Remote Patient Monitoring2023-05-19T15:30:44-04:00
Medicare Administrative Contractors Novitas and First Coast have informed us that they will not develop a Local Coverage Determination (LCD) for Remote Physiological Monitoring (RPM) and Remote Therapeutic Monitoring (RTM) for Non-implantable Devices.

Developments

On February 28th, 2023, a Medicare Multi-Jurisdictional Contractor Advisory Committee (MJCAC) Meeting evaluated the Remote Physiologic Monitoring (RPM) and Remote Therapeutic Monitoring (RTM) for Non-Implantable Devices. The Alliance participated in the process, collected data, and convened stakeholders advocating for continued RPM/RTM coverage.

  • The Alliance for Connected Care joined a letter, led by the Connected Health Initiative (CHI).
  • The Alliance for Connected Care and the American Telemedicine Association sent a letter on February 21, 2023.
  • The Alliance for Connected Care called for data around RPM/RTM outcomes. Below is a list of those data.

Featured RPM Data

Please see below a deck highlighting major RPM findings that was shared with the Alliance.  Citations for the studies referenced are included here.

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Data

Patient Monitoring Devices Industry to Rise with Strong Demand for Remote Patient Monitoring

Grand View Research: Patient Monitoring Devices Industry to Rise with Strong Demand for Remote Patient Monitoring 

Remote patient monitoring (RPM) has amassed popularity as a promising technology to minimize the chances of hospitalization. Grand View Research released its Patient Monitoring Devices Industry Data Book, 2023-2030 and found that remote monitoring has become instrumental in minimizing the chances […]

Longer-Term Effects of Remote Patient Management Following Hospital Discharge After Acute Systolic Heart Failure: The Randomized E-INH Trial

Longer-Term Effects of Remote Patient Management Following Hospital Discharge After Acute Systolic Heart Failure: The Randomized E-INH Trial

Background: The randomized INH (Interdisciplinary Network Heart Failure) trial (N = 715) reported that 6 months’ remote patient management (RPM) (HeartNetCare-HF) did not reduce the primary outcome (time to all-cause death/rehospitalization) vs usual care (UC) in patients discharged after admission for […]

Heart Failure Drug Treatment-Inertia, Titration, and Discontinuation: A Multinational Observational Study (EVOLUTION HF)

Heart Failure Drug Treatment-Inertia, Titration, and Discontinuation: A Multinational Observational Study (EVOLUTION HF)

Background: Guidelines recommend early initiation of multiple guideline-directed medical therapies (GDMTs) to reduce mortality/rehospitalization in patients with heart failure and reduced ejection fraction. Understanding GDMT use is critical to improving clinical practice.

Objectives: This study sought to describe GDMT use in Japan, Sweden, and the United States […]

Diabetes Technology: Standards of Care in Diabetes—2023

Diabetes Technology: Standards of Care in Diabetes—2023

The American Diabetes Association (ADA) “Standards of Care in Diabetes” includes the ADA’s current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Members of the ADA Professional Practice Committee, a multidisciplinary expert committee, are responsible for […]

Safety, tolerability and efficacy of up-titration of guideline-directed medical therapies for acute heart failure (STRONG-HF): a multinational, open-label, randomised, trial

Safety, tolerability and efficacy of up-titration of guideline-directed medical therapies for acute heart failure (STRONG-HF): a multinational, open-label, randomised, trial

Background: There is a paucity of evidence for dose and pace of up-titration of guideline-directed medical therapies after admission to hospital for acute heart failure.

Methods: In this multinational, open-label, randomised, parallel-group trial (STRONG-HF), patients aged 18-85 years admitted to […]

Results of a Remotely Delivered Hypertension and Lipid Program in More Than 10 000 Patients Across a Diverse Health Care Network

Results of a Remotely Delivered Hypertension and Lipid Program in More Than 10 000 Patients Across a Diverse Health Care Network

Importance  Blood pressure (BP) and cholesterol control remain challenging. Remote care can deliver more effective care outside of traditional clinician-patient settings but scaling and ensuring access to care among diverse populations remains elusive.

Objective  To implement and evaluate a remote hypertension and cholesterol […]

Prescribe FIT: Prescribe FIT Releases Comprehensive Report on the State of Remote Patient Monitoring Technology for Orthopedics Today

Prescribe FIT: Prescribe FIT Releases Comprehensive Report on the State of Remote Patient Monitoring Technology for Orthopedics Today

A white paper from Prescribe FIT outlines the current landscape for remote monitoring, analyzing data on its ubiquity and efficacy. The white paper references a review of several studies that demonstrate remote monitoring to […]

Telemedicine management of type 2 diabetes mellitus in obese and overweight young and middle-aged patients during COVID-19 outbreak: A single-center, prospective, randomized control study

PLoS One: Telemedicine management of type 2 diabetes mellitus in obese and overweight young and middle-aged patients during COVID-19 outbreak: A single-center, prospective, randomized control study

Objective: The coronavirus disease-2019 (COVID-19) pandemic severely affected the disease management of patients with chronic illnesses such as type 2 diabetes mellitus (T2DM). This study aimed to assess the effect of telemedicine management of […]

Efficacy of telemedicine for the management of cardiovascular disease: a systematic review and meta-analysis

Efficacy of telemedicine for the management of cardiovascular disease: a systematic review and meta-analysis

Background: Telemedicine has been increasingly integrated into chronic disease management through remote patient monitoring and consultation, particularly during the COVID-19 pandemic. We did a systematic review and meta-analysis of studies reporting effectiveness of telemedicine interventions for the management of patients with cardiovascular conditions.

