High-risk panel
312
Rising BP trend
24
Missed readings
11
CCM check-in due
38
AI flagged 12 patients for review
EasyLink MD helps ACOs and value-based care organizations remotely monitor chronic populations, improve patient engagement, coordinate ongoing care, and identify patients who may need additional attention.
Hypertension
182
Diabetes
96
Heart failure
34
Remote monitoring of chronic populations
Regular readings from home across the chronic patients you’re accountable for.
Check-ins this month
41
of 48 completed
Stronger patient engagement
Structured outreach keeps patients active in their care between appointments.
Care plan updated
Provider notified
Follow-up scheduled
Coordinated ongoing care
Care teams share one workflow for follow-ups, check-ins, and care plans.
AI flagged for review
Demo Patient 12
Rising trend
Demo Patient 27
3 missed readings
Identify patients who need attention
Surface patients whose readings or check-ins suggest they may need more support.
90-day blood pressure trend
84 readings · Reviewed at monthly CCM check-in
Our RPM and CCM capabilities provide care teams with longitudinal patient data and structured engagement workflows that support a more proactive approach to population health.
Remote Patient Monitoring (RPM)
Cellular-enabled devices send readings from home, building a continuous picture of each patient.
Chronic Care Management (CCM)
Structured engagement workflows support ongoing, coordinated care for chronic conditions.
Longitudinal patient data
See trends over time between encounters, not just a snapshot at each visit.
Ideal for
Built for organizations that take on accountability for quality, outcomes, and cost.
ACOs
MSSP participants
Risk-bearing provider organizations
Clinically integrated networks
Other value-based care organizations
Quality care between visits