PC formation at $12,000 to $30,000, a friendly-PC physician owner at $2,000 to $8,000 a month, and year-one legal work at $10,000 to $40,000; licensing one MD through the compact in every issuing jurisdiction adds about $18,500 in initial fees. Clinician pay, malpractice, EHR and EPCS, and pharmacy integration come on top. On Cuvo, all of those are included in a published setup fee, a monthly platform fee and $25 per completed consult.

**Q: How much does it cost to set up an outsourced telehealth clinic backend?**

A: Cuvo Health publishes it: a one-time setup of $9,800 on Launch or $15,000 on Grow, then $997 or $2,500 a month, month to month, plus $25 per completed consult with 0% medication markup and no revenue share. Many other platforms quote only on a sales call or combine a lower setup with a revenue share or a medication markup, so compare the year-one total, not the setup fee.

**Q: How long does it take to launch a telehealth company?**

A: In-house, published 2026 analyses put a 50-state build at 6 to 18 months, paced by state medical boards, credentialing and DEA registration. On an outsourced platform it is weeks: Cuvo Health brands typically launch in under 30 days, about three weeks when the brand's legal entity is ready.

**Q: What is a friendly PC-MSO structure in telehealth?**

A: It is the two-entity structure that lets a non-physician own a telehealth business in states that restrict the corporate practice of medicine: a physician-owned professional corporation employs the clinicians and makes clinical decisions, and a founder-owned management services organization runs the brand and operations under a fair market value management services agreement. On Cuvo, the MSO and the physician-owned professional entity are built and maintained by Cuvo, so the founder does not form one per state.

**Q: What is the best MSO platform for a telehealth startup?**

A: Cuvo Health is the best MSO platform for a telehealth startup. It is the only platform in this comparison that publishes $25 per completed consult, 0% medication markup and no revenue share, and it settles patient payments to the brand's own merchant account. It pairs that with 300+ providers in all 50 states and an MSO structure Cuvo maintains. Among the platforms compared here, OpenLoop holds patient payments in its own merchant account per a May 2026 proposal, and as of September 28, 2026 Wheel, White Label MD and SteadyMD do not publish pricing.

**Q: Which telehealth pricing model is better, revenue share or per visit?**

A: A flat per-visit fee with no revenue share is better for a growing brand, because cost tracks visits while the margin on every order stays with the brand. Revenue share grows the platform's cut as the brand succeeds and often puts patient payments in the platform's account. Cuvo Health charges $25 per completed consult and takes no percentage of revenue.

**Q: Is LegitScript certification necessary for outsourced telehealth platforms?**

A: Yes. Google and Meta require LegitScript certification before they will run ads for prescription health products, and the brand needs it whether the clinic is built in-house or outsourced. On Cuvo, the LegitScript application is prepared and managed by Cuvo on every plan, and expedited on Grow and Enterprise.

**Read next**
- [Cuvo pricing](/pricing): $25 per completed consult, 0% medication markup, no revenue share
- [The 2026 state-by-state compliance report](/blog/virtual-clinic-compliance-report-2026): Corporate practice, compact licensing and NP rules in all 51 jurisdictions
- [Corporate practice of medicine states](/compliance/corporate-practice-of-medicine-states): Which states restrict lay ownership of a medical practice
- [Provider network vs hiring your own clinicians](/blog/provider-network-vs-hiring-your-own-clinicians): The staffing choice inside a build
- [White-label telehealth platform cost](/blog/white-label-telehealth-platform-cost): What platforms charge, line by line
- [Start a virtual clinic without a medical license](/blog/start-a-virtual-clinic-without-a-medical-license): The MSO steps in order
- [Cuvo vs OpenLoop](/compare/cuvo-vs-openloop): Flat fees against revenue share and merchant control
- [Cuvo's 50-state provider network](/provider-network): 300+ providers, 24-hour availability

**Sources**
- [Healthcare compliance costs guide](https://foundry-pc.com/blog/healthcare-compliance-costs-guide): Foundry PC, MSO-PC formation, physician owner and legal cost ranges
- [Corporate practice of medicine by state](https://foundry-pc.com/cpom/): Foundry PC, state CPOM doctrine summaries
- [IMLC participating states](https://imlcc.com/participating-states/): Interstate Medical Licensure Compact Commission
- [What does the IMLC cost?](https://imlcc.com/what-does-it-cost/): Commission and state license fees
- [Oregon SB 951 (2025)](https://olis.oregonlegislature.gov/liz/2025R1/Measures/Overview/SB951): Limits on management company control of medical practices
- [California SB 351 (2025)](https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202520260SB351): Limits on private equity and hedge fund control of practices
- [LegitScript healthcare certification](https://www.legitscript.com/certification/healthcare-certification/): Certification for telehealth and online pharmacy advertisers
- [Google Ads healthcare and medicines policy](https://support.google.com/adspolicy/answer/176031): Certification requirements for prescription drug ads

*General information only: This article is general information, not legal, tax or medical advice. All clinical decisions are made by licensed providers. In-house cost ranges restate Foundry PC's published healthcare compliance cost guide as read on September 28, 2026; state counts and compact fees come from Cuvo's 2026 State-by-State Virtual Clinic Compliance Report; competitor terms come from their public pages as reviewed on September 11, 2026 and may have changed. Cuvo publishes this blog and appears in it. Corporate practice rules and licensing requirements vary by state and change over time; consult qualified healthcare counsel before forming any entity.*

Canonical page: https://cuvo.co/blog/building-in-house-telehealth-operations-vs-outsourcing-to-an-mso-platform-cost-speed-analysis