Cadence's 2024 Remote Patient Care Outcomes
FROM MONITORING TO CARE
A shortage of up to 86,000 physicians is projected by 2036.1
America’s health is in crisis. Remote patient care can help.
Today, primary care in the U.S. is under immense strain. In 2024, over 10,000 Americans aged into Medicare every day,2 and over two-thirds of them have two or more chronic conditions.3 The surge in demand for healthcare is overwhelming a system already struggling with long wait times, brief appointments, and limited follow-up. Combined with an aging population, continued clinical workforce burnout and a projected shortage of up to 86,000 physicians by 2036 is intensifying pressure on primary care delivery.1 Access to care is becoming even more limited, with millions of Americans—especially in rural and underserved areas—waiting months to see a new physician.4
The future of digital health lies in moving from remote monitoring to remote care. Imagine dedicated external healthcare teams providing ongoing patient management, not just tracking metrics. A new form of primary care that is delivered daily, with experienced clinical staff at a patient’s fingertips, backed by the data to best support them. At Cadence, we call this Remote Patient Care. Our model shifts the focus from simply tracking symptoms to a more active form of care, ensuring that patients with chronic conditions receive comprehensive support when and where they need it, extending access for both patients and physicians.
Medicare beneficiaries with chronic conditions account for over 95% of Medicare spending2
As Cadence has scaled to actively manage over 28,000 patients,5 the data are revealing a new opportunity. Not only is Cadence effective at managing chronic conditions, it’s also proving to reduce hospitalizations for health problems unrelated to chronic disease, including cardiac dysrhythmias and complicated infections like sepsis. Cadence’s solution not only helps reduce risk of stroke, reduces heart failure hospitalizations, and improves blood pressure and blood sugar control; it also elevates patient lifestyle, medication adherence, and early detection of health issues.
Cadence’s Remote Patient Care model includes daily monitoring, medication optimization, and personalized care plans tailored to each patient’s unique needs. Cadence’s NP-led clinical care team ensures that patients, specifically those with chronic conditions like hypertension, heart failure, and diabetes, receive timely, crucial interventions that can substantially improve their health outcomes. As our approach has shown, we can not only achieve better clinical outcomes for those with chronic conditions,6 but also potentially enhance care for a broad spectrum of elderly patients, supporting their health more comprehensively than ever before.
“Remote Patient Care isn’t about replacing in-person care. Instead, it complements traditional care by helping physicians focus on the most relevant clinical data over time, ensuring better patient outcomes.”
Advanced Heart Failure Specialist,
Cardiologist, Duke Health
Patient
testimonial
“The fact that my vitals are being monitored by someone other than myself is comforting.”
Eradicating Care Deserts
30% of the U.S. lives in areas where the ratio of primary care physicians to patients is 1:3,5007
Cadence bridges a crucial gap for rural patients.
An estimated 83 million people lack sufficient access to a primary care physician.8 Patients in rural and underserved areas also face longer travel times to clinics or hospitals and worse health outcomes compared with their urban counterparts.9 Simultaneously, chronically ill patients are battling challenges beyond the clinical focus of their physicians, as 80 to 90% of health outcomes are driven by factors outside of the clinic walls.10
Remote Patient Care offers a lifeline for these underserved populations, providing timely and accessible care to those who would otherwise have to wait for treatment. In March 2024, Cadence founder & CEO Chris Altchek testified before the U.S. House of Representatives Committee on Ways & Means, advocating for the expansion of remote patient monitoring and care to rural areas, and calling for fixes to geographic adjustments in Medicare payments that currently discourage adoption as well as the elimination of copays for these services—measures that would help reduce costs for the Medicare program while improving access to care for millions of Americans.
“Critically, patients can call or text anytime and get in touch with a care team member who has visibility into their vitals and medical record. Data show that Cadence remote monitoring helps patients achieve better clinical outcomes (100% increase in patients achieving goal blood pressure), and lightens the load on already overburdened primary care providers in rural and underserved areas.”
Founder and CEO, Cadence in his testimony to Congress in March 2024
“I live in a tiny, remote, mountain community with a lot of poverty and not a single doctor. Everyone that I’ve told about Cadence is amazed by it. I’m very pleased, and I think my clinical team is tremendous.”
