Remote care programs, like Remote Patient Monitoring (RPM) and Chronic Care Management (CCM), extend care beyond the clinic, pairing at-home devices (blood pressure cuffs, glucose meters, weight scales) with proactive care coordination. These solutions accelerate improvements in blood pressure, A1C, and other key metrics, all while giving patients the convenience of monitoring from home.
However, scaling RPM and CCM brings its own hurdles, from patient tech comfort and staff bandwidth to connectivity gaps and reimbursement uncertainty.
Below, we explore the seven most common challenges practices face when launching a remote care program, and how Nom Care’s proven processes and clinical support help you tackle each one with confidence:
- Complexity of technology for patients.
- Staff resource constraints.
- Technology cost.
- Internet connectivity.
- Complexity of technology for staff.
- Lack of patient interest.
- Privacy and data concerns.
Fortunately, Nom Care has robust processes in place to help medical practices overcome these hurdles with ease.
Patients, Technology & Internet Connectivity
Recent studies indicate that digital literacy gaps significantly hinder RPM adoption, particularly among older and underserved patient groups who may find technology intimidating or challenging to use (Hailu et al., 2024; Tagne et al., 2025)
Cellular RPM devices are easy to use, many with single push-button operation. To keep things simple for users, device readings are automatically transmitted to Nom Cares’ remote care platform. With cellular devices, no smartphone, computer, or high-speed internet connection is necessary.
In terms of patient eligibility, RPM, CCM, PCM, and other remote care programs are reimbursed by Medicare, and many commercial insurers are also now covering these programs, reducing or eliminating out-of-pocket costs for patients. Nom Cares’ eligibility verification service helps practices understand their potential payor mix and helps patients understand their financial obligations (if any).
Staff Resources
Offering daily monitoring to patients does require an investment of clinical resources to provide the best results. Managing incoming patient data often overwhelms clinical staff, leading to workflow disruptions without structured training and clearly defined roles (Hailu et al., 2024).
Recent studies indicate that CCM program adoption faces specific challenges such as intensive patient recruitment efforts, administrative burdens, and confusion over reimbursement criteria, which can lead to underutilization of available CCM billing codes (Journal of the American Geriatrics Society, 2024)
However, it doesn’t have to be your own practice’s clinical staff. Nom Care offers monitoring services where our nurses become an extension of your practice staff, conducting patient monitoring, providing health coaching, and communicating with your RPM patients regularly while providing your team with daily updates on patient progress.
Nom Care can also support your practice with remote onboarding services to help you identify potential RPM patients, verify their insurance eligibility, ship devices to patients, and conduct onboarding appointments.
Technology Cost
RPM is reimbursed as supplemental services and do not impede or interfere with a practice’s ability to bill for office visits. RPM can also be billed in conjunction with CCM, so your practice can bill for the minutes that spent engaging with patients.
Complexity of Technology for Staff
Staff often face interoperability challenges between remote monitoring devices and electronic health record (EHR) systems, which complicates patient data management and increases staff frustration (Schürmann et al., 2025). The Nom Care remote care platform was built for clinical environments and allows clinical teams to understand which patients need help based on criticality and priority. In addition, our clinical staffing team can conduct monitoring on behalf of your practice, escalating critical readings based on your practice’s preferred clinical workflows.
Lack of Patient Interest
One significant barrier to adopting remote care programs is initially low patient interest or enrollment. Many patients, particularly older adults or those less familiar with technology, may feel hesitant or skeptical about using remote monitoring systems. Recent research indicates that patient recruitment for chronic care management (CCM) programs is often labor-intensive, requiring multiple outreach efforts to build comfort and trust among patients who are initially reluctant to participate (Journal of the American Geriatrics Society, 2024),
However, once patients experience the convenience and effectiveness of remote care, their interest and engagement typically increase dramatically. Practices choosing to monitor patients through Nom Care’s remote care platform can quickly achieve significant improvements in patient outcomes compared to traditional office visits alone. For example, hypertensive patients monitored through our platform experienced an average 11-point reduction in systolic blood pressure (from an initial average of 140) and a 7-point reduction in diastolic blood pressure (from an initial average of 80) within just three months. Patients with diabetes similarly saw significant results, achieving an average reduction of 2.4 points in their A1C levels within four months.
Our recent practitioner survey further confirms that, despite initial hesitancy, patients typically become enthusiastic supporters of remote care after overcoming initial barriers to technology use:
- “Most, once accustomed to a new technology… really like it.”
- “They love it tremendously.”
- “They are very appreciative and welcome the monitoring.”
Addressing initial patient reluctance through targeted education and clear communication about privacy, security, and ease-of-use can greatly enhance patient interest and enrollment, transforming initial hesitancy into lasting engagement.
Privacy and Data Security Concerns
Privacy and data security concerns continue to pose major barriers to adopting remote care programs. Recent research reveals patients are increasingly worried about the accuracy, reliability, and security of their personal health data collected through remote devices. These concerns significantly reduce patient trust and willingness to engage fully in programs like RPM and CCM (Napoli et al., 2025; Alzghaibi et al., 2025). Patients express particular discomfort around the potential misuse or mishandling of sensitive health information, emphasizing the critical need for transparency and robust safeguards in remote care technology.
Moreover, the integration of artificial intelligence and automated systems further compounds these privacy worries. Patients often perceive these technologies as less trustworthy compared to direct human oversight, raising fears about incorrect or incomplete assessments that could negatively impact their care (Alzghaibi et al., 2025). Healthcare organizations adopting remote care must therefore proactively address these concerns by clearly demonstrating data security measures, reinforcing transparency around data handling practices, and ensuring that patients feel comfortable and secure when participating in remote monitoring programs.
To find out why hundreds of medical practices trust Nom Care RPM. Request a demo today.