Who almyhealth is for
almyhealth is licensed by healthcare organizations and used by their patients. Four groups get value from it, for four different reasons.
Older adults managing complex conditions at home
Who this is.
People aged 65 and older living with chronic conditions that require daily discipline: heart failure, hypertension, type 2 diabetes, COPD, or recovery after surgery. Many manage several at once. Many live alone. Many have a smartphone they do not fully trust.
What they get.
A call from someone who knows their plan and their name. Help remembering seven medications without feeling supervised. A daily conversation during a recovery that would otherwise be silent. Guidance to complete therapy rather than a reminder to start it.
Why it matters to them.
Independence. Staying in your own home instead of moving into assisted living, and staying out of the hospital, is what most people in this group are actually optimizing for. Managing a complex regimen well is how that happens.
Reference patient.
Abby, 78, widowed, living alone in suburban Texas. Heart failure and type 2 diabetes. Seven medications, a low-sodium diet and a daily weight check. She prefers a phone call to any app that has ever been built.
Adult children and family caregivers
Who this is.
The daughter or son, usually between 40 and 55, who lives an hour away and calls every evening to ask whether Dad took his pills.
What they get.
Someone checks on their parent every day, in a structured way, and a clinical team sees the result. The caregiver stops being the only line of defense.
Why it matters to them.
The worry is constant and the guilt is worse. This does not replace their call. It means their call can be about something other than medication.
What we will not do.
We do not share a patient's health information with family members without the patient's authorization. That includes adult children who are paying attention and acting in good faith. Consent belongs to the patient.
Independent clinics and physician groups
Who this is.
Practices with roughly two to ten providers in high chronic-volume specialties: cardiology, endocrinology, nephrology and internal medicine. Also federally qualified health centers and independent physician associations serving high-risk patients with very little administrative staff.
What they get.
Daily patient contact they cannot staff for. Alma handles the routine data collection and triage across the panel. Staff time goes to the patients an alert has identified.
The financial case.
Medicare's 2026 Physician Fee Schedule expanded remote therapeutic monitoring, including new codes that reimburse when only two to fifteen days of data are collected in a 30-day period, and new codes covering ten to nineteen minutes of staff treatment management.
That makes monitoring viable for short-term recoveries, episodic flare-ups and lower-adherence patients who previously generated no reimbursement at all.
How the split works.
almyhealth charges a flat fee per active patient. The practice retains the balance of the Medicare reimbursement. The platform is designed to be a revenue line, not a cost line.
An honest constraint.
CMS treatment management codes require at least one synchronous, real-time interaction between a clinician and the patient each month. Automated calls do not satisfy that requirement, and we will not tell you otherwise. Alma does the daily data collection and triage. Your staff makes the short human call that Alma's alert makes necessary, and that call is what supports the billing.
Health plans, payviders and value-based care organizations
Who this is.
Medicare Advantage plans, special needs plans, managed care organizations and integrated systems carrying risk on a senior population.
What they get.
Continuous contact with the highest-risk members of a panel, and early warning on the events that destroy a year's margin. Adherence is a direct input to CMS Star Ratings, and Star Ratings are a direct input to revenue.
The financial case.
Under the Hospital Readmissions Reduction Program, CMS penalizes hospitals up to 3% of Medicare inpatient revenue for excess 30-day readmissions in conditions including heart failure, COPD and joint replacement.
Heart failure carries the highest readmission rate of any chronic condition, at roughly 23%.
Preventing a single heart failure readmission is estimated to save a payer around $14,600.
The commercial model.
A fixed per-member-per-month fee, tiered by population volume. Predictable cost, applied to the population that carries the risk. We position this as margin protection, not as another software line item.
Why now for this group.
The Inflation Reduction Act's $2,000 annual cap on Part D out-of-pocket spending, in effect since 2025, moved the cost of an unfilled prescription onto the plan rather than the beneficiary.
Making sure high-cost medications are actually taken is now a plan problem.