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Connected Care Management for Continuous Patient Oversight

HCUnity helps organizations bring RPM, CCM, TCM, and APCM together into one connected care management approach aligned to the physician’s plan of care.

All while keeping clinical and billing decisions with your team.

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Bringing Care Management Programs Together!

Organizations already have care teams, workflows, and programs in place. HCUnity helps bring them together into a more connected and longitudinal approach to patient care—supporting continuity, visibility, and smoother transitions as patient needs change over time.

How It Works

HCUnity works alongside your existing workflows, care teams, and programs – helping organizations create a more connected approach to patient oversight over time.  

Your team can:

  • Align care with the physician’s plan of care
  • Organize RPM, CCM, TCM, and APCM within one connected care approach
  • Track patient progress and changing needs over time
  • Recognize when additional support or care adjustments may be needed
  • Improve continuity across programs, services, and care teams

Your organization remains in control of clinical, billing, and operational decisions while HCUnity helps organize the patient journey across services over time.

One Platform to Bring Care Management Together

Most care management platforms focus on features and individual tasks—

But organizations still struggle with how to organize patient care over time.

HCUnity is different.

HCUnity provides the structure behind your care management programs so your team can:

  • Work from a more connected and consistent view of the patient
  • Organize care across RPM, CCM, TCM, APCM, and related services
  • Understand how patient care is progressing over time—not just what tasks were completed
  • Improve alignment across clinical, operational, and billing teams
  • Support more continuous patient oversight across programs

What This Changes

Instead of moving between disconnected systems, workflows, and tasks, teams work within a connected environment designed to reflect how patient care actually happens over time.

HCUnity is more than a platform for managing data—

It helps organizations bring structure, continuity, and visibility to patient care across services and teams.

 

Advanced Primary Care Management

Advanced Primary Care Management (APCM)

Primary care teams are responsible for coordinating care across multiple services, conditions, and patient needs—

But without a connected approach, it becomes difficult to understand how care is progressing over time.

HCUnity helps bring continuity and organization to that process.

Your team can:

  • Work from a care plan aligned with the physician’s direction
  • Coordinate care across RPM, CCM, TCM, APCM, and related services
  • Understand how patient needs are changing over time
  • Make more consistent decisions about when care should continue, adjust, or transition
  • Improve visibility across the patient’s ongoing care journey

What This Changes

Instead of managing care as disconnected activities, primary care teams gain a more connected and longitudinal view of the patient experience.

Advanced Primary Care Management with HCUnity is not about adding more work—

It is about helping organizations organize the care they are already delivering in a clearer, more connected, and more sustainable way over time.

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Remote Patient Monitoring

Many remote patient monitoring programs successfully collect patient data—

but organizations often struggle with how RPM fits into the patient’s ongoing care journey over time.

HCUnity helps teams:

  • Understand why RPM is being used for each patient
  • Track how patients are responding over time
  • Recognize when a patient’s needs may be changing
  • Support a more consistent approach to care transitions and ongoing oversight
  • Organize RPM within a broader longitudinal care approach
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What This Changes

RPM becomes part of a connected care strategy rather than an isolated monitoring activity.

HCUnity helps organizations understand how RPM supports the physician’s plan of care while improving visibility into how care progresses over time.

RPM is most effective when used at the right time, for the right patient, and as part of a larger care management approach.

 

Flexible Device and Platform Approach

HCUnity is a care management platform—not a device vendor.

Organizations can continue using the RPM devices and equipment they already prefer while organizing patient care within the HCUnity platform. HCUnity also offers an RPM application that can be used alongside the platform if needed.

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Chronic Care Management (CCM)

Chronic Care Management can easily become a series of disconnected tasks, monthly contacts, and check-ins—

without a clear understanding of how those efforts connect to the patient’s overall progress over time.

HCUnity helps bring more organization and continuity to ongoing care.

