One of the nation’s largest regional health plans in the Midwest has launched a multi-year program to monitor and treat their Medicare populations with heart failure, pulmonary disease (COPD), and diabetes. This program will monitor patients in their own homes to promote patient engagement, improve patient outcomes and prevent costly and burdensome re-admissions. The remote monitoring and management of these patients is provided by AMC Health, a leading provider of virtual care solutions. AMC’s Bluetooth-enabled devices will allow patients to report their daily biometric measurements, such a weight, blood pressure, heart rate, glucose levels, and inhaled medication use. The patient data along with behavioral and symptom information will be transmitted to a secure cloud-based clinical platform which utilizes a sophisticated analytics engine to alert the care team to patient’s emerging health issues so the care team can prioritize outreach to the right patients before these issues become serious problems. AMC Health’s team of registered nurses (RNs) will monitor and provide the support to patients with an alert status and they will act as an extension of the health plan’s care management teams. In addition, AMC Health will focus on specific gaps in care to support the health plan’s commitment to clinical quality and STAR ratings.