Physician & Provider Partnership

Chronic care that works
between your visits.

RecoveryPlus extends your clinical reach with a fully staffed CCM and RPM program — monitoring your patients daily, supporting their care plans monthly, and alerting you only when it matters. Better outcomes. No added workload.

↓20%
Reduction in all-cause hospital admissions for CCM-enrolled patients
NEJM / CMS CCM Outcome Data
2.5×
More likely to follow care plans with consistent monthly engagement
Annals of Internal Medicine
↓18%
Reduction in ER utilization among CCM enrollees
CMS Innovation Center

Designed for your practice

Built for every specialty

Whether you're managing a complex cardiac patient post-discharge or a primary care panel full of chronic conditions, RecoveryPlus fills the gap between appointments.

Primary Care Providers

Your highest-utilization patients — finally supported between visits

Your panel is full of patients managing hypertension, diabetes, CHF, and CKD simultaneously. RecoveryPlus handles the between-visit layer — daily vitals monitoring, medication adherence calls, and care plan reinforcement — so your appointments are more productive and your patients stay out of the ER.

HypertensionType 2 DiabetesCKDHyperlipidemiaHeart FailureMetabolic Syndrome
What this means for your practice

Better quality metrics, fewer no-shows, more meaningful appointments

When patients have daily structure and consistent support between visits, they arrive better prepared, more adherent, and with meaningful data. RecoveryPlus improves HEDIS measures tied to chronic condition management, reduces avoidable ER visits that fragment care, and gives you a clearer clinical picture at every appointment.

HEDIS measure supportMIPS quality improvementPanel managementReduced inbound call volume
Hospitalists

Closing the 30-day readmission window after discharge

The highest-risk period for your patients is 7–14 days post-discharge — when they're home, unsupported, and managing complex medication changes alone. RecoveryPlus activates immediately after discharge, providing daily monitoring, medication reconciliation support, and structured follow-up that prevents the spiral back to the ED.

CHF post-dischargeCOPD exacerbationPost-MI / ACSPneumonia recoveryMulti-comorbidity patients
What this means for your hospital

Reduce 30-day readmissions and protect your CMS performance

Readmission penalties under HRRP directly impact hospital reimbursement. RecoveryPlus serves as a structured transitional care bridge — catching early warning signs, reinforcing discharge instructions, and escalating back to your team only when intervention is needed. Eyes on your highest-risk patients every single day after discharge.

HRRP readmission reductionTransitional care supportDischarge reinforcementDaily remote monitoring
Cardiologists

Continuous monitoring for your most complex cardiac patients

Your CHF, AFib, and CAD patients need more support than quarterly appointments can provide. RecoveryPlus delivers daily weight, BP, and symptom monitoring with NP oversight — catching fluid retention, blood pressure drift, and medication side effects before they become a hospitalization. Eligible post-event patients can also enroll in virtual cardiac rehabilitation.

Heart Failure (HFrEF/HFpEF)Atrial FibrillationCoronary Artery DiseasePost-MI / Post-PCICardiomyopathy
What this means for your practice

Real-time data. Fewer emergency calls. Better GDMT adherence.

RecoveryPlus gives you consistent, longitudinal data on your cardiac patients between appointments — BP trends, weight fluctuations, symptom patterns, and medication adherence — so your visits are data-driven. Patients enrolled in CCM show measurably higher adherence to guideline-directed medical therapy.

GDMT adherence supportDaily vitals trendingVirtual cardiac rehabCHF hospitalization reduction
Pulmonologists

Daily symptom and oxygen monitoring for your respiratory patients

COPD and chronic bronchitis patients deteriorate gradually — often silently between clinic visits. RecoveryPlus monitors O₂ saturation, respiratory symptoms, and activity levels daily, with care managers trained to recognize early exacerbation signals and NPs ready to escalate before the patient reaches the ED.

COPDChronic BronchitisSleep ApneaPulmonary HypertensionOverlap SyndromePost-COVID respiratory
What this means for your practice

Catch exacerbations early. Reduce hospitalizations. Better inhaler adherence.

COPD exacerbations are the leading driver of pulmonology-related hospitalizations — and most are preventable with early intervention. RecoveryPlus combines daily O₂ monitoring with structured adherence coaching for inhaler therapy and pulmonary rehab protocols. Patients are more adherent and exacerbations are caught before they escalate.

O₂ saturation trendingExacerbation early detectionInhaler adherence coachingPulmonary rehab support
Home Health Agencies

Continuous care for your highest-risk patients between every visit

Home health provides skilled, episodic nursing and therapy — but your most complex patients with CHF, COPD, diabetes, and hypertension need support every day, not just on visit days. RecoveryPlus fills the critical gap between your visits with daily monitoring, care management calls, and early escalation so patients stay stable and out of the hospital.

We operate as a fully staffed extension of your care team — our nurses, NPs, care managers, and dietitians handle every between-visit touchpoint independently, with zero added burden on your clinical staff.

CHF / Heart FailureCOPDHypertensionType 2 DiabetesCKDPost-discharge patients
What this means for your agency

Protect your Star ratings, HHVBP scores, and OASIS outcomes — with no added work.

