Remote Care Management Platform for Hospitals & Health Systems

Support population health, reduce readmissions, and scale value-based care programs through integrated RPM and CCM workflows

Why Hospitals Are Expanding RPM & CCM Programs

Hospitals and health systems are under increasing pressure to improve outcomes while reducing avoidable utilization and readmissions. 

At the same time, value-based care models require continuous patient engagement beyond discharge. 

Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) enable hospitals to extend care outside facility walls through structured, reimbursable programs. 

Advaa Care helps hospitals operationalize these programs through one connected care management platform. 

How RPM & CCM Help Hospitals

RPM and CCM help hospitals extend care beyond the hospital setting by enabling continuous patient engagement and proactive intervention between visits. 

These programs support better chronic disease management, improved discharge follow-up, and stronger coordination across care teams. 

Reduced Hospital Readmissions

Continuous monitoring after discharge helps identify complications early to directly support penalization risk mitigation goals.

  • Track patient recovery at home
  • Detect early warning signs
  • Prevent avoidable readmissions
  • Improve transitional care outcomes

Stronger Post-Discharge Care Management

RPM and CCM extend your clinical reach far beyond hospital walls, maximizing continuous settings oversight safely.

  • Monitor patients after discharge
  • Coordinate follow-up care
  • Improve medication adherence
  • Ensure care plan compliance

Improved Value-Based Care Performance

Hospitals participating in risk-bearing tracks benefit directly from optimized quality metrics performance alignment.

  • Quality performance measures (HEDIS)
  • Star Ratings for affiliated plans
  • Patient satisfaction scores (HCAHPS)
  • Outcome-based reimbursement alignment

Better Chronic Disease Management

Manage large, complex populations of chronic disease patients requiring consistent long-term monitoring loop oversight.

Diabetes Hypertension COPD Heart Failure Obesity

Reduced Care Coordination Burden

Eliminate manual calling sheets and fragmented communication loops that increase overhead and exhaust teams.

  • Automate patient monitoring workflows
  • Standardize follow-up processes
  • Centralize care coordination activities
  • Reduce administrative workload

Improved Patient Engagement After Discharge

Address the major clinical challenge of post-discharge attrition with continuous, automated device outreach loops.

  • Connected monitoring devices
  • Automated outreach workflows
  • Structured care plans
  • Continuous patient communication

How Advaa Care Supports Hospitals & Health Systems

Advaa Care provides hospitals with a centralized care management infrastructure designed to support RPM, CCM, and population health initiatives at scale. 

The platform helps organizations identify eligible patients, coordinate care programs, track patient engagement, and maintain reimbursement-ready documentation through connected workflows. 

Hospitals can operationalize post-discharge monitoring, chronic disease programs, and longitudinal care initiatives without adding unnecessary operational complexity. 

Built for Population Health & Scalable Care Delivery

Advaa Care supports hospitals managing large patient populations across multiple care programs and service lines seamlessly.

✓ Connected Workflows

Deploy integrated, connected patient monitoring workflows without setting friction.

✓ Centralized Coordination

Centralize care coordination workflows cleanly across distinct clinical service lines.

✓ Real-Time Visibility

Gain real-time patient status visibility inside active macro populations outside walls.

✓ Structured Documentation

Enforce rigorous, structured documentation workflows to maintain total audit readiness.

✓ Operational Oversight

Drive administrative performance with deep operational reporting and comprehensive program oversight.

✓ Scalable Care Programs

Scale high-risk chronic care management infrastructure efficiently across network entities.

Unified Monitoring Hub

A macro dashboard module engineered for structural population tracking and cross-program outcome risk visibility.

Population Index
Live Oversight
Active RPM Enrollment +14% This Mo.
1,240 Patients
Time Captured
24.8k Mins
Risk Alerts
3 Escalated
HEDIS Audit Readiness Rate Compliant
99.4%

Why Hospitals Choose Advaa Care

Hospitals and health systems use Advaa Care to improve care continuity, strengthen patient engagement, reduce avoidable utilization, and operationalize reimbursement-supported care programs more efficiently. 

By centralizing RPM and CCM workflows into one connected platform, organizations can improve both clinical and operational performance across their population health initiatives. 

Transform Care Beyond the Hospital Setting

Improve post-discharge engagement, reduce avoidable readmissions, and support continuous patient monitoring through one connected RPM & CCM platform.