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Peer-Reviewed Publication
Telemed J E Health2026;15305627261475507.August 4, 2026Journal Article

Short-Term Impact of Remote Patient Monitoring on Total Cost of Care Among High-Acuity Medicare Beneficiaries: A Retrospective Pre-Post Cohort Analysis.

Wesley Smith1,2, Angela Orsky3, Joseph A Ewing3, Craig Flanagan2,4
1University of Miami, Miami, Florida, USA.
2HealthSnap, Inc., Miami, Florida, USA.
3Prisma Health, Greenville, South Carolina, USA.
4Tulane University, New Orleans, Louisiana, USA.

Abstract

BACKGROUND: High-acuity Medicare beneficiaries with annual expenditures exceeding $12,000 disproportionately drive the total cost of care (TCOC) through preventable acute utilization and are natural candidates for value-based and shared savings arrangements. Whether remote patient monitoring (RPM) produces near-term TCOC reductions in this cost-stratified population has been insufficiently evaluat…

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