The main directions of social and economic state policy of Russia are fixed in the may Decrees of the President of the Russian Federation, where it is noted that the solution of health care problems, along with education and demography in the digital economy, is one of the priorities. Special emphasis is placed on the development and application of IT-technologies in medicine, allowing expanding the possibility and availability of medical services for the population of our country. In this regard, the problem of human health and its adaptation to the rapidly changing environment becomes even more relevant in the digitized world. The use of IT-technologies and telemedicine is aimed at improving the quality of life of the population, improving the environmental situation in cities, which has a significant impact not only on the overall health and life expectancy of citizens, but also on their psychological state. One of the positive consequences of human inclusion in the digital environment is the possibility of establishing a connection with a medical institution, obtaining medical advice in remote access, as well as the use of robots in the diagnosis of various diseases. The development of communication networks and the digitization of medical services have led to the emergence of cross-border medicine. All of the above mentioned indicates the relevance of the research topic. The purpose of the research is to identify the system of economic and legal problems of telemedicine regulation in the Russian Federation, as well as to develop practical proposals for its improvement. During the study, the authors performed a review of the Federal legislation in the telemedicine, revealed the basic problems of regulation of telemedicine services, investigated the prospects and possibilities of the profound transformation in the areas of health and active longevity, studied the economic and legal risks the introduction of services in the telemedicine, based on which the recommendations for improving the provision of innovative medical services (telemedicine), which in the course of research were brought to practical applications, were developed. It is concluded that the obvious advantages of telemedicine are independence from geographical location, time factor and the ability to access remote information in real time or quickly if necessary. The introduction of such type of medical services as telemedicine requires changes in the regulatory framework and practice of medical care in many countries, including the Russian Federation. The main theoretical provisions and recommendations of practical importance have been brought to the level of concrete proposals that can be implemented by medical institutions of the Russian Federation in order to improve the efficiency of telemedicine development and the use of intellectual property in their activities.