This is going to be commonplace in the next few years in the field of Community Paramedicine. I'm an EMT and work on a 911 ambulance. A very large percent of our calls are for patients that can easily be treated in place, but our scope of practice does not allow us to "treat and release". So we use the most expensive method of transportation (an ambulance) to take a non critical patient (with a problem not an emergency) to the most expensive destination, an emergency room.
A very common example (like DAILY): Mr. Smith is a 72 year old male with congestive heart failure. He was admitted a week ago for treatment and was discharged yesterday morning. He does not have adequate family support, may not have understood his discharge instructions, may not have the ability to obtain or manage his medications, and may not recognize changes in his signs/symptoms that indicate recurrence. Yes, he can obtain SOME in home care, like a visiting nurse, but they are not typically available 24/7 and cannot typically do things like a 12 lead EKG in the field. Any one of the gaps I listed could cause Mr. Smith to be readmitted for the same problem.
Under the Affordable Care Act, if Mr. Smith is readmitted within 30 days, the hospital will not be reimbursed by Medicare. This is HUGE. There is a tremendous financial incentive for hospitals to invest in telemedicine like facetime and Skype to manage these chronic patients (CHF, pneumonia, elder falls, etc) to avoid readmission penalties.