Medistics
Medistics is a New Jersey-based care management company whose platform aggregates EHR, RPM, pharmacy, and HIE data to deliver CMS-billable Chronic Care Management, Remote Patient Monitoring, and related services to Medicare beneficiaries with chronic conditions via providers, independent pharmacies, and ACOs.
- Company typePrivate
- Founded2018
- HeadquartersClark, United States
- Headcount11–50
- GTM typeB2B
- OfferingSoftware
What Medistics does
Medistics LLC is a New Jersey-based, privately held care management company founded in 2018 that operates a unified Care Management Platform aggregating patient health data from EHR systems, remote patient monitoring (RPM) technology, pharmacy systems, and Health Information Exchanges (HIEs). The platform delivers real-time biometric and medication-adherence monitoring through connected healthcare devices including proprietary Smart Caps, and surfaces machine-learning-driven clinical recommendations for early intervention, symptom management, and care escalation. A dedicated clinical support team (nurses, nutritionists, social workers) is assigned to each patient to drive care-plan adherence.
The company sells primarily to healthcare providers, independent pharmacies, Accountable Care Organizations (ACOs), and health systems across the United States, targeting Medicare beneficiaries with two or more chronic conditions who are eligible for CMS-reimbursable care management programs. Its service portfolio spans Chronic Care Management (CCM), Remote Patient Monitoring (RPM), Remote Therapeutic Monitoring (RTM), Behavioral Health Integration, Transitional Care Management (TCM), and Annual Wellness Visits (AWV). The company has built a multi-channel go-to-market combining direct sales (contact form, phone), content marketing, and technology-integration partnerships with BestRx (pharmacy management software), RxCap (medication adherence and RPM infrastructure), and Cipher Skin (musculoskeletal monitoring).
Medistics charges healthcare organizations a flat rate per patient per month that covers all care manager work performed on behalf of enrolled patients; the healthcare organization then bills CMS for the underlying reimbursable services using applicable CPT codes. As of the available data, the company reports being trusted by 150+ healthcare professionals, operates with 11–50 employees, has no disclosed funding rounds or revenue, and is led by CEO Raj Shah.
Medistics firmographics
Firmographics- Name
- Medistics
- Legal name
- Medistics LLC
- Website
- https://medisticshealth.com
- Company type
- Private
- Founded year
- 2018
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Medistics is a New Jersey-based care management company whose platform aggregates EHR, RPM, pharmacy, and HIE data to deliver CMS-billable Chronic Care Management, Remote Patient Monitoring, and related services to Medicare beneficiaries with chronic conditions via providers, independent pharmacies, and ACOs.
- Ownership category
- akta.pro rank
Medistics industry classification
Industry- Product category
- Healthcare Care Management Software
- NAICS
- Computer Systems Design and Related Services (54151)
- SIC
- Services-Health Services (8000), Services-Prepackaged Software (7372)
- akta.pro primary industry
- Multi-Condition RPM Platforms & Care Orchestration (device-agnostic, population management) (HLALAFAL)
- akta.pro secondary industries
- Care Management & Coordination Platforms (case/disease management workflows) (HLACAHAD), Virtual Nursing, Telemonitoring & Command Center Platforms (HLACAFAH), Behavioral Health-Integrated Chronic Care (SUD comorbidity, collaborative care) (HLALAFAK)
Keywords
Where Medistics is headquartered
LocationHeadquarters
- HQ city
- Clark
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Medistics business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Supply Chain, Infrastructure
Revenue model
- Care Management Platform Services (B2B SaaS / Managed Services): Medistics charges healthcare organizations (providers, pharmacies, ACOs) a flat rate per patient per month that accounts for all care management work performed by their care managers. The company analyzes patient populations to identify which CMS programs patients qualify for, fulfills program requirements, and provides monthly reports with CPT codes for billing. Healthcare organizations bill CMS for reimbursable services (CCM, RPM, RTM, TCM, AWV) while Medistics takes a flat-rate cut for its platform and care team services.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Quote-based flat-rate pricing per patient per month |
Go-to-market motion1 record
Distribution channels2 records
Marketing channels5 records
Medistics product offering
Product offeringCore offering
Medistics sells a unified Care Management Platform combined with managed clinical services to U.S. healthcare providers, independent pharmacies, and ACOs serving Medicare beneficiaries with chronic conditions. The platform aggregates patient data from EHRs, remote patient monitoring devices, pharmacy systems, and HIEs, and is delivered alongside connected health devices (including Smart Caps), dedicated care managers (nurses, nutritionists, social workers), and machine learning-driven clinical decision support to enable reimbursable CMS programs such as CCM, RPM, RTM, TCM, AWV, and Behavioral Health Integration.
