Care that continues between every visit.

VitalityMed is the licensed care team behind chronic care management and remote patient monitoring for primary care and specialty practices. Patients get weekly check-ins and daily review of their home readings. Practices get fewer surprises between appointments.

Margaret, 68, between two office visits
Hypertension and type 2 diabetes, 13 weeks of home blood pressure readings
Week 4: a reading of 162 is flagged. A nurse follows up with Margaret, her doctor's office is notified, and her medication is adjusted.
Goal under 130
Office visit, Mar 3
Next office visit, Jun 2
84 of 91days with a home reading
13weekly check-in calls
1escalation to her doctor's office
144 to 123average systolic, first vs. last two weeks
Illustrative example. Readings are sent from home and reviewed daily by nurses; they are not monitored live.
For practices

An extension of your practice, not a replacement for it.

You refer patients who could benefit, typically those with two or more chronic conditions. Our licensed care team takes it from there, working entirely within your clinical protocols.

No new work for your staff

We handle outreach, consent, device delivery, patient questions and clinical documentation. Your front desk doesn't take on a new workflow.

Your protocols, your patients

Care plans and escalation thresholds follow your clinical judgment. Patients know us as part of your practice's care team.

Escalations you can act on

When a reading or a conversation needs a clinician, your team receives a clear clinical note with the context, not an unexplained alert.

Better chronic care outcomes

Steadier blood pressure, earlier follow-up on warning signs, and patients who stay engaged support your quality measures and help avoid hospital visits.

Each month your office receives a summary like this one.

Lakeside Internal Medicine

Monthly care summary

April 2026

Prepared May 1

147patients enrolled
8new referrals enrolled
588check-in calls completed
This month
  • 31 patients reached their blood pressure goal
  • 18 medication changes coordinated with your team
  • 6 patients with heart failure followed up for weight gain
  • 4 escalations to your office, all resolved
Included for each patient
  • Reading history and trends
  • Check-in notes and care plan changes

Between office visits is where my heart failure and hypertension patients get into trouble. VitalityMed's team checks in with them every week and reviews their home readings every day. When something needs my attention, I get a clear note I can act on, not another alert to chase down. My patients feel looked after, and my staff hasn't taken on extra work.

Isaac Eisenstein, MDBoard-certified cardiologist, South Coast Heart and Vascular, Lakewood, California
Programs

Two programs that work as one.

Chronic care management keeps the care plan on track. Remote patient monitoring shows how the patient is doing at home. Together they close the gap between appointments.

Chronic care management

A care team that knows each patient's history, medications and goals, and speaks with them every week to keep the care plan working.

  • Personalized care plan aligned to your protocols
  • Weekly check-in calls with the patient
  • Medication review and adherence support
  • Care plan updates shared with your office

Remote patient monitoring

Cellular-connected devices send readings from home to our care team, who review them every day and follow up when a trend needs attention.

  • Blood pressure cuffs, scales, glucometers and pulse oximeters
  • No Wi-Fi, smartphone or setup needed
  • Readings reviewed daily by nurses
  • Trend-based follow-up and escalation to your team

Conditions we commonly support

  • Hypertension
  • Type 2 diabetes
  • Heart failure
  • COPD
  • Chronic kidney disease
  • Hyperlipidemia
  • Atrial fibrillation
  • Asthma
  • Rheumatoid arthritis

Care plans are condition-specific and follow the referring physician's protocols.

Devices

Medical-grade devices that just work at home.

Patients take a reading and it's sent automatically over the cellular network. There's nothing to pair, set up or log in to, which makes them easy to keep using.

Blood pressure monitor

Blood pressure monitor

Upper-arm cuff with one-button operation, an extra-large adjustable cuff and irregular heartbeat indicator. FDA-cleared and independently validated for clinical accuracy.

Glucometer

Glucometer

FDA-cleared meter that needs a small blood sample, stores readings with dates and times, and is rechargeable.

Pulse oximeter

Pulse oximeter

Fingertip oxygen saturation and pulse with one-button operation and a large, easy-to-read display.

Weight scale

Weight scale

Non-slip platform that supports up to 440 lb with a large display. Daily weights help catch fluid gain early.

