
H.I. Ep. 144 - Sarah Matt, MD: Reimagining Care Delivery: Scaling Health Beyond Geography
Jan 27, 2026
Sarah Matt, MD, a surgeon-turned-health technology strategist and author, outlines her five pillars of access. She talks about telemedicine growth, AI and robotics scaling care beyond geography. The conversation covers rural infrastructure, new workforce roles, reimbursement challenges, and preserving human connection through digital tools.
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Five Pillars Frame Access Problems
- Sarah Matt defines access as five pillars: geography, financial, digital, knowledge and trust, and cultural.
- Any access problem usually maps to one or more of these pillars rather than geography alone.
Video Visit From Norway
- Andrew describes an eye exam where the clinician joined via iPad from Norway and delivered effective care.
- The story shows telemedicine can establish rapport and scale specialist access across geography.
Use Remote Monitoring To Triage Care
- Use RPM and telehealth to monitor chronic conditions so patients can stay home and avoid long drives.
- Set alerts so clinicians can intervene only when data indicates risk, preserving local capacity.




