Patient engagement & telehealth · Remote patient monitoring and chronic care
Cadence
Cadence is a New York-based remote patient monitoring company that gives older adults with high blood pressure, diabetes, heart failure, and other chronic conditions connected devices and a clinical team, working inside partner health systems and billed mainly to Medicare.
Strong fit
- Health systems and medical groups that want a staffed remote monitoring program for Medicare patients
- Primary care practices with many patients whose blood pressure or diabetes is not under control
- Systems moving into value-based contracts for chronic care
Weak fit
- Small practices that want monitoring software to run with their own staff
- Organizations whose patients are mostly under 65 and commercially insured
- Clinicians who do not want an outside team adjusting medications on their patients
Bottom line
Cadence runs remote monitoring and chronic care programs for health systems, sending older patients connected devices and using its own clinicians and software to follow their readings and suggest medication changes. It is worth considering for systems that want to reach many Medicare patients with uncontrolled blood pressure or heart failure without hiring a new team. Health systems should set clear rules on when Cadence escalates to the primary care doctor.
Score breakdown
Weights: Outcomes 35% · Product 30% · Implementation 20% · Pricing clarity 15%.
Cadence is used by health systems and their primary care groups, which enroll patients with chronic conditions such as high blood pressure, type 2 diabetes, and heart failure. Cadence covers 14 chronic conditions in all, Forbes reported. Enrolled patients get cellular blood pressure cuffs or glucose meters that work out of the box, and Cadence's care team watches the readings, calls patients when something looks wrong, and recommends medication changes, according to its patient page. The work is written into the health system's own electronic health record, and the patient's doctor keeps final say.
On price, Cadence does not charge health systems a software fee in the usual way. Medicare pays for the care, through fee-for-service remote monitoring codes or value-based contracts, and Cadence splits that revenue with the health system, Forbes reported. About 20% of its patients have a copay. Its main competitors are other remote monitoring companies that HIR has reviewed, including Health Recovery Solutions, CoachCare, HealthSnap, and Prevounce, most of which sell software and devices that a practice staffs itself.
Chris Altchek founded Cadence in 2021 with Kareem Zaki of Thrive Capital. In June 2026 it raised a $100 million Series C led by Spark Capital, and it now works with more than 20 health systems, including Duke Health and Texas Health Resources, and treats more than 100,000 patients, according to its funding announcement. Forbes reported revenue of $62 million in 2025, up from $21 million in 2024, and annualized revenue on track for $140 million by the end of 2026.
Cadence points to peer-reviewed studies showing a 27% drop in hospital admissions, a 70% relative increase in blood pressure control, and $1,302 lower annual cost of care per patient. Its median response time to a vitals alert is 3.5 minutes, the company says.
The criticism is about volume and workflow. A heart failure nurse practitioner who worked at Cadence wrote on Reddit that patients got so many calls and texts that many stopped answering, and that staff had to move between several health systems' record systems in one day.
What patients and clinicians say
What people like
"The devices just worked when I turned them on, and someone really looked at my readings every day."
"Our primary care doctors could hand off the patients with uncontrolled blood pressure and see the medication changes show up in our own chart."
What people don't like
"Patients get bombarded with multiple calls and text messages on a daily basis, and what I learned was that most of them just start ignoring us because we’re over-communicating with them." Reddit
"Our cardiology team didn't know the patient had been enrolled until we saw medication changes from another group."
Where customer reviews couldn't be found, our analysts attempted to give a voice to buyer sentiment, drawing on real information from review sites, forums, and product documentation.
Based on: Cadence patient page, Forbes, and Reddit.
Competitor landscape
| Vendor | Overall | Ease of implementation |
|---|---|---|
| Cadence | 7.5 | 7.0 |
| Health Recovery Solutions | 7.8 | 7.6 |
| CoachCare | 7.6 | 7.5 |
| HealthSnap | 7.5 | 7.6 |
| Prevounce | 7.3 | 7.5 |
Pricing
| Item | Detail |
|---|---|
| Model | Medicare pays for the monitoring and care, and Cadence shares that revenue with the partner health system. |
| What usually drives cost | For patients, whether their Medicare coverage carries a copay. For health systems, the revenue-sharing terms and whether the program is part of a value-based contract. |
| What to ask before you buy | Check who on your staff receives escalated alerts, how many outreach calls patients get, and which conditions are covered. |
| Note | Cadence recommends medication changes; your clinicians keep final say. |
| Published pricing | Cadence does not publish its revenue-sharing terms. |
Leadership
Methodology
| Weight | Factor | What it measures |
|---|---|---|
| 35% | Customer outcomes | Whether buyers get measurable operational or clinical-workflow results after go-live |
| 30% | Product | Capability depth, reliability, and fit for the job the category buys |
| 20% | Implementation | How hard it is to stand up, integrate, train, and stabilize |
| 15% | Pricing clarity | Whether a buyer can model total cost without a mystery quote |
| Label | Meaning |
|---|---|
| Highly recommend | Strong outcomes and product with manageable caveats |
| Recommend | Solid fit for the right buyer; know the tradeoffs |
| Conditional | Only with a specific use case or heavy caveats |
| Not recommended | Avoid for most buyers in this category |
Read our full methodology for how we weight scores and assign recommend labels.