Fewer hospitalizations and better patient-reported outcomes directly improve your HHVBP composite score and CMS Star ratings. CCM-enrolled patients score higher on OASIS discharge measures — including dyspnea management, medication adherence, and functional improvement — the metrics that determine your agency's reimbursement adjustments.

Your team identifies and refers eligible patients. We handle enrollment, onboarding, equipment, monitoring, and every ongoing clinical touchpoint.

HHVBP composite score improvement Star ratings protection OASIS outcome support ↓20% hospital admissions Zero staff burden HHCAHPS experience scores
Cardiac Rehab Facilities

Extend your reach beyond the walls of your program

Traditional outpatient cardiac rehab reaches fewer than 30% of eligible patients — limited by transportation, scheduling, geography, and physical ability. RecoveryPlus delivers a fully supervised virtual cardiac rehabilitation program that brings your standard of care directly to the patients who can't come to you, expanding your program's reach without expanding your facility.

For patients who have completed your onsite program, RecoveryPlus provides a structured maintenance and CCM bridge — so the clinical gains from rehab aren't lost after graduation.

Post-MI / post-ACSPost-CABG / valve repairPCI / stentingHeart failure (HFrEF)Heart transplantCardiac rehab graduates
What this means for your facility

More patients served. Better long-term outcomes. A stronger continuum of care.

Partnering with RecoveryPlus allows your cardiac rehab program to serve patients who would otherwise go without — increasing enrollment rates, improving completion, and extending the clinical impact of your program beyond discharge. Patients enrolled in virtual cardiac rehab show comparable outcomes to traditional onsite programs in published literature.

For facilities under CMS quality reporting requirements, RecoveryPlus participation data supports cardiac rehab utilization measures and improves long-term functional outcomes tracking.

↑ Cardiac rehab participation rates Virtual program delivery Post-graduation CCM bridge CMS quality reporting support GDMT adherence monitoring Comparable outcomes to onsite CR

Quantifiable practice impact

What this means for your time

Beyond patient outcomes, RecoveryPlus measurably reduces the operational burden on your practice — fewer unplanned calls, less reactive coordination, and more productive appointments.

↓73%
Reduction in unscheduled and urgent office visits after RPM enrollment
Published RPM outcomes study, PMC 2024
↓43%
Reduction in clinician time per patient when remote monitoring replaces phone-only outreach
BMJ Open RPM time-savings analysis
↓35%
Reduction in emergency department and urgent in-office visits for enrolled patients
EVOLVO remote monitoring trial
Time saved per patient

Reactive phone calls avoided

Unplanned calls handled by RecoveryPlus care team

~4–6/mo

Unscheduled visit coordination eliminated

Urgent same-day visits replaced by proactive escalation

↓73%

Staff monitoring time per patient

From ~490 min to ~280 min monthly — freeing 3.5 hrs per enrolled patient

3.5 hrs
Appointment quality improvement

Data-driven visits replace reactive ones

Patients arrive with 30 days of trended vitals and medication records

Better decisions

Chronic patients average 6.8 visits/yr

vs. 4.2 for non-chronic — CCM shifts routine check-ins remote, freeing appointment slots

More capacity

Inbox and after-hours burden reduced

Symptom questions and worry calls triaged by our care team first

Less burnout
If you refer
20
patients/month
You save up to
70 hrs
staff time/month
And avoid up to
15
unplanned visits/mo
While improving
MIPS
quality scores

Estimates based on published RPM/CCM literature. Individual practice results will vary.

What physician partners are saying

Real results from real practices

Physicians across primary care, cardiology, and hospital medicine on what changes when RecoveryPlus is part of their care team.

"
One of my earliest enrolled patients had multiple yearly CHF admissions. Since enrollment, he has not had a single hospitalization in over two years. The daily weight monitoring caught what we were missing between visits.
DR
Cardiologist, Heart Failure Program
Texas, RecoveryPlus Partner
"
I have access to consistent, real-time data that gives me a clearer picture between appointments. It lets me make more informed decisions before the patient even walks in — whether to adjust medication or hold course.
MD
Primary Care Physician
Multi-specialty group, Colorado
"
This program doesn't require extra work from me or my staff. My patients get the benefit — daily monitoring, regular check-ins, early escalation — with no burden on our end. It's a no-brainer for my COPD panel.
MD
Pulmonologist / Internal Medicine
Hospital-affiliated practice

Evidence-based outcomes

What the evidence shows about CCM programs

Published literature consistently shows structured chronic care management drives the clinical and operational outcomes that matter to your patients and your practice.