Your team can:

  • Connect CCM activities back to a longitudinal care plan
  • Understand how patients are responding over time
  • Coordinate follow-up in a more consistent and connected way
  • Recognize when care needs to continue, intensify, or adjust
  • Improve visibility into the patient’s ongoing care journey

What This Changes

Instead of simply tracking completed tasks, teams gain a more complete and connected understanding of the patient’s condition, progress, and ongoing care needs over time.

CCM with HCUnity is not about doing more work—

It is about helping organizations make ongoing care more visible, consistent, and meaningful for both care teams and patients.

 

Care Management

 Transitional Care Management (TCM)

Transitions of care are some of the most critical—and most vulnerable—points in the patient journey.

After hospital discharge, patients often require close follow-up, coordination, and clear communication to support a safe transition into ongoing care.

Without a connected approach:

  • Follow-up can become inconsistent
  • Communication between care teams may break down
  • Important changes in the patient’s condition can be missed
  • Patients may struggle to transition into ongoing care management

HCUnity helps increase visibility, coordination, and continuity in the transition process.

Your team can:

  • Align follow-up care with the physician’s plan of care
  • Track patient status and needs throughout the transition period
  • Coordinate communication across care teams and services
  • Recognize when patients are ready to move into ongoing care management
  • Support a more connected patient experience after discharge

What This Changes

Instead of treating transitional care as an isolated, short-term activity, teams gain a more connected view of how patients transition to the next phase of care.

Transitional Care Management with HCUnity helps ensure that care does not stop at discharge—

It continues with greater continuity, visibility, and coordination as the patient moves forward over time.

Bring Your Care Management Programs Together

Most organizations operate multiple care management programs:

  • Remote Patient Monitoring (RPM)
  • Chronic Care Management (CCM)
  • Transitional Care Management (TCM)
  • Advanced Primary Care Management (APCM)

But these programs are often managed separately—

making it difficult to understand how patient care connects over time.

HCUnity helps bring these programs into one connected care management approach.

Instead of working in silos, teams can:

  • Follow a more consistent longitudinal care plan
  • Use RPM, CCM, and TCM as service tools within an APCM-centered care structure
  • Understand how patients are progressing over time
  • Recognize when care should continue, adjust, or transition
  • Improve continuity across programs, teams, and patient needs

How Care Flows with HCUnity

  • A baseline care plan is established and aligned with the physician’s direction
  • APCM provides the ongoing care structure across the patient journey
  • RPM, CCM, and TCM are used based on patient needs and medical necessity
  • As patient needs change, care evolves rather than stopping abruptly


Start Where You Are.

Build a More Connected Approach to Patient Care
You don’t need to change everything at once.

HCUnity works alongside your existing workflows, programs, RPM vendors, and care management processes—helping organizations create a more connected and longitudinal approach to patient care over time.

Organizations can begin with:

  • Existing workflows and programs
  • Current care management processes
  • Data already being captured

And gradually expand into:

  • More structured longitudinal care plans
  • Better connected care management programs
  • More consistent patient oversight across services
  • Greater continuity and visibility over time

HCUnity supports your team as it operates today while helping organizations build a more connected, organized, and sustainable approach to care management for the future.

    Care That Continues as Patient Needs Change

    Patient needs do not stay the same over time—

    and care management programs should not operate in isolation.

    HCUnity helps organizations create a more connected approach to patient oversight, where RPM, CCM, TCM, and APCM work together to support the patient journey over time.

    As patient needs change:

    • Care can continue without losing visibility
    • Services can adjust more consistently
    • Teams remain aligned around the physician’s plan of care
    • Patient oversight becomes more connected across programs and services

    Start with the Question Most Organizations Eventually Face

     “How do we know when a patient should remain in a program, require additional support, or transition to a different level of care?”

    HCUnity helps organizations increase visibility, continuity, and consistency in those decisions over time—so care can evolve alongside changing patient needs.