Coalition Advocates for Improved Remote Patient Monitoring Standards Ahead of 2027 Changes

A New Approach to Remote Patient Monitoring

As healthcare technology evolves, the demand for effective remote patient monitoring (RPM) continues to grow, especially among primary care practices and rural health systems. In this context, the Save Remote Patient Monitoring Coalition—guided by ChartSpan—has proposed a meaningful reform to how RPM is regulated, particularly in light of the Centers for Medicare & Medicaid Services (CMS) upcoming changes in 2027.

The Coalition's Call to Action

On August 6, 2026, the coalition publicly challenged CMS to reconsider its proposed provisions concerning RPM in the forthcoming Physician Fee Schedule. Instead of adhering to the proposed shifts, which could potentially diminish the accessibility of these vital services, the coalition advocates for the introduction of a Registered RPM Organization (RRO) framework.

This new framework would establish a registration category under which every organization providing RPM would need to enroll with CMS. This initiative aims to ensure that such organizations meet strict accreditation standards, which will create greater accountability and transparency within the RPM space. Moreover, organizations would need to identify themselves on claims they support, undergo thorough auditing, and report standardized outcomes on an annual basis.

The Need for Enhanced Oversight

The call for improved oversight stems from genuine concerns raised in a 2024 report by the HHS Office of Inspector General. The report pointed out the significant lack of visibility CMS has over service providers that operate under general supervision. The coalition emphasizes that establishing an RRO system is crucial for enhancing program integrity and ensuring that patients receive the highest quality care possible while utilizing RPM services.

Many small or rural healthcare practices often find it financially unviable to implement continuous in-house monitoring. Thus, they rely heavily on third-party RPM vendors. By enforcing accreditation and registration, these external providers would be held to high accountable standards, ensuring the patients they cater to are properly monitored and cared for.

Clinical Implications

The coalition's proposition is backed by clinical evidence demonstrating the positive impact RPM can have on patient health outcomes. For instance, a recent assessment revealed that 55.3% of patients achieved hypertension control—up from a baseline of 46%—through a multi-site health system that utilized RPM. Similarly, remote glucose monitoring programs saw an average HbA1c reduction of 0.9 points across a sizable cohort of 6,463 members. Furthermore, a significant improvement in ejection fraction was observed in 66% of heart failure patients who were part of monitored programs.

Advocating for Patient Access

Jon-Michial Carter, co-founder and Chief Growth Officer of ChartSpan, firmly believes that the future of RPM hinges on the visibility and accountability of RPM organizations. He asserts that the coalition's mission aims to maintain robust program integrity while safeguarding access to essential preventive benefits that can be life-changing for patients.

“It’s crucial that RPM organizations are accountable,” Carter stresses. “We believe that the solution doesn’t rest in limiting patient access, but rather in ensuring these services remain within reach for those who need them most.”

Join the Coalition

The Save Remote Patient Monitoring Coalition invites healthcare organizations, clinicians, and patients to join their mission. Those interested can read the complete policy paper and become involved by visiting saveremotepatientmonitoring.com.

With public comments regarding the CY 2027 Physician Fee Schedule Proposed Rule due by September 14, 2026, stakeholders are encouraged to voice their opinions and take part in shaping the future of remote patient monitoring. By uniting efforts, the coalition envisions a healthcare landscape where RPM is both effective and accessible to all patients in need.