Cadence’s partnership with Lifepoint Health is a powerful example of Remote Patient Care’s potential. The three-year partnership currently serves over 5,000 patients in remote monitoring programs—including two-thirds from underserved communities. The results? Patients in these rural areas are hitting their health targets at rates comparable to or exceeding those in urban areas,11 proving that this type of care can break down barriers and extend improved outcomes to those who need it most.
Of the 828 patients managed in the diabetes program, 585 are living in underserved areas.
Patients enrolled in the Cadence diabetes program living in underserved areas achieve a target blood glucose (<154mg/dL) at a rate that is 10% higher than their urban counterparts.
These patients also achieve greater blood glucose reduction compared to their urban counterparts.
Of the 3,835 patients managed in the hypertension program, 2,490 are living in underserved areas.
Patients enrolled in the Cadence hypertension program living in underserved areas achieve a goal blood pressure (<130/80mmHg) at a 1% higher rate than their urban counterparts.
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These patients achieve greater systolic and diastolic blood pressure reduction compared to their urban counterparts.
“Lifepoint Health has been proud to partner with Cadence for nearly three years to address key challenges faced by our patients, including cellular and Wi-Fi access, digital literacy, and the physical distances to clinics. This partnership has led to improved patient outcomes, high levels of clinician satisfaction, and holds great potential for systemwide adoption across our diverse communities.”
Delivering Rigor & Transparency
In 2024, Cadence delivered peace of mind through phone calls, virtual visits, and alert response over 12 million times
Strong ambitions.
And an even stronger clinical team.
Cadence’s mission is to provide life-changing care to one million people with chronic conditions by the end of this decade. The team’s focus on patient outcomes is key to ensure we are delivering on our mission. We consistently publish peer-reviewed studies and prioritize transparency in data and outcomes. Our aim is to build a solution that works for patients and providers – one that builds trust and accountability over the long run.
In October 2024, the Peterson Health Technology Institute (PHTI) recognized Cadence’s Medication Management approach as a standout in digital hypertension care, validating our ability to achieve substantial reductions in blood pressure compared to standard care. PHTI’s findings reveal that Cadence’s Remote Patient Care program produces meaningful improvements in systolic blood pressure more swiftly and effectively than traditional methods, helping patients reach their targets while reducing healthcare costs.15
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patients
hours
Cadence helps providers get their congestive heart failure patients on all four pillars of guideline-directed medical therapy, the “cornerstone of pharmacological therapy for patients with heart failure.”18 For a 70-year-old heart failure patient, achieving guideline-directed medical therapy provides an additional 5 years of life on average.19
Heart failure patients on Cadence’s program boosted uptake of guideline-directed medical therapy by 230% (from 7% to 23%). The program also resulted in monthly savings on average of over $1,000 per patient.6
Patient
testimonial
“Having the record of my blood pressure and weight loss on a daily basis helps me to relax and enjoy life as it is.”
107% increase in Cadence Remote Patient Care patients with well-controlled blood pressure.15 For every 20 mmHg systolic or 10 mmHg diastolic decrease in blood pressure, risk of both heart disease and stroke decreases 50%.16
42% of Cadence’s diabetic patients achieved their blood glucose goal at 6 months post enrollment.19 Every one point decrease in A1C significantly decreases the risk of diabetes-related fatality and heart attack.21
149,000
clinical alerts generated, addressed by Cadence.
Behind these clinical outcomes is Cadence’s dedicated Care Team, made up of medical professionals—including medical directors, nurse practitioners, registered nurses, and medical assistants. Our team prioritizes fully understanding each patient’s unique condition and tailoring treatment plans through the use of technology and virtual visits.
Between in-person visits, we provide ongoing support to help patients live healthier, more independent lives, adjusting medications when necessary—all without requiring a trip to the doctor’s office. With 24/7 availability, our team ensures that no patient feels unsupported.
“At Cadence, we are making a unique yet meaningful impact in the lives of patients. Through a pioneering care model, which extends its reach far beyond traditional settings, we enable clinical improvements—lower blood pressure, better glucose control. We are also enabling quality-of-life transformations for the providers we serve and patients we support. Making a holistic impact for people, especially those with limited access, is incredibly fulfilling. We’re redefining what’s possible in healthcare, proving that remote care can genuinely change lives.”
Medical Director, Cadence
Empowering Health Systems
Cadence’s Remote Patient Care solution saves over $150 per hypertension patient per month15 and over $1,000 per congestive heart failure patient per month6
It’s not just good math. It’s good medicine.
