Acute Care Chronic Condition In the News Medicare Advantage Policy
- Sage Journals: Short-Term Impact of Remote Patient Monitoring on Total Cost of Care Among High-Acuity Medicare Beneficiaries: A Retrospective Pre–Post Cohort AnalysisHigh-acuity Medicare beneficiaries with annual expenditures exceeding $12,000 disproportionately drive the total cost of care (TCOC) through preventable acute utilization and are natural candidates for value-based and shared savings arrangements. This study found short-term RPM participation was associated with substantial reductions in TCOC and acute utilization among high-acuity Medicare beneficiaries, supporting RPM as a viable… Read more: Sage Journals: Short-Term Impact of Remote Patient Monitoring on Total Cost of Care Among High-Acuity Medicare Beneficiaries: A Retrospective Pre–Post Cohort Analysis
- Mayo Clinic Proceedings: The Impact of a Remote Patient Care Program on Health Care Costs and Utilization Among Medicare Patients With Chronic DiseaseRemote patient monitoring coupled with technology-enabled, guideline-directed clinical care—or remote patient care (RPC)—has consistently led to improved outcomes for Medicare patients with chronic diseases. This retrospective analysis included patients enrolled into an RPC program from July 1, 2022 to October 31, 2023 from primary care and cardiology clinics across 15 states. Findings:
- HealthSnap: RPM and CCM Are Improving Cardiology Patient OutcomesAcross large, real-world populations with diabetes, hypertension, and obesity, participation in RPM has produced substantial and sustained clinical improvements – reductions in TCOC and physiological measures, such as fasting blood glucose, systolic and diastolic blood pressure, and meaningful weight loss. These improvements scale with both engagement intensity and program duration. Findings suggest that RPM functions… Read more: HealthSnap: RPM and CCM Are Improving Cardiology Patient Outcomes
- Nursing Stress and Burnout re Patient Monitoring and RRT Events
- Continuous Trending of Vital Signs Reduces Nursing Workload and Improves Response Times in Hospitalized Patients
- Hospital Telemetry is Inappropriately Applied to 30-50% of Patients
- Sleep Disruption from Manual Vital Sign Measurements is Harmful to Patients
- Continuous Trending is Superior to Threshold Alerting
- Continuous Monitoring is Superior to Spot Check Intermittent Vital Signs
- What Vital Sign is the Best Predictor of Early Deterioration?
- NEJM Catalyst: Scaling Remote Patient Care: The Mechanics of a Paradigm Shift in Chronic Disease ManagementComprehensive remote patient monitoring — coupled with technology-enabled, guideline-directed medical therapy through remote patient care (RPC) — has the potential to fill this gap by enabling continuous, real-time vitals monitoring and timely clinical care outside of the traditional health care environment. Providence co-developed such a program with Cadence, which provides RPC for patients with hypertension,… Read more: NEJM Catalyst: Scaling Remote Patient Care: The Mechanics of a Paradigm Shift in Chronic Disease Management
- RPM Policy Clinical Evidence
- JACC: Clinical and Engagement Results of a Nationwide Comprehensive Remote Patient Care Hypertension ProgramA technology-enabled RPC provider enrolled patients into an RPC hypertension program from February 2022 to June 2024. Using vitals automatically transmitted from a cellular-enabled blood pressure (BP) cuff and scheduled visits, clinicians leveraged technology-enabled clinical protocols to drive engagement and improve hypertension control. The analysis found:
- CoachCare: Case Study: Impact of Remote Patient Monitoring on Blood Pressure ControlThis study evaluated the effect of a remote patient monitoring (RPM) program along with care plan changes, including lifestyle and medication, on blood pressure control in hypertensive adults. Results show that adding RPM to standard medical care for hypertensive patients improves blood pressure control across ages and genders. RPM greatly reduced the likelihood of cardiovascular… Read more: CoachCare: Case Study: Impact of Remote Patient Monitoring on Blood Pressure Control
- HealthSnap: Continuous Remote Patient Monitoring as a Scalable InterventionThis study by HealthSnap examined patients with uncontrolled high blood pressure who had been enrolled in RPM programs and transmitted data for at least 16 out of a 30-day period. Patients received education and support from licensed clinical staff, who reviewed readings, engaged patients in real time conversations, and reinforced care plan adherence. Patients with… Read more: HealthSnap: Continuous Remote Patient Monitoring as a Scalable Intervention
- American Journal of Managed Care: Effect of Remote Patient Monitoring on Stage 2 HypertensionThis study demonstrates the association between remote patient monitoring (RPM) with care coaching and a significant reduction in high blood pressure in Medicare patients. Hypertension remains a significant public health concern worldwide, contributing to a substantial burden of cardiovascular disease and related mortality and leading to an annual health care cost of approximately $131 billion… Read more: American Journal of Managed Care: Effect of Remote Patient Monitoring on Stage 2 Hypertension
- Telemedicine and e-Health: Impact of a Large-Scale Remote Patient Monitoring Program on Hospitalization ReductionA study from the University of Michigan found that hospitalizations dropped by more than half (59%) among such patients in the following six months after they took part in a remote patient monitoring program while at home. Each patient received a kit of devices to take their temperature, blood pressure, blood oxygen and weight, and… Read more: Telemedicine and e-Health: Impact of a Large-Scale Remote Patient Monitoring Program on Hospitalization Reduction
- Best Buy Health: Case Study: How Geisinger Transformed Hypertension Care with Remote Patient Monitoring and Pharmacist SupportBeat Buy Health published a case study about Geisinger, a health care organization based in Danville, Pennsylvania, known for its innovative approaches to patient care. Geisinger has been offering RPM solutions through Best Buy Health’s Current Health care in the home solution since 2020. The Current Health platform provided RPM, and patients received Bluetooth-enabled blood… Read more: Best Buy Health: Case Study: How Geisinger Transformed Hypertension Care with Remote Patient Monitoring and Pharmacist Support
- HealthSnap: National Remote Patient Monitoring and Chronic Care Management 2024 Clinical Outcomes ReportThe study evaluated aggregate, de-identified health data for 41,940 patients from HealthSnap’s RPM portals tailored by use case. It required inclusion criteria of at least 90 days on the program and a data transmission rate of at least 50%. The findings demonstrate significant improvements in clinical outcomes when RPM and CCM is administered as a… Read more: HealthSnap: National Remote Patient Monitoring and Chronic Care Management 2024 Clinical Outcomes Report
- The American Journal of Managed Care: Scaling Care Coordination Through Digital Engagement: Stepped-Wedge Trial Assessing ReadmissionsA study in the American Journal of Managed Care found that using patient postdischarge digital engagement (PDDE) programs provide efficient additional touch points between patients and providers. Read more here.
