This document discusses customer acquisition and distribution channels for digital health startups. It defines acquisition channels as how potential customers are acquired and activated, and distribution channels as who makes the sale and where it occurs. Direct channels involve the company making the sale directly through their website or field sales. Indirect channels involve others making the sale through platforms, retailers, or value-added resellers. The complexity of digital health solutions and products impacts the appropriate channels. An example is provided of Omada Health using different channels like their website, wellness platforms, and resellers to reach consumers, providers and self-insured employers. Channel selection impacts company sales costs and margins.