For Home Health Agencies
The Operating System for Care Between Home Health Visits.
Patients spend more than 99% of every home health episode without a clinician present. BPHM extends your clinical team into that time — with continuous monitoring, intelligent detection, and clinician-led escalation that helps agencies intervene sooner, reduce avoidable hospitalizations, and win under value-based care.
The Problem
Home Health Visits Last Minutes. Patients Live the Other 23 Hours.
Under HHVBP, PDGM, and value-based contracts, agencies are increasingly accountable for what happens between visits — a window where they've historically had almost no clinical visibility.
Silent Deterioration Between Visits
Patients decline in the days between scheduled clinician visits — and agencies have no visibility until the next nurse arrives at the door.
Avoidable Hospitalizations & Readmissions
Small, catchable clinical changes escalate into emergency department visits and 30-day readmissions that drive penalties under value-based care.
Limited Clinical Visibility
Episodic visit notes and phone check-ins can't tell you how a patient is actually doing across the 99% of hours no clinician is present.
Value-Based Performance Pressure
HHVBP, PDGM, and Medicare Advantage contracts now grade agencies on outcomes, acute utilization, and quality — not visit volume.
How BPHM Works
Technology collects data. BPHM turns it into clinical action.
A single, integrated layer of monitoring, intelligence, and clinician-led escalation — engineered for the realities of home health operations.
Continuous Monitoring
Passive, ambient technology captures activity, mobility, sleep, respiration, and behavioral patterns in the home — 24/7, with nothing for the patient to wear, charge, or remember.
Intelligent Clinical Detection
Our clinical intelligence layer separates meaningful physiological and behavioral change from normal daily variation, surfacing only the signals your clinicians need to act on.
Clinical Escalation & Coordination
BPHM's Medicare-trained clinical operations team escalates identified changes to the responsible nurse, physician, or family caregiver — following each agency's own protocols.
BPHM doesn't replace clinicians. It extends them into every hour of every home health episode.
Built for Home Health Agencies
Clinical infrastructure — engineered around your agency, your clinicians, and your outcomes.
Care Between Home Health Episodes
Extend clinical visibility across every hour of every home health episode — not just the minutes a nurse is in the home.
Earlier Detection of Change
Identify falls risk, sleep disturbance, mobility decline, and behavioral shifts before they become emergency department visits.
Clinician-Led Escalation
A Medicare-trained clinical operations team triages signals and escalates to your nurses, on-call clinicians, and ordering physicians on your workflows.
Physician Communication
Structured, defensible summaries and change-of-condition notifications keep ordering physicians informed between visits and support timely orders.
Readmission & Hospitalization Reduction
Purpose-built to support HHVBP, PDGM, and value-based contracts by helping agencies intervene sooner and reduce avoidable acute utilization.
Operational Infrastructure
Not another dashboard. BPHM plugs into your existing clinical workflows so alerts arrive through the channels your team already uses.
Outcomes
Better Outcomes. Less Guesswork.
Earlier identification of patient deterioration
Continuous visibility between home health visits
Faster clinical intervention and escalation
Reduced avoidable hospitalizations and readmissions
Individual outcomes vary and depend on clinical context. BPHM is a monitoring and coordination service, not a diagnostic device or insurance provider.
Who We Help
Built for the organizations accountable for home-based outcomes.
Home Health Agencies
Extend clinicians into every hour of every episode of care.
ACOs & Value-Based Organizations
Reduce avoidable utilization across attributed lives and improve total cost of care.
Medicare Advantage Plans
Support Stars, HEDIS, and member experience for high-risk home-based populations.
Ordering Physicians & Family Caregivers
A shared source of truth on what's actually happening at home between visits.
Why BPHM is Different
Not another RPM vendor. The clinical infrastructure between visits.
Traditional RPM
- Patient-operated devices and wearables
- Depends on patient compliance and engagement
- Daytime, episodic readings
- Data dashboards without clinical action
- Sold as a device, not a workflow
BPHM
- Passive, ambient — nothing for patients to operate
- Continuous 24/7 monitoring, including overnight
- Clinical intelligence that filters noise from signal
- Medicare-trained clinical operations team on every escalation
- Integrated into agency workflows and physician communication
- Built around interventions and outcomes, not alerts
Technology Alone Doesn't Improve Outcomes. Clinical Action Does.
Most remote monitoring companies stop at data collection.
BPHM combines continuous ambient monitoring, clinical intelligence, and a Medicare-trained clinical operations team — so home health agencies don't just see change, they act on it. Escalations flow into your workflows, your clinicians, and your ordering physicians on your terms.
We don't sell alerts. We build the operating system for care between visits.
Frequently Asked