"After the introduction of the telemedicine service, hospitalization rates declined 9.7 percent among the intervention facilities and 5.3 percent among the comparison facilities ... There was a significant decline in hospitalization rates at facilities that were deemed 'more engaged' with the telemedicine service; hospitalization rates for this group declined 11.3 percent. Based on the reduced hospitalization rates of the more-engaged facilities, Medicare could expect an average of about $151,000 in savings per nursing home per year. The annual cost of the telemedicine service was $30,000 per nursing home, suggesting that there could be $120,000 in net savings per year."