Hospitals and health systems face rising acuity, workforce shortages, value-based contract requirements, and escalating chronic disease burdens. RPM has emerged as a strategic lever that advances quality, reduces utilization, and improves patient experience while supporting financial goals.
Kencor Health’s RPM model combines AI-driven analytics, patient engagement, and care coordination to help health systems manage populations effectively and sustainably.
Reimbursement & Financial Challenges Health Systems Are Facing
Health systems and ACOs face mounting pressures: declining margins, rising clinical labor costs, increasing readmission penalties, and complex value-based contracts. Traditional reimbursement models often fail to capture the true cost of chronic disease management. Additionally, health systems face leakage, uncompensated care burdens, and performance risk tied to quality metrics and total cost of care.
How RPM Creates New Revenue Streams and Financial Stability
RPM provides predictable reimbursement for eligible Medicare and MA populations (CPT 99453, 99454, 99457, 99458, 99091, 99445, 99470) while simultaneously reducing avoidable utilization that drives system losses. For ACOs and MA plans, RPM strengthens performance on quality metrics, improves risk adjustment accuracy, and reduces ED visits and readmissions, directly improving shared savings and capitation performance. With Kencor’s infrastructure, health systems can scale RPM as a financially sustainable population health tool.
Why RPM Is a Strategic Asset for Health Systems & ACOs
Reduces Avoidable ED Visits and Readmissions: Daily monitoring and escalations for hypertension, CHF, COPD, diabetes, CKD, and post-discharge recovery reduce readmissions and unnecessary utilization.
Supports ACO and MA Value-Based Performance: RPM improves blood pressure control, diabetes management, medication adherence, Star ratings, and total cost of care.
Extends Care Management Capacity Without Hiring Up: Kencor’s blended human + AI model supports daily triage and coaching without expanding staff.
Enhances Transitions of Care: Ideal for 30-day post-discharge models, surgical episodes, preventing silent deterioration, and keeping patients in-network.
System-Level Operational and Financial Impact: RPM strengthens quality performance, reduces leakage, improves risk adjustment, and enhances member experience.
Why Kencor Health Stands Out
- Scalable population health platform
- AI-driven analytics
- Turnkey operations
- Seamless EHR integration
- Comprehensive care management
- Proven outcomes
Kencor Health’s RPM program is ideal for:
- Patient with: Hypertension, CHF, COPD, diabetes, CKD, obesity
- Those looking for value-based care optimization
- Transitional care
- Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH)
- Accountable Care Organization (ACO) participating in the Medicare Shared Savings Program (MSSP)
Ready to implement a comprehensive RPM program that delivers results? Contact Kencor Health at support@kencorhealth.com or visit our website at www.kencorhealth.com to discover how we can help your health system improve outcomes and reduce total cost of care.