Methods: In this […]

Initial Experience with Telemedicine for Interstage Monitoring in Infants with Palliated Congenital Heart Disease

Pediatric Cardiology: Initial Experience with Telemedicine for Interstage Monitoring in Infants with Palliated Congenital Heart Disease

Infants with staged surgical palliation for congenital heart disease are at high-risk for interstage morbidity and mortality. Home monitoring programs have mitigated these risks. This study examines caregivers and clinicians of the Infant Single Ventricle Monitoring Program (ISVMP). All consecutive patients discharged following neonatal operation/intervention […]

A telemedicine-based approach with real-time transmission of blood glucose data improves metabolic control in insulin-treated diabetes: the DIAMONDS randomized clinical trial

J Endocrinol Invest: A telemedicine-based approach with real-time transmission of blood glucose data improves metabolic control in insulin-treated diabetes: the DIAMONDS randomized clinical trial

Purpose: To evaluate if a web-based telemedicine system (the Glucoonline® system) is effective to improve glucose control in insulin-treated patients with type 1 and type 2 diabetes, as compared to standard of care.

Methods: This was a prospective, […]

Interest in RPM, Personal Health Tech Adoption Lagging Among Clinicians

mHealth Intelligence: Interest in RPM, Personal Health Tech Adoption Lagging Among Clinicians

A report by Alliance board member Walmart, in collaboration with Medscape, found that though most rural and non-rural health care professionals believe remote patient monitoring (RPM) might benefit patients, only about half are interested in using it. Medscape surveyed 10,045 US health care professionals between […]

Recent Study Highlights the Outcome and Safety Benefits of Remote Patient Monitoring During the Pandemic and Beyond

Business Wire: Recent Study Highlights the Outcome and Safety Benefits of Remote Patient Monitoring During the Pandemic and Beyond

study published in the Journal of American Medical Association (JAMA) found that, through recent technological advances in remote monitoring, a patient’s physiological needs can now more often be the primary factor in determining the level of monitoring […]

AMA Survey Shows Widespread Enthusiasm For Telehealth

American Medical Association: AMA Survey Shows Widespread Enthusiasm For Telehealth

survey by the American Medical Association (AMA) found that 85 percent of physicians now use telehealth and 70 percent plan to continue using virtual services after the pandemic. However, only eight percent of physicians currently use remote patient monitoring. The survey also found that […]

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 Trials

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 Trials

Background: Remotely delivered interventions may be more efficient in controlling multiple risk factors in people with diabetes.

Purpose: To pool evidence from randomized controlled trials testing remote management interventions to simultaneously control blood […]

Optimizing Foundational Therapies in Patients With HFrEF: How Do We Translate These Findings Into Clinical Care?

Optimizing Foundational Therapies in Patients With HFrEF: How Do We Translate These Findings Into Clinical Care?

Given the high risk of adverse outcomes in patients with heart failure and reduced ejection fraction (HFrEF), there is an urgent need for the initiation and titration of guideline-directed medical therapy (GDMT) that can reduce the risk of morbidity and mortality. Clinical practice […]

Remote Patient Monitoring During COVID-19

JAMA Network: Remote Patient Monitoring During COVID-19

COVID-19 has advanced patient safety in an unexpected way. Before the COVID-19 pandemic, patient monitoring for harm and many approaches to prevent harm were linked to where the patient was treated in the hospital.

A report based on data prior to the COVID-19 pandemic suggested that routinely monitoring hospitalized patients with continuous pulse oximetry […]

Home Blood Pressure Telemonitoring With Remote Hypertension Management in a Rural and Low-Income Population

Home Blood Pressure Telemonitoring With Remote Hypertension Management in a Rural and Low-Income Population

The 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.1 However, most studies have been […]

Mayo Clinic RPM Model Improves Outcomes for Acute COVID-19 Treatment

mHealth Intelligence: Mayo Clinic RPM Model Improves Outcomes for Acute COVID-19 Treatment

According to a study by Mayo Clinic, remote patient monitoring programs are safe, feasible, and yield positive health outcomes for acute COVID-19 treatment. The health system expanded its multi-state RPM program during the pandemic to treat patients with the virus at home, adapting an original RPM program that […]

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