How to Launch a Teleradiology Practice with Cloud-Native PACS (US, UK, APAC)

The growing demand for specialised radiology services presents a clear business opportunity. However, the traditional path to launching a teleradiology practice has been blocked by significant capital outlay for on-premise servers and complex IT management.

While many vendors now offer “cloud” solutions, a critical distinction exists. Many are simply legacy, on-premise software hosted on a remote server (“cloud-hosted”). A true cloud-native PACS is built from the ground up for the web, offering fundamental advantages in cost, scale, and flexibility. This guide provides a pragmatic framework for leveraging a cloud-native platform to launch your practice efficiently and with lower risk.

The largest initial barrier for any new practice is capital expenditure. Traditional PACS requires purchasing, installing, and maintaining expensive physical servers and storage. This model locks up capital in depreciating assets before you generate revenue.

A cloud-native approach fundamentally changes this financial model by converting a large capital expense (CAPEX) into a predictable operational expense (OPEX). This shift enables new teleradiology companies to reach profitability faster—with lower upfront risk.

Crucially, AdvaPACS’s pay-per-study model differs from many “cloud-hosted” vendors who still charge high fixed monthly fees regardless of your study volume. With our model, your costs scale directly with your business activity.

Growth should be a strategic opportunity, not an IT project. With legacy systems, adding a new hospital client or expanding your radiologist team involves a slow and expensive process of purchasing new server capacity and user software licences.

A cloud-native architecture is designed for elasticity. As your study volume grows or you onboard new clients, the platform’s resources expand automatically. This includes unlimited user accounts for radiologists and referrers with our zero-footprint viewer—a feature that eliminates the per-seat licensing fees common with other vendors. This allows you to scale your operations without financial penalties or technical delays.

For any teleradiology practice, data security and system uptime are paramount. Managing this in-house is a significant operational burden that requires specialised, costly IT resources.

A key advantage of a cloud-native platform is its foundation on enterprise-grade infrastructure like Amazon Web Services (AWS). This means your practice is protected by a level of security and compliance auditing that is typically reserved for large-scale enterprises.

• Compliance Ready: Our platform helps you meet standards like HIPAA (US) and GDPR (UK/EU).
• Business Continuity: All data is automatically replicated across three distinct geographical locations. This provides robust disaster recovery without any additional configuration or cost.

The success of a teleradiology practice depends on the efficiency of its radiologists. Providing secure, reliable, and fast access to imaging studies is a core operational requirement.

AdvaPACS’s zero-footprint web viewer allows your radiologists to report from any location using a standard web browser. There is no software to install, update, or maintain on local workstations. This simplifies onboarding new team members and enables you to build a team of specialised radiologists, regardless of their location, without technical friction.

Launching a teleradiology practice with a cloud-native strategy is not about hype; it’s about making a sound business decision that lowers financial risk and creates a more agile, scalable foundation. By removing hardware dependency and shifting to a true operational cost model, you can focus capital and resources on business development and patient care.

• Validate your business model without factoring in major hardware costs.
• Plan for growth with a system that offers unlimited user accounts and scalable storage.
• Offload complex security and IT management to a trusted cloud-native platform.
• Recruit top radiologists from anywhere by using a high-performance, zero-footprint viewer.

See how AdvaPACS can serve as your technical and financial foundation. Schedule a personalised demonstration with one of our product specialists to explore the platform’s capabilities.