The framework of health care delivery has fundamentally changed over the last 8 years with reforms, including the Affordable Care Act, incentivizing the quality and efficiency of care. Cardiovascular care has been at the center of this transformation, with the earliest readmission payment penalties and cost bundling focused on myocardial infarction, heart failure, and revascularization. In addition, electronic health record adoption, reimbursement for chronic care management that is not face-to-face care, and payer risk sharing with accountable care organizations and employers have fostered innovation to develop new care delivery models. The focus to deliver care outside traditional brick-and-mortar settings has been fueled by rapid innovation and economic growth in mobile technology development and consumer adoption. Last year, 64% of individuals in the United States owned a smartphone, and ownership will probably exceed 90% by 2018.¹