Remote Patient Monitoring & Chronic Care

What it is

Two programs.
One coordinated care team.

Most patients qualify for both. Together, they give your provider a continuous picture of your health — and give you a real person to call when something doesn't feel right.

Remote Patient Monitoring

RPM — devices that watch the trends

Connected devices ship to your home and send daily readings to your care team automatically. No spreadsheets, no apps to fight with — just numbers flowing in the background so we can spot changes early.

Glucose, blood pressure, and weight tracked from home
Care team reviews readings and flags anything off
Alerts sent to you and your provider in real time
Covered by Medicare and most major insurance

Chronic Care Management

CCM — a coach who knows your story

A dedicated health coach checks in monthly to review your readings, your medications, and how you're actually feeling. Between visits with your doctor, they're the person making sure nothing falls through the cracks.

Monthly 1-on-1 check-ins with a real coach
Help with medications, refills, and side effects
Coordination with specialists, labs, and pharmacy
Message your coach anytime through the app

Real progress happens between visits. Your plan keeps you connected, monitored, and supported every day.

How it works

From sign-up to support,
in three simple steps.

We make it easy to get started — and easy to stay on track. You'll never feel alone in managing your condition.

01

Tell us about you

Complete a short intake so we can personalize your monitoring plan and pair you with the right Health Coach.

02

Confirmation call

A care coordinator confirms your details, verifies insurance, and walks you through what to expect — at no cost to qualify.

03

Monitoring begins at home

Your CGM ships to your door. Once it's on, your care team starts watching trends and checking in.

For diabetes — Continuous Glucose Monitoring

No more daily fingersticks.

We support both major CGMs. Your provider chooses the device that fits you best — we handle the rest.

CGM · Sensor-based

Freestyle Libre 3

Apply your Libre sensor in seconds and start tracking glucose without daily fingersticks.
Continuous updates throughout the day give a full picture of your glucose patterns.
Timely feedback and personalized recommendations from your care team based on your readings.

CGM · Sensor-based

Dexcom G7

Step-by-step setup guidance — start tracking your glucose without the stress.
Sends updates automatically so you and your care team can spot patterns and adjust.
Tailored coaching and check-ins based on your trends — you're always supported.

More than glucose

Full-spectrum monitoring
for chronic conditions.

Living with more than one condition? Our program supports diabetes, obesity, hypertension, heart disease, COPD, and kidney disease — all from one care team.

Connected smart scale for weight management and obesity monitoring

Connected device · Weight

Smart Scale — for weight & obesity

Step on once a day. Your weight syncs to your care team automatically — no logging, no notes.
We track trends over time, so small changes get noticed before they turn into big ones.
Personalized coaching and meal-plan support — sustainable, not stressful.
Especially helpful for patients on GLP-1 medications, with heart failure, or pre-diabetes.

Connected blood pressure cuff for hypertension monitoring

Connected device · BP

Blood Pressure — for hypertension

Wrap the cuff, press the button — your reading goes straight to your care team.
We watch for spikes, dips, and patterns your doctor would only see at your annual visit.
Medication adjustments come faster — your provider sees real-world data, not one in-office reading.
Critical alerts go out the moment a reading crosses a dangerous threshold.

Free Health Coach call

Get a free call from
a Health Coach.

Tell us a bit about you and we'll reach out — no commitment, no cost to qualify. Our team will verify your benefits before anything ships.

Most Medicare patients pay $0 out-of-pocket
CGM or BP cuff ships within days
You'll know your coach by name within a week

Request my free call

A coach will reach out by phone — usually within one business day.

★★★★★

"The monitoring gives me peace of mind knowing someone is always checking on my numbers."

— DirectCare AI patient

What's the difference between RPM and CCM?

Remote Patient Monitoring (RPM) is the device side — connected glucose monitors, blood pressure cuffs, and scales that send daily readings to your care team. Chronic Care Management (CCM) is the human side — monthly 1-on-1 calls with a coach who reviews your numbers, your medications, and your overall plan. Most patients are enrolled in both.

Is this covered by insurance?

For this Remote Patient Monitoring and Chronic Care Management program, we accept most major insurance plans, including Medicare. After you fill out the form, our team verifies your benefits and walks you through any out-of-pocket costs before anything ships. Most Medicare patients pay $0 out of pocket.

Which conditions does the program cover?

Diabetes (Type 1 & Type 2), hypertension, obesity, congestive heart failure, COPD, asthma, kidney disease, and more. If you have two or more chronic conditions expected to last at least 12 months, you likely qualify.

Which CGM will I use — Dexcom or Freestyle Libre 3?

Your provider chooses the device that's the best fit for you. Both pair seamlessly with our care team and give continuous, fingerstick-free monitoring.

How does the care team actually help?

Health coaches review your trends, send check-ins, and flag anything concerning to your provider. You'll have someone to call when a number looks off — not a chatbot.

How fast does it ship?

After your confirmation call and benefits check, your CGM is sent to your home. Most patients are monitoring within a week.

Do I have to download an app?

The CGM uses its own free app for readings, but you don't need any technical skill. We walk you through setup step-by-step on your confirmation call.

Remote monitoring with real care

Ready to take the guesswork
out of your numbers?

Get a free call from a Health Coach and find out if continuous monitoring is right for you. No commitment, no cost to qualify.

Request my call →