- Association of Community Cancer Centers: Digital Tools in Cancer Care, Survey ResultsThe Association of Community Cancer Centers (ACCC) partnered with two patient advocacy groups, DiMe and LUNGevity, to conduct the patient survey to identify challenges and benefits associated with wearable devices and other digital tools. At the same time, ACCC conducted a survey of cancer care team members to gauge provider and/or programmatic barriers to the integration of digital… Read more: Association of Community Cancer Centers: Digital Tools in Cancer Care, Survey Results
- Journal of Medical Internet Research: Financial and Clinical Impact of Virtual Care During the COVID-19 Pandemic: Difference-in-Differences AnalysisPatients diagnosed with COVID-19 and admitted to a US military treatment facility who received virtual care (VC) and remote patient monitoring (RPM) services met 85 percent wearable adherence and no increases in 30-day readmissions or emergency department visits. Monitored patients triggered a manageable number of alarms/day for the monitoring–team-to-patient ratio. Despite only enrolling 13% of… Read more: Journal of Medical Internet Research: Financial and Clinical Impact of Virtual Care During the COVID-19 Pandemic: Difference-in-Differences Analysis
- American Heart Association Journals: Telehealth After Stroke Care Pilot Randomized Trial of Home Blood Pressure Telemonitoring in an Underserved SettingA study to test the feasibility of TASC (Telehealth After Stroke Care), a post-acute stroke care model integrating nurse-supported home BP telemonitoring, tailored infographics, and multidisciplinary team video visits, found that enhancing post-acute stroke care with home BP telemonitoring is feasible to improve hypertension in an underserved setting and should be tested in a definitive… Read more: American Heart Association Journals: Telehealth After Stroke Care Pilot Randomized Trial of Home Blood Pressure Telemonitoring in an Underserved Setting
- Frontiers in Endocrinology: Effectiveness of Remotely Delivered Interventions to Simultaneously Optimize Management of Hypertension, Hyperglycemia and Dyslipidemia in People With Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled TrialsA review of randomized controlled trials found that remote management significantly reduced glycated hemoglobin, total cholesterol, low-density lipoprotein cholesterol, and systolic and diastolic blood pressure. Components of the remote management interventions tested were identified as patient education, risk factor monitoring, coaching on monitoring, consultations, and pharmacological management. Read more here.
- Journal of American Medical Association: Remote Patient Monitoring During COVID-19: An Unexpected Patient Safety BenefitIn JAMA Viewpoint, authors assess lessons learned about remote patient monitoring after the COVID-19 pandemic. The study projected that remote monitoring could potentially be associated with 87% fewer hospitalizations, 77% fewer deaths, reduced per-patient costs of $11 472 over standard care, and gains of 0.013 quality-adjusted life-years. Researchers concluded that the shift of monitoring should be… Read more: Journal of American Medical Association: Remote Patient Monitoring During COVID-19: An Unexpected Patient Safety Benefit
- American Heart Association Journals: Home Blood Pressure Telemonitoring With Remote Hypertension Management in a Rural and Low-Income PopulationThe 2017 American College of Cardiology/American Heart Association blood pressure (BP) guideline provides a Class IA recommendation for the use of home BP monitoring, team-based care, and telehealth strategies to improve BP control among patients with hypertension. This study aimed to evaluate the feasibility, safety, and effectiveness of home BP telemonitoring with remote hypertension management… Read more: American Heart Association Journals: Home Blood Pressure Telemonitoring With Remote Hypertension Management in a Rural and Low-Income Population
- NPJ Digital Medicine: Implementation of a Multisite, Interdisciplinary Remote Patient Monitoring Program for Ambulatory Management of Patients with COVID-19Established technology, operational infrastructure, and nursing resources were leveraged to develop a remote patient monitoring (RPM) program for ambulatory management of patients with COVID-19. Among all 7074 evaluated patients, the RPM technology engagement rate was 78.9%. Rates of emergency department visit and hospitalization within 30 days of enrollment were 11.4% and 9.4%, respectively, and the… Read more: NPJ Digital Medicine: Implementation of a Multisite, Interdisciplinary Remote Patient Monitoring Program for Ambulatory Management of Patients with COVID-19