On 26 January, Health Minister Stéphanie Rist presented the summary of the ‘National Telemedicine
Conference’ and the 2026-2028 roadmap1 . Telemonitoring seems to be conspicuously absent from
these discussions, which are entirely devoted to teleconsultation and tele-expertise. An oversight? No,
rather a reflection of the different stages of development and needs associated with these modalities.
Boosted during the health crisis, teleconsultation has undergone rapid and somewhat empirical
development, to the benefit of specialised private companies. This practice is no longer marginal, as
evidenced by the 14 million teleconsultations in 2025. Telemedicine, on the other hand, has stagnated
at 270,000 procedures. The conference launched in 2025 therefore aimed to better regulate the
growth of teleconsultations and reveal the untapped potential of telemedicine.
Remote monitoring, on the other hand, is distinguished by practices that are already widely described,
regulated and supervised, following a process of continuous improvement.
Regulatory advances for remote monitoring since 2023
Remunerated under common law since 1 July 2023, now in eight indications2 , remote medical
monitoring has since been the subject of further advances. These include flat-rate reassessments and
the inclusion of new activities in the reimbursement scheme, such as:
- Remote monitoring of cardiac prostheses (defibrillators and pacemakers) in February 20243and
implantable cardiac monitors in June 20254,5 . - Remote monitoring of gestational diabetes, with two solutions obtaining reimbursement under their
brand names, one in August and the other in December 20246,7 .
guide to ethical questioning for those involved in remote medical monitoring was published on 22 July
20258,9 .
So, what can we expect from the 2026-2028 telemedicine roadmap?
Improving access to and quality of care, including respiratory care, is one of the objectives shared by
the complementary facets of telemedicine. As such, the roadmap drawn up by the Ministry of Health
is of interest to pulmonologists, who are called upon to practise not only remote monitoring, but also
teleconsultation and/or tele-expertise. The government intends to support the controlled deployment
of the latter two, in line with healthcare needs. To this end, it plans to
make the use of teleconsultation more flexible, through targeted exemptions from the 20% maximum
threshold (for retired or locum doctors, in situations where there is pressure on healthcare provision,
etc.). It also wishes to develop the skills of healthcare professionals in telemedicine and limit abuses
by further regulating the locations where teleconsultation equipment is installed.
A fourth area will draw on the expertise of learned societies to strengthen the role of
telemedicine in the monitoring and care of patients, particularly those with chronic
conditions… A care pathway in which remote monitoring also has an important role to
play.
References :
3. https://www.legifrance.gouv.fr/jorf/id/JORFTEXT000049205222
4. https://www.legifrance.gouv.fr/jorf/id/JORFTEXT000051795508
5. https://www.legifrance.gouv.fr/jorf/id/JORFTEXT000051806217
6. https://www.legifrance.gouv.fr/jorf/id/JORFTEXT000050126205
7. https://www.legifrance.gouv.fr/jorf/id/JORFTEXT000050872057
8. https://esante.gouv.fr/actualites/telesurveillance-medicale-penser-le-soin-distance-avec-ethique
9. See also the Vestalis newsletter dated 16 September 2025: https://vestalis.health/communication/quel-cadreethique-pour-la-telesurveillance