When you’re evaluating care management platforms, the sales pitch is always the same: “one platform, every program.” But the details underneath that claim matter enormously — especially when you’re running CCM for complex chronic patients, scaling RPM across a small practice with five providers, or trying to stack BHI revenue on top of an existing PCM program.
We’ve seen a particular competitor gain traction by marketing aggressively to facility-based operators and practices with small patient panels. Their positioning hits three specific notes: purpose-built CCM for senior living and skilled nursing, no minimum patient requirements, and five-program support (CCM, RPM, PCM, BHI, RTM) on a single platform.
Those are real claims worth taking seriously. And they’re also the right starting point for an honest comparison.
Here’s what this article covers: how HealthArc performs across each of those three dimensions, where we go further, and which platform actually fits your organization’s needs — whether you’re a solo primary care practice, a multi-specialty group, or a large facility operator.
TL;DR: The competitor has carved out a niche in dual-EHR facility environments. HealthArc is the better fit for the vast majority of providers — with deeper program breadth (7 programs vs. 5), a larger device ecosystem (40+ devices), more EHR integrations (14+), AI-powered clinical workflows, and transparent all-inclusive pricing.
Table of Contents
ToggleBefore going deep on each program, here’s the side-by-side view:
| Feature | HealthArc | The Competitor |
|---|---|---|
| Programs Supported | CCM, RPM, PCM, BHI, RTM, TCM, APCM, MTM (8 programs) | CCM, RPM, PCM, BHI, RTM (5 programs) |
| EHR Integrations | 14+ EHRs (Epic, eClinicalWorks, athenahealth, DrChrono, Veradigm, and more) | 8 EHRs, dual-EHR capable |
| Connected Devices | 40+ medical devices (cellular, Bluetooth, BYOD, CGM) | FDA-cleared devices, device count not published |
| AI Capabilities | AI scribe, predictive analytics, AI-powered care pathways, automated alerts | Not specified |
| Facility-Based CCM | Supported for nursing homes, elderly care facilities, hospitals | Core specialty (senior living, SNFs) |
| Small Practice Support | No minimum patient requirements; scales from solo to health system | No minimum patient requirements |
| Billing Automation | Full CPT automation across all 8 programs, audit-ready documentation | Time tracking + documentation for 5 programs |
| Pricing Model | All-inclusive per patient per month; no hidden device fees | ~$175-220/patient/month (RPM); not fully published |
| Compliance | HIPAA + SOC 2 certified | Not specified |
| Clinical Support | Optional pod-based teams (RNs, LPNs, MAs, enrollment specialists) | Dedicated support from day one |
The key takeaway: where the competitor runs deep on one specific niche (facility-based CCM with dual-EHR bridging), HealthArc runs wide across the full spectrum of care settings, program types, and provider sizes.
Let’s be direct about this one. The competitor has built a specific capability for dual-EHR environments — situations where a senior living facility uses one EHR (like PointClickCare) and the attending physician uses a different one (like athenahealth or Epic). Their platform bridges both systems simultaneously, routing care plans and clinical documentation to each side of the care team.
That is a genuinely useful feature for a narrow segment of the market.
HealthArc’s platform was built to serve healthcare institutions, hospitals, nursing homes, and elderly care facilities alongside physician practices. Our CCM software integrates with 14+ EHR systems and supports bidirectional data exchange — meaning care plans, clinical notes, and device readings sync in real time across connected systems.
For facility-based CCM, HealthArc delivers:
If your organization operates a large senior living network and your entire workflow depends on bridging PointClickCare with a physician EHR simultaneously, the competitor’s dual-EHR architecture is purpose-built for that scenario.
For the vast majority of facility-based providers — nursing homes, home health agencies, FQHCs, and hospital-affiliated practices — HealthArc’s 14+ EHR integrations cover the systems they’re actually using, with AI-powered automation that reduces the documentation burden the competitor addresses through manual workflow configuration.
The real differentiator isn’t which EHR you can connect to. It’s what the platform does once it’s connected. HealthArc’s AI scribe, predictive analytics, and automated care pathway generation mean clinical staff spend less time documenting and more time delivering care.
Both platforms claim to serve small practices without minimum patient requirements. This is table stakes in 2026 — any platform that mandates a 50-patient minimum before you can launch is effectively locking out the solo and small group practices that need care management revenue the most.
But “no minimum” is only part of the story. The more important question is: what does the platform actually do to help a small practice succeed with a limited care team?
A two-provider primary care practice doesn’t have a dedicated care coordinator. They have a front desk person who also handles prior auths and a nurse who’s already stretched thin. That’s the reality for most small practices, and it’s why HealthArc built optional clinical support directly into the platform model.
With HealthArc, small practices can:
The result: a small practice can launch a compliant CCM program, stack RPM for their hypertension and diabetes patients, and add BHI for behavioral health needs — all from a single dashboard, with billing automation handling CPT code documentation across every program.
