How to succeed at RPM & CCM enrollment: lessons from 100,000+patients.
I’ve seen it countless times: practices invest in Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) to improve patient outcomes and generate recurring revenue, but then it happens: enrollment in these beneficial initiatives slows to a trickle.
You can’t have a successful, self-sustaining patient monitoring program without patients to monitor. Weak enrollment is the most common point of failure in new RPM and CCM initiatives. So why is this the case when the upside to patients and practices is so clear? It’s not a lack of effort; it’s a lack of process. Most systems and workflows simply aren’t built to make enrollment easy—or, just as importantly, ongoing. Many solutions stop at a one-time eligibility report or a static call list, leaving staff to handle manual outreach alongside their regular responsibilities—and leaving qualified patients to slip through the cracks.
After supporting more than 100,000 patient enrollments across thousands of providers, I’ve come to understand that successful enrollment isn’t about luck or marketing. It’s about having a repeatable, managed enrollment system that runs continuously in the background—so patients keep coming in and programs never lose momentum.
Why bad enrollment numbers happen to good programs
Enrollment breakdowns rarely begin with a single big event; instead, they build quietly within a practice's daily operations. A program launches, the first wave of patients signs up, and everything looks promising. Then, within a few weeks, momentum fades. Lists go stale, outreach slows, and eligible patients start slipping through the cracks.
Across thousands of RPM and CCM programs, we’ve found the same underlying issues behind nearly every slowdown:
1. Incomplete processes
Many programs stop at the first step. A one-time eligibility report is run, a few dozen calls are made, and the list is considered complete. But EHR filters are often outdated or incomplete, leaving entire segments of eligible patients out. Without a system to continuously refresh and revalidate eligibility, enrollment flatlines after the first month.
2. Overloaded staff
Even when the right patients are identified, outreach typically falls to staff who already have full plates. Between managing appointments, follow-ups, and documentation, proactive enrollment calls get pushed to the margins. After the initial wave of activity, the list goes stale, and eligible patients quietly slip through the cracks. Manual processes simply can’t keep pace with daily clinic operations.
3. Impersonal communication
Patients don’t enroll in programs they don’t understand. Too often, outreach messages sound technical, transactional, or disconnected from the patient’s care journey. Patients assume it’s a sales call or an added cost and say ‘no.’ The difference between hesitation and participation almost always comes down to trust, especially when the message comes directly from their provider.
The good news is that these issues can be fixed—but not with luck or one-time campaigns. The most successful programs are built on a managed, repeatable process that keeps eligibility current, supports staff, and makes outreach feel personal.
After helping thousands of practices across multiple specialties launch programs, we’ve learned that success comes down to three key factors: personalization, persistence, and presence.
Key lessons from 100,000+ patients
Those are the challenges. So, how do you overcome them? After helping thousands of practices across multiple specialties launch programs, we’ve learned that success comes down to three key factors: personalization, persistence, and presence.
- Personalization means meeting patients where they are. Texts, calls, and in-person introductions all work best when the message sounds like it’s coming from someone they know, not from a software platform. The most effective programs use friendly, educational language that helps patients understand how monitoring supports their care between visits.
- Persistence is about process. Enrollment isn’t a one-and-done process. It’s a living workflow that should run continuously as new patients become eligible. Practices that revisit eligibility monthly or quarterly consistently outperform those that treat enrollment as a one-time event.
- Presence matters most. The single most influential factor in a patient’s decision to enroll is hearing directly from their own provider. A 30-second conversation with a doctor who says, “I’d like you to join this program so we can keep a closer eye on your health,” is more powerful than any automated message.
When those three elements align, enrollment accelerates and patients stay engaged longer.
How 1bios drives continuous enrollment
As longtime observers and participants in this industry, our team understands the unique challenges small and midsized practices face when launching RPM and CCM programs. We developed 1bios as a turnkey solution that enables practices to seamlessly extend their services without taking on additional complexity, cost, or risk. And it all starts with establishing an ongoing enrollment function.
1bios uses AI-enhanced analytics to scan (and re-scan) the EHR to identify all eligible patients based on diagnosis, payer, and visit history. From there, our team manages coordinated, multi-channel outreach tailored to each practice and patient population.
Text messages introduce the program with simple, familiar language and direct links to learn more or consent digitally.
Personalized calls from our U.S.-based care team help patients understand the benefits, answer coverage questions, and address common concerns.
Short provider videos let patients hear directly from the person they trust most—their own doctor.
Every interaction is tracked and optimized over time. If a patient doesn’t respond to a text, we follow up with a call. If they hesitate, their provider gets notified to mention the program during their next visit. The goal isn’t just to reach out—it’s to ensure every eligible patient hears the right message at the right moment.
The key is continuous eligibility refresh. Patient populations change daily—new diagnoses, insurance updates, and coverage shifts create fresh opportunities. Our analytics automatically re-scan patient records at regular intervals to capture these updates and trigger new outreach. This ensures that every eligible patient stays on the radar and that the practice’s program never loses momentum.
Practices using this continuous enrollment cycle often double or triple their participation within months. It turns enrollment into a self-sustaining system rather than a one-time push.
Enrollment done right builds everything else
A strong enrollment process is the foundation of every successful RPM and CCM program. Without it, even the best care teams and technology will struggle to deliver results. With it, practices unlock a stable, recurring revenue stream while helping patients feel more supported and connected between visits.
At 1bios, we’ve seen how effective enrollment transforms a practice. It relieves pressure on staff, improves outcomes, and strengthens relationships with patients who feel seen and cared for beyond the exam room. Once enrollment is continuous and managed, everything else—from monitoring to billing—flows naturally.
Enrollment isn’t the starting line of an RPM or CCM program; it’s the heartbeat that keeps it alive. When it works, everything else follows.
