Cadence

Medication reconciliation sounds basic, but as this data shows, it’s one of the hardest problems to get right at scale. Across remote care, discrepancies aren’t driven by a single failure point. They emerge from transitions of care, patient behavior, pharmacy access, documentation gaps, and sometimes simple confusion. The result: nearly 40% of EMR medication lists don’t reflect what patients are actually taking. That gap matters operationally. When med lists are wrong, titration workflows can overcorrect, masking issues of adherence, education, or access as physiology and introducing risk instead of clarity. At Cadence, we pair RPM signals with disease-specific medication reconciliation so interventions are grounded in reality. That means patient education, closed-loop communication with providers, and updating the record to reflect real-world use before clinical decisions are made.

Healthcare is full of good intentions. It’s also full of programs. In our latest Cadence Conversations, Krista Drobac names something many leaders recognize: in healthcare we tend to build innovation by layering programs on top of programs. As Krista puts it, healthcare has become very good at solving problems one program at a time, but less effective at helping those solutions fit together in a way that works on the ground. She underscores the importance of fitting efforts like the Rural Health Transformation Fund, ACCESS, and other CMMI initiatives together not as parallel tracks, but as a coordinated system that health systems can actually navigate. When programs align, transformation moves faster. This conversation asks an important question: How do we move from layered programs to integrated systems that truly work together? We’d love to hear your thoughts.

#MissionMonday “The awareness that I got from Cadence was mind blowing to me.” Alan Katz is 75 and lives in Chicago. For years, he knew his blood pressure was high, and like many people, he believed he could manage it on his own. Then he went into atrial fibrillation which changed everything. With support from his Care Team and spending four or five minutes a day doing simple daily check-ins at home, Alan began to understand what was happening in his body. Over six months, Alan lost 40 pounds and brought his blood pressure down to 107/68. Consistent support beyond the visit drives real behavior change and real health improvements. “I was more proactive in my health than I’ve ever been before,” he shared.

After 30 years as a rural health nurse, Cadence nurse Theresa Folino could have gone anywhere. But following the loss of her mother to heart failure, she felt called to do work that was more personal, and more aligned with how care should be delivered. Today, she’s part of our preventive primary care (APCM) team, bringing decades of experience to patients who need consistent, thoughtful support between visits. Theresa’s story reflects what we’re building at Cadence every day, and we’re grateful for clinicians like her who remind us why this work matters.

🎙️ Cadence Conversations episode 4 is live! This month, Eve Cunningham MD MBA sits down with Krista Drobac, one of the most influential health policy leaders shaping the future of care-at-home in the U.S. Krista has spent more than two decades across federal and state government, Capitol Hill, and public affairs, helping turn home-based care from an idea into a legitimate clinical site of care. She’s the founder of Alliance for Connected Care, and serves as Executive Director of Moving Health Home – coalitions that have driven real, durable policy change. We’re releasing this episode at a pivotal moment. As the first wave of funding from the Rural Health Transformation Program reaches states, Eve and Krista step back to examine how policy, payment reform, and technology are converging, and where misalignment still creates friction on the ground. This is a prescient and deeply practical conversation recommended to anyone who cares about expanding access to high-quality, sustainable care. Krista offers an insider’s look at how coalition-based advocacy actually drives change and what it really takes to build patient-centered, scalable models for rural America.

“This is the first time I’ve ever seen how taking care of myself directly translates into my wellbeing.” After experiencing a stroke, Lynda was referred by her primary care physician, Dr. Cobo, to Rush University Medical Center's Remote Care program. Before enrolling, Lynda was taking her blood pressure inconsistently and didn’t fully understand what the numbers meant, or how her day-to-day habits affected them. With regular check-ins and encouragement from her Cadence Care Team, Lynda began to see how sleep, stress, movement, diet, and medications showed up in her readings, and how small adjustments made a real difference. Today, she walks 7,000 steps a day, feels more confident managing her health, and is planning her next chapter with greater independence. Hear Lynda’s full story in her own words.

At Cadence, we spend a lot of time thinking about how to relieve clinician burden without fragmenting care or adding more noise. Our answer has always been to extend the care team, and integrate deeply into existing workflows. In 2025 alone, Cadence’s Care Teams handled over 99% of alerts without physician involvement, addressing patient issues before they turned into late-night inbox messages or unnecessary visits. Eve Cunningham MD MBA’s recent Forbes piece resonated deeply. She lays out the big forces fracturing modern medicine today – from inbox overload and administrative “death by a thousand cuts,” to loss of autonomy and moral injury tied to prior authorization. It’s a reality we hear every day from clinicians. Curious how others are thinking about this right now. What feels most broken in day-to-day clinical practice and what’s actually helping? https://lnkd.in/diPnKwHP

#MissionMonday Small lifestyle changes, supported consistently, can lead to real clinical progress. Stating their desire to focus on nutrition and regular movement, one patient worked closely with their Cadence Care Team to build healthier routines between visits. Over the course of three months, those changes showed up clearly in their labs: → 🧪 Total cholesterol: 244 → 196 → ❤️ LDL: 152 → 111 When patients have steady support, healthy behaviors become sustainable, and the results follow.

Fewer admissions. Shorter stays. Better stability when care is needed most. Peer-reviewed research in Mayo Clinic Proceedings shows that Medicare patients enrolled in Cadence’s Remote Patient Care program spend less time in the hospital when admitted, and are 27% less likely to be admitted overall.