The competitor’s model is built around workflow customization at the facility level. That works well when you have a dedicated IT team and a clinical operations director to manage the configuration. For a small practice that needs to be monitoring patients in under two weeks, that level of setup overhead is a barrier, not a benefit.
HealthArc’s onboarding is designed for speed. Practices can go live with their first enrolled patients quickly, with AI-driven communication tools handling patient outreach across SMS, email, phone, and in-office channels automatically.
This is where the comparison becomes most consequential. The competitor supports five Medicare care management programs: CCM, RPM, PCM, BHI, and RTM. That’s a solid foundation. But CMS has expanded the care management landscape significantly, and the programs beyond those five are where meaningful additional revenue lives.
HealthArc supports eight programs on a single platform:
| Program | CPT Codes | What It Covers |
|---|---|---|
| CCM (Chronic Care Management) | 99490, 99439, 99491, 99437, 99487, 99489 | Patients with 2+ chronic conditions, 20+ min/month |
| RPM (Remote Patient Monitoring) | 99453, 99454, 99457, 99458 | Real-time vitals via FDA-cleared devices, 16 days/month |
| PCM (Principal Care Management) | 99424, 99425, 99426, 99427 | Single high-complexity chronic condition, 30+ min/month |
| BHI (Behavioral Health Integration) | 99484, 99492, 99493, 99494 | Behavioral health conditions, collaborative care model |
| RTM (Remote Therapeutic Monitoring) | 98975, 98976, 98977, 98980, 98981 | Non-physiological data: musculoskeletal, respiratory, adherence |
| TCM (Transitional Care Management) | 99495, 99496 | Post-discharge care, preventing readmissions |
| APCM (Advanced Primary Care Management) | G0556, G0557, G0558 | Unifies CCM, PCM, TCM, RTM into one streamlined workflow |
| MTM (Medication Therapy Management) | 99605, 99606, 99607 | Medication reconciliation, adherence, polypharmacy risk |
TCM is often the highest-value add for practices with hospitalized patients. A patient discharged from an inpatient stay is at peak readmission risk. Transitional Care Management creates a structured 30-day post-discharge touchpoint that improves outcomes and generates reimbursement that CCM alone doesn’t capture.
APCM is the future of care management billing. CMS introduced Advanced Primary Care Management to reduce the administrative complexity of running multiple concurrent programs. Rather than tracking time separately across CCM, PCM, TCM, and RTM, APCM unifies them into a single workflow with risk-stratified billing codes. Practices that adopt APCM early will have a structural billing advantage as CMS continues to push value-based care models.
MTM captures revenue that most practices leave on the table. Older adults on five or more medications are at significant risk for adverse drug events. Medication Therapy Management provides structured medication reviews that are separately billable — and for practices with large Medicare populations, this represents thousands of dollars in uncaptured monthly revenue.
The competitor’s five-program model covers the core programs well. But it leaves TCM, APCM, and MTM revenue on the table entirely. For a practice managing 100 Medicare patients, that’s a meaningful gap.
Care management programs live or die on data quality and clinical workflow efficiency. Two platform capabilities drive both: the breadth of connected devices and the intelligence layer built on top of that data.
HealthArc’s singular device portal connects to 40+ medical devices across every major condition category:
Cellular connectivity means devices work out of the box — patients don’t need to pair Bluetooth or configure apps. The device ships to their home, they use it, and data transmits automatically to the HealthArc dashboard. For elderly patients or those with limited tech literacy, this removes the most common barrier to RPM compliance.
The competitor lists FDA-cleared devices without publishing a specific count or device catalog. For practices evaluating RPM programs that need to support CGM for diabetes patients or spirometry for COPD, that ambiguity is a real procurement risk.
HealthArc launched three major AI capabilities in 2025 that directly address the operational bottlenecks in care management:
The competitor’s platform is built around workflow customization through manual configuration. HealthArc’s platform learns and adapts. For care teams managing hundreds of patients across multiple programs, that difference compounds quickly.
Key insight: An NPS of 75 — one of the highest in the RPM industry — reflects how clinical staff actually experience the platform day-to-day, not just how it looks in a demo.
The honest answer depends on what you’re optimizing for.
That’s a real use case. It’s also a narrow one.
The bottom line: most providers aren’t choosing between two platforms that do the same thing differently. They’re choosing between a platform built for one specific facility niche and a platform built for the full range of modern care delivery. For the vast majority of organizations evaluating care management software in 2026, that’s not a close call.
HealthArc’s unified care platform supports your program today and grows with you as CMS continues expanding care management reimbursement. You won’t need to switch vendors when you’re ready to add APCM, or when a patient needs MTM, or when your practice acquires a new location with a different EHR.
One platform. Every program. Every care setting.
Ready to see how HealthArc fits your specific workflows? Schedule a demo and we’ll walk through your exact patient population, program mix, and EHR environment.
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