Florida Clinic’s Digital Blueprint for Chronic Care Hits 95% Success

ATLANTA, GA – December 03, 2025 – A groundbreaking remote patient monitoring program in Florida is demonstrating remarkable success in managing chronic hypertension, offering a potential blueprint for community health centers nationwide that serve vulnerable populations. Brevard Health Alliance (BHA), a Federally Qualified Health Center (FQHC), has achieved a 95% control rate among enrolled hypertension patients, a milestone that highlights the transformative power of integrated digital health technology in underserved communities.

The initiative, launched in partnership with digital health firm Rimidi, has enrolled nearly 200 patients in just 20 weeks. Participants have seen an average blood pressure reduction of 12mmHg systolic and 5mmHg diastolic, a clinically significant improvement that often takes far longer to achieve. This success is not just a clinical victory; it represents a sustainable model for leveraging technology to bridge healthcare gaps, powered by a strategic blend of grant funding and evolving reimbursement policies.

A New Model for Community Health

Federally Qualified Health Centers like BHA are the backbone of America's healthcare safety net, providing primary care to approximately 65,000 patients in Brevard County alone, regardless of their ability to pay. However, these centers often face immense challenges, including limited resources, staffing shortages, and patient populations with complex social and medical needs. Implementing advanced technology like Remote Patient Monitoring (RPM) can seem daunting.

BHA’s program demonstrates a path forward. The initiative began as a multi-year effort to bolster the center's population health strategy. The key was a combination of timely grant support—in this case, a Cinotti Grant from the Florida Department of Health—and the right technology partner. "Rimidi distinguished itself through ease of implementation, responsiveness, and a truly collaborative approach," said BHA Director of Clinical Operations Aubree Moore.

The program's design addresses common hurdles for FQHCs. By integrating Rimidi’s platform directly into their Electronic Health Record (EHR) system, BHA’s clinicians can view real-world patient data, like daily blood pressure readings, without navigating separate, cumbersome software. This seamless workflow is critical for preventing provider burnout and ensuring the data is actionable. The success hinges on what BHA’s team describes as strong workflows, consistent clinical leadership, and high engagement from both providers and patients—a formula that other community health centers can study and adapt.

The Technology Driving Transformation

At the core of BHA's success is a platform built with clinical reality in mind. Rimidi, whose mantra is "created by doctors, for doctors," has carved out a significant niche in the booming RPM market, which is projected to exceed $65 billion by 2034. The company has reported a 400% year-on-year growth in customers, a testament to the demand for solutions that genuinely ease clinical burdens.

Rimidi's platform functions as a SMART-on-FHIR application, a technical standard that allows it to plug directly into major EHR systems. This integration pulls data from connected devices—like the blood pressure cuffs used by BHA patients—and presents it alongside the patient’s existing medical history. More importantly, it uses clinical decision support tools to flag concerning trends, stratify patients by risk, and prioritize those who need immediate attention. This transforms a potential flood of data into a manageable and proactive care model.

"Brevard Health Alliance's success demonstrates the profound impact of integrating innovative clinical technology within a community health setting," noted Lucienne Ide, MD, PhD, CEO and Founder of Rimidi. The platform's scalability, recently enhanced in its "Rimidi 2.0" architecture, is also crucial, enabling BHA to expand its monitoring program from hypertension to high-risk obstetrics, with future plans for congestive heart failure and diabetes.

Empowering Patients Beyond the Clinic Walls

Beyond the impressive clinical metrics, the program is fundamentally changing the patient experience. Chronic disease management can often feel isolating and reactive, with patients only receiving feedback during infrequent office visits. RPM shifts this dynamic, creating a continuous connection between patients and their care teams.

Patients in the program report feeling more empowered and secure in managing their health. For 93-year-old Virginia S., the system provides daily reassurance. "It gives me comfort to know my nurse and doctor can see the readings," she noted. This sense of being watched over can dramatically improve adherence and reduce anxiety.

For others, like 35-year-old Erik M., gaining control over a chronic condition is life-altering. Finally managing his hypertension "has given me my confidence back to live my life," he shared. These stories illustrate a core benefit of RPM: it moves care from a paternalistic model to a collaborative partnership. Patients become active participants in their own health, equipped with tools and real-time data, while clinicians can intervene proactively, offering encouragement or adjusting treatment plans based on daily readings rather than a single, in-office snapshot.

The Sustainable Future of Digital Health

While the clinical and patient benefits are clear, the question of financial viability has long been the biggest barrier to widespread RPM adoption, especially for FQHCs operating on tight margins. The BHA-Rimidi partnership provides a compelling answer by weaving together two crucial financial threads: initial grant funding and long-term reimbursement.

The Cinotti Grant provided the essential seed capital to launch the program, covering initial costs for technology and devices. However, grants are temporary. The key to the program's longevity and expansion lies in leveraging RPM reimbursement codes from the Centers for Medicare & Medicaid Services (CMS) and other payers. Recent policy changes have expanded these reimbursement opportunities for FQHCs, making programs like BHA's financially sustainable.

This hybrid model allows BHA to cover ongoing operational costs, including program staffing and patient devices, through recurring revenue. This financial stability is what enables the center to confidently expand the program to new patient populations. As noted by Rimidi's CEO, Lucienne Ide, "By combining grant-funded innovation with a clear strategy for long-term sustainability, BHA has created a scalable model for how FQHCs can effectively manage chronic conditions." This approach not only improves patient health but also enhances the provider experience and builds a more resilient healthcare system for the communities that need it most.