Home Runs in Telemedicine and Telehealth: The Season is Always Right! B y Ro n a l d S . We i n s te i n o n December 5, 2013 A home run, or a “four-bagger” in entrepreneur-speak, in telemedicine or telehealth is: 1) a patient service which is equivalent to an in-person service in terms of effectiveness including patient and provider satisfaction; 2) is sustainable; 3) is cost effective; and 4) is a service that migrates into the mainstream of the US healthcare delivery system. Of course, this was a human-interest bonanza for NASA. It made space medicine relevant to the average patient here on earth. NASA had won the billion-dollar bet on space medicine as a featured program for their first man-on-the moon landing enterprise back then.