Hospital admissions
↓20%
Reduction in all-cause admissions for CCM-enrolled patients
NEJM / CMS CCM Outcome Data
ER utilization
↓18%
Reduction in emergency room visits among CCM enrollees
CMS Innovation Center Reports
Care plan adherence
2.5×
More likely to follow care plans with monthly engagement
Annals of Internal Medicine
Patient self-report
↑76%
Report better control of their chronic conditions after enrollment
AHRQ Chronic Care Literature

What changes when RecoveryPlus joins your care team

For your patients managing 2 or more chronic conditions

Without RecoveryPlus
No clinical touchpoint between scheduled office or hospital visits
Vital sign changes go undetected until the next appointment — often weeks away
Medication non-adherence builds silently, undermining your treatment plan
Symptom deterioration escalates to ER instead of an earlier intervention
Fragmented care, repeat admissions, and declining quality metrics
With RecoveryPlus
Daily remote monitoring of vitals reviewed by our dedicated clinical team
Monthly care management calls to review goals, medications, and barriers
Structured medication adherence support and patient education every cycle
NP-led escalation protocols alert your team before a crisis develops
Continuous data gives you a clearer clinical picture at every visit

The RecoveryPlus clinical team

Our staff is here to help yours

Your clinical and front-office staff shouldn't be fielding daily calls from patients managing chronic conditions between appointments. RecoveryPlus absorbs that touchpoint — proactive outreach, medication questions, symptom triage — and routes to your team only when a clinical decision is needed from you.

Daily monitoring with NP oversight means early warning signs — rising weight in a CHF patient, dropping O₂ sat in a COPD patient, escalating blood pressure — are caught within hours, not weeks. Our escalation protocols notify your team with context so you can act before hospitalization becomes inevitable.

When patients arrive with 30 days of trended vital data, reinforced care plan understanding, and active medication support, your visits are focused on clinical decision-making — not reviewing what went wrong since last time. RecoveryPlus turns scheduled visits into high-value encounters.

CCM enrollment directly supports MIPS quality measures and HEDIS chronic disease management benchmarks. For hospitalists, RecoveryPlus addresses HRRP readmission penalties for CHF, COPD, and pneumonia. For cardiologists, it improves GDMT adherence. For primary care, it strengthens panel management and value-based care performance.

Your extended clinical team
🩺
Nurse Practitioners
Clinical oversight, escalation decisions, protocol management
👩‍⚕️
Registered Nurses
Daily vital review, patient triage, care coordination
📋
Care Managers
Monthly care calls, medication review, goal-setting
🥗
Registered Dietitians
Nutrition counseling for diabetes, CHF, CKD, COPD
🏃
Exercise Physiologists
Condition-specific safe exercise programming

How to refer — it's simple

Three documents.
Your work ends there.

We handle enrollment, onboarding, equipment, and every ongoing patient touchpoint. You refer — we do the rest.

1

Gather three documents

Patient facesheet, most recent clinical note, and the completed RecoveryPlus Physician Referral & Order Form — check applicable chronic conditions and sign.

2

Submit your way

Email to info@recoveryplus.health, fax to 866-242-7890, or submit online via our secure Physician Referral & Order Form portal.

3

We take it from here

Our team contacts your patient within 24–48 hours, handles consent and enrollment, ships monitoring equipment, and initiates care — updating you only when clinically relevant.

Provider FAQ

Questions from physician partners

See all FAQs →

No. RecoveryPlus operates independently. Your team doesn't need to learn new platforms or add new documentation steps. We route clinically relevant updates back through your existing communication channels — only when a decision from you is needed.

Any Medicare patient managing two or more chronic conditions qualifies. This includes hypertension, Type 2 diabetes, CHF, COPD, CKD, CAD, AFib, and more. High-priority candidates are patients with a recent hospitalization or ER visit, known medication non-adherence, or social isolation.

You remain the patient's primary physician and are responsible for their overall medical care. RecoveryPlus manages the between-visit CCM layer and escalates to you when a clinical decision is needed. You'll receive updates when clinically relevant — routine coordination stays with our team.

Yes — one of our highest-impact use cases. For patients discharged with CHF, COPD, pneumonia, or post-cardiac event, RecoveryPlus activates within 24–48 hours, providing structured daily monitoring and care management during the critical 30-day window when readmission risk is highest.

CCM enrollment supports MIPS quality measures and HEDIS chronic disease management benchmarks. For hospitalists, it addresses HRRP readmission penalties. For cardiologists, it improves GDMT adherence. For primary care, it strengthens value-based care performance and panel management. We help you hit the metrics that matter in your setting.

RecoveryPlus is designed to complement home health — not duplicate it. Home health provides episodic skilled nursing and therapy visits. RecoveryPlus fills the continuous care gap between those visits: daily monitoring, care management calls, medication adherence support, and behavioral coaching. Your team refers eligible Medicare patients with 2+ chronic conditions; we handle all enrollment, onboarding, equipment, and ongoing clinical touchpoints with zero added burden on your nursing or administrative staff.

Traditional outpatient cardiac rehab reaches fewer than 30% of eligible patients. RecoveryPlus delivers a fully supervised virtual cardiac rehabilitation program for patients who can't attend in person — due to transportation, distance, or physical limitations — bringing your standard of care directly to them. For patients who complete your onsite program, we provide a structured maintenance and CCM bridge so the clinical gains from rehab are sustained long after graduation.

Ready to extend your reach? Let's talk.

A 20-minute call is all it takes to see how RecoveryPlus fits your practice and patient population. No commitment required.

Refer a Patient