To deliver the highest level of care possible, Cadence partners with the country’s most forward-thinking health systems. We believe that success can be achieved by working together to create the greatest difference in patients’ lives. This year, we have grown our partnerships to 14 health systems, allowing us to serve over 28,000 patients across 28 states.
The impact of Cadence’s solution extends beyond improved access to improved cost of care. On average, Cadence’s solution saves $157 per hypertension patient per month, with projected long-term economic benefits due to reducing cardiovascular events. The Peterson Health Technology Institute (PHTI) also estimates that, with 25% adoption in a one-million-member Medicare plan over ten years, solutions such as Cadence’s Medication Management approach could avoid $133 million in cardiovascular costs.15 PHTI has therefore identified solutions like Cadence’s Remote Patient Care program as worthy of “broader adoption due to clinical benefits, potential long-term savings, and improvements to population health.”
Over 28,000 active patients5 in 2024
52% reduction in total cost of care among heart failure patients who enrolled in the comprehensive Remote Patient Care program.
Of the $1,076.64 per congestive heart failure patient per month reduction in spending, the majority was attributed to reduction in hospital and post hospital discharge spending.6
Partnered with 14 of the nation's most patient-centric health systems
We recognize the importance of breaking down care silos to offer a comprehensive solution that supports health systems in managing a wide range of chronic conditions. By being device-agnostic and scalable, our technology platform can seamlessly expand across all major chronic disease management programs. This enables health systems to deliver ongoing, high-quality care to more patients while improving clinical outcomes and efficiency.
Next-generation devices designed to communicate seamlessly with Verizon, AT&T, T‑Mobile and US Cellular.
“The Cadence program has had a profound impact on both our patients and our care teams. By extending care into the home, we’re providing patients with continuous support and real-time insights into their health. Ultimately, it’s a win-win — patients feel more empowered, and our clinicians are able to deliver care more efficiently and effectively.”
Montage Medical Group
“We're not going to build outside the system. We're going to build in the system.”
Easing Physician Burden
Cadence devices logged 860,000 vitals on average per month in 202422
Pioneering the Quintuple Aim in Healthcare.
Cadence’s virtual Care Teams help local providers extend their reach. Our technology is designed to simplify the delivery of world-class care. Integrated with all of the major electronic medical records, Cadence provides real-time access to patient data so clinicians can easily identify candidates and place orders directly within their workflow. Cadence’s Care Team is able to intervene when needed and address most patient issues without burdening physicians, so primary care physicians are able to practice at the top of their license and focus on their most acute cases.
In 2024, Cadence expanded its services to include Chronic Care Management (CCM), providing patients with a fully-staffed, personalized care team to coordinate and respond to their needs. With CCM, Cadence’s Care Team serves as a patient’s personal health assistant, creating and managing a personalized care plan with their provider to help achieve and maintain good health. The team navigates the healthcare system on behalf of patients, scheduling appointments, connecting them with community resources, and helping prioritize preventative care, find specialists, and access valuable healthcare services.
“It is amazing that being heart healthy is like a never ending loop of goodness – I improve my lifestyle, my heart gets healthier, my health improves and my quality of life improves. And the whole thing repeats itself. An amazing circle of goodness.”
4.9 OUT OF 523
Cadence’s vision is that every chronic disease patient should have access to world-class care, with 24/7 support, cellular-enabled devices, and seamless communication with their care team. By ensuring the appropriate medications, providing education on diet and exercise, supporting social determinants of health, and closely coordinating with local providers and community resources, we can transform primary care and improve health outcomes nationwide. This is just the beginning of our mission to bring high-quality, preventative care to millions, empowering patients to lead healthier, more independent lives.
“The Cadence program has helped us keep chronically ill patients safe at home to achieve the Quintuple Aim of healthcare improvement: Improve the patient experience by tailoring treatments and interventions to patient data; address population health through proactive, preventative care delivery; lower cost by connecting patients to the most appropriate care intervention and reduce avoidable hospitalizations; improve provider well-being by extending their reach via a virtual care team; and provide equitable care by reaching all patients, regardless of their ability to present in-person for treatment.”
Patient
testimonial
“Cadence is a great way to get you blood pressure regulated and keep up with your doctor at the same time.”
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