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.
One Question Most Organizations Eventually Face
“How do we know when patient care should continue, adjust, or transition over time?”
HCUnity helps organizations increase visibility, continuity, and consistency in decision-making by supporting connected patient oversight across RPM, CCM, TCM, APCM, and ongoing care management.
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.
Care That Continues as the Patient’s Needs Change
Patient needs do not remain the same over time—
Meaningful care management requires a connected approach that can adapt as those needs evolve.
HCUnity helps organizations create a more continuous and coordinated patient-oversight model that supports care throughout the full patient journey—not just at isolated moments in time.
As patient needs evolve:
- Care can continue with greater continuity and visibility
- Support can adjust more consistently over time
- Teams remain aligned around the physician’s plan of care
- Patient oversight stays connected across services, programs, and care teams
- Organizations gain a clearer view of how care progresses over time
HCUnity helps bring patient care, ongoing oversight, and longitudinal coordination together into a more connected and sustainable approach to care management for the future.

Advanced Primary Care Management (APCM)
Advanced Primary Care Management helps organizations create a more connected and continuous approach to patient care over time.
HCUnity supports primary care teams by helping bring RPM, CCM, TCM, APCM, and related services together around the patient’s ongoing needs and the physician’s plan of care.
Your team can:
- Work from a longitudinal care plan aligned with the physician’s direction
- Coordinate care across multiple services and patient needs
- Follow how patients are progressing over time
- Support smoother transitions as care needs evolve
- Improve continuity across care teams and programs
What This Changes
Primary care teams gain a more connected view of the patient journey—helping care continue more consistently as patient needs change over time.
Advanced Primary Care Management with HCUnity is not about changing the care your team already delivers—it helps organizations bring that care together in a more connected, visible, and sustainable way.
Remote Patient Monitoring (RPM)Remote Patient Monitoring plays an important role in helping organizations follow patient health outside traditional care settings. HCUnity helps organizations adopt an RPM approach that is more connected and continuous over time. Your team can:
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What This ChangesRPM becomes part of a more connected care management strategy that supports ongoing patient oversight across services and over time. HCUnity helps organizations improve visibility into how RPM supports patient care and helps teams stay aligned on the patient’s ongoing needs and care journey. RPM is most effective when used as part of a connected care management approach that evolves alongside the patient over time. |
Flexible Device and Platform ApproachHCUnity is a care management platform—not a device vendor. Organizations can continue using the RPM devices, vendors, 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 when needed.
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RPM supports important periods of monitoring and patient oversight when ongoing clinical observation is needed as part of the physician’s plan of care. As patient conditions stabilize or care needs evolve over time, the level of monitoring may change while ongoing longitudinal care and patient oversight continue within the broader care management approach. HCUnity helps organizations support both the monitoring phase of care and the ongoing coordination and continuity that may continue beyond it. |
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Chronic Care Management (CCM)
Chronic Care Management helps organizations support patients with ongoing health needs over time.
HCUnity helps bring CCM into a more connected, continuous care management approach—keeping teams aligned on the patient’s needs, progress, and the physician’s plan of care.
Your team can:
- Connect CCM activities within a longitudinal care plan
- Follow how patients are progressing over time
- Coordinate follow-up across care teams and services
- Support care adjustments as patient needs evolve
- Improve visibility into the patient’s ongoing care journey
What This Changes
CCM becomes part of a more connected care management approach that supports continuity, ongoing patient oversight, and coordination across services over time.
HCUnity helps organizations increase visibility and consistency in ongoing care while keeping teams focused on meaningful patient support and long-term outcomes.
CCM with HCUnity is not about adding more work—
It is about helping organizations support ongoing patient care in a more connected, visible, and sustainable way.
Transitional Care Management (TCM)Transitions of care are important moments in the patient journey—especially after hospital discharge or major changes in condition. HCUnity helps organizations support a more connected and coordinated transition into ongoing patient care. Your team can:
What This ChangesTransitional Care Management becomes part of a more connected care management approach that supports continuity across services and throughout the patient journey. HCUnity helps organizations achieve greater visibility, coordination, and ongoing patient oversight during care transitions—ensuring care continues more smoothly as patients move into the next phase of care. TCM with HCUnity is not about adding more short-term tasks— It is about helping organizations support transitions in a more connected, visible, and sustainable way over time. |
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Bring Your Care Management Programs Together
Organizations today often support patients through multiple care management services, including:
Remote Patient Monitoring (RPM)
Chronic Care Management (CCM)
Transitional Care Management (TCM)
Advanced Primary Care Management (APCM)
HCUnity helps bring these services into one more connected and continuous approach to patient care.
Your team can:
Follow a longitudinal care plan aligned with the physician’s direction
Coordinate RPM, CCM, TCM, APCM, and related services within one connected care approach
Follow how the patient’s needs and progress evolve over time
Support smoother transitions as care needs change
Improve continuity across care teams, programs, and patient interactions
How Care Flows with HCUnity
A baseline care plan is established and aligned with the physician’s direction
APCM supports ongoing patient oversight across the care journey
RPM, CCM, and TCM are used based on patient needs and medical necessity
As patient needs evolve, care continues in a more connected and coordinated way. The patient’s care story over time.
What This Changes
Instead of viewing services as separate activities, organizations gain a more connected view of patient care across programs and over time.
HCUnity helps bring care management programs together so teams can support patients through a more visible, coordinated, and continuous care experience.
Start Where You Are.
Build a More Connected Approach to Patient Care
Organizations do not need to replace their existing programs, RPM vendors, or workflows to begin using HCUnity.
HCUnity introduces the care plan structure, documentation assistance, and workflow consistency needed to support a more connected and continuous approach to patient care over time.
Organizations can continue working with:
- Existing workflows and programs
- Current care management processes
- Data already being captured
While HCUnity helps add:
- Structured longitudinal care plans
- More consistent care team workflows
- Better coordinated patient oversight across services
- Greater continuity and visibility over time
HCUnity helps organizations bring patient care, documentation, and ongoing oversight together into a more organized and sustainable care management approach for the future.
Care That Continues as Patient Needs Change
Patient needs do not stay the same over time—
and care management services work best when they support a more connected approach to patient care.
HCUnity helps organizations integrate RPM, CCM, TCM, and APCM into a more continuous patient-oversight model that supports the patient journey over time.
As patient needs evolve:
- 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