  • FDA-cleared blood pressure monitors and glucometers
  • Blood pressure monitor listed on the U.S. Validated Device Listing
  • Built-in cellular with multi-carrier coverage, no Wi-Fi, app or Bluetooth pairing
  • Readings travel over a HIPAA-compliant private cellular network
  • Device data platform holds SOC 2 Type II certification
  • Delivered to the patient's home, ready to use
How it works

From referral to results in five steps.

  1. You refer the patient

    Your practice identifies patients who could benefit, usually those with two or more chronic conditions.

  2. We enroll them

    Our team handles outreach on your behalf, explains the program and completes consent.

  3. Devices arrive ready

    Cellular-connected monitors are delivered to the patient's home, already set up.

  4. Daily review, weekly calls

    Nurses review readings every day and a care team member checks in every week.

  5. You stay informed

    Escalations come with a clear clinical note, and your office receives a monthly summary.

The evidence

What published research shows.

Remote monitoring and structured chronic care support have been studied for years across large patient populations. Each figure links to its source.

25%

fewer bed days of care in the VA's national home telehealth program of 17,025 patients

Darkins et al., Telemedicine and e-Health, 2008
19%

fewer hospital admissions in the same program after enrollment

Darkins et al., Telemedicine and e-Health, 2008
29%

fewer heart failure hospitalizations with non-invasive home telemonitoring

Cochrane Database of Systematic Reviews, 2015
9.7 mmHg

greater drop in systolic blood pressure at 12 months with home telemonitoring and case management

Margolis et al., JAMA, 2013
For patients and families

Your doctor asked us to help care for you between visits.

VitalityMed works alongside your doctor's office. Our care team checks in with you every week, reviews the readings from your home devices, and lets your doctor know when something needs attention.

  • A weekly check-in callFrom a member of your care team who knows your history and goals.
  • Simple home devicesThey work without Wi-Fi or a smartphone. Just use them as directed.
  • Your readings reviewed every dayNurses look at your readings and follow up if something changes.
  • Your doctor stays in chargeWe follow your doctor's care plan and keep their office informed.
  • Covered by MedicareThe program is covered by Medicare.
  • You can stop at any timeJust let your care team know.

Care in your language

  • English
  • Spanish
  • Korean
  • Farsi
  • Russian
  • Armenian
Frequently asked questions

For practices

Will patients see VitalityMed as separate from my practice?

No. Patients know us as part of your practice's care team. We reinforce your care plans, and anything that needs a clinician goes back to you.

Which patients should we refer?

Patients with two or more chronic conditions expected to last at least a year typically benefit most. We review eligibility with your team during onboarding.

Which specialties do you work with?

Primary care and internal medicine (primary care programs), cardiology, pulmonology, geriatrics, nephrology, endocrinology, rheumatology and gastroenterology practices, as well as hospitals and rural health systems.

How will my office receive updates?

Updates are delivered through a secure, real-time portal. Your team sees a clear clinical note whenever an escalation is needed, plus a monthly summary for every enrolled patient.

What does it take to get started?

A short onboarding call, your clinical protocols, and your first referrals. We handle enrollment, devices, daily review, weekly check-ins and clinical documentation.

How is patient information protected?

VitalityMed follows HIPAA requirements, with encrypted patient data and strict access controls. Device readings travel over a HIPAA-compliant private cellular network.

For patients and families

Does the program cost me anything?

The program is covered by Medicare.

Do I need a smartphone or internet?

No. Your devices use a built-in cellular connection. There is nothing to pair or set up.

What languages does the care team speak?

Our care team speaks English, Spanish, Korean, Farsi, Russian and Armenian.

Who will I be talking to?

A member of our licensed care team, working with your doctor's office. Your doctor remains in charge of your care.

Is someone watching my readings around the clock?

No. Nurses review your readings every day, but they are not monitored live. If you have a medical emergency, call 911.

Can I stop the program?

Yes, at any time. Just let your care team know.

Let's talk about your patients.

A short conversation is usually enough to see whether VitalityMed is the right fit for your practice.

  • We review your specialty, your patients and what you want to improve.
  • You see a sample monthly summary before you commit.
  • Getting started takes one onboarding call and your clinical protocols.
(800) 570-8160

Patients and families can call the same number.

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