Product overview
Medistics offers a unified Care Management Platform that serves as the core product, integrating data from multiple sources including EHR systems, remote monitoring devices, pharmacy systems, and health information exchanges. The platform delivers Remote Patient Monitoring, Chronic Care Management, Behavioral Health Integration, Transitional Care Management, and Annual Wellness Visits as integrated service modules. The ecosystem includes connected health devices (Smart Caps and monitoring kits) and dedicated clinical support teams to enable end-to-end care delivery. The company has also expanded through partnerships with BestRx (pharmacy integration), RxCap (RPM/RTM solutions), and Cipher Skin (motion/biometrics monitoring).
Differentiator
Problem solved
Functional benefit
Products and services
- Medistics Care Management Platform Unified software platform that aggregates patient health data from EHR systems, remote patient monitoring devices, pharmacy systems, and Health Information Exchanges for personalized, holistic care delivery with real-time monitoring and clinical decision support, sold to healthcare providers, pharmacies, and ACOs.
- Chronic Care Management (CCM) Care coordination service for Medicare patients with two or more chronic conditions expected to last 12 months or indefinitely, providing continuous care management and support delivered by Medistics' clinical teams.
- Remote Patient Monitoring (RPM) Program that monitors real-time biometric and habitual data from connected healthcare devices, enabling providers to track patient vitals and receive alerts for critical events through the Medistics platform.
- Remote Therapeutic Monitoring (RTM) Monitoring service for patients with musculoskeletal and respiratory conditions using medical devices that collect non-physiological data to monitor therapy and medication adherence and response.
- Behavioral Health Integration Service that monitors patients with behavioral health conditions and coordinates mental health care with primary care services through Medistics' platform and clinical support teams.
- Transitional Care Management Service that manages patient discharges from inpatient facilities and coordinates care transitions to home or community settings through Medistics' clinical support team.
- Annual Wellness Visits Yearly appointments to create or update personalized prevention plans for Medicare beneficiaries, coordinated through the Medistics platform.
- Connected Health Devices / Patient Monitoring Kits Pre-configured patient-facing remote monitoring kits including proprietary Smart Caps for medication adherence, delivering biometric and health data directly to care teams through an intuitive online portal.
- Clinical Support Team Services Dedicated clinical support teams of nurses, nutritionists, and social workers who assist patients with chronic conditions and behavioral health issues with appointment scheduling, medication refills, care plan adherence, and patient education.
Quantifiable outcome
- Medistics states $46.67 net profit per patient per month for providers using their platform based on Medicare reimbursement for care management CPT codes.
- +3 more outcomes
Companies that use Medistics
Customer profileNamed customers2 records
Segments3 records
Ideal customer profiles2 records
Medistics technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration5 records
AI capability2 records
Feature4 records
Medistics partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered core.
- RxCap, Inc.coreMedistics LLC partnered with RxCap, Inc., a Boston-based technology company focused on medication adherence and infrastructure for remote monitoring. The partnership launched a turnkey solution for CMS RPM and RTM programs, enabling both companies to provide comprehensive Remote Patient Monitoring and Remote Therapeutic Monitoring services. Using Medistics + RxCap solutions allows for more efficient patient engagement leading to better health outcomes and potential reductions in overall cost of care.
- BestRxcoreBestRx Pharmacy Management Software integrated with Medistics' Care Management Platform. The integration provides independent pharmacies with access to real-time patient and treatment information and creates an opportunity for them to earn additional revenue for performing many of the patient care services they're already doing today.
Scale indicators4 records
Recent moves5 records
Expansion highlights5 records
Medistics competitors and assessment
Company assessmentDirect peers
- Health Recovery Solutions: Independent RPM and chronic care management platform serving providers, health systems, and ACOs with connected device kits and a clinician-facing dashboard. Directly comparable to Medistics in target customer (Medicare chronic-care providers), CMS-aligned revenue model, and bundled hardware-plus-software offering.
- Vivify Health: RPM platform (now part of Optum) offering connected device kits, patient engagement tools, and population health workflows for providers and payers. Closely comparable to Medistics on multi-condition RPM, device kits, and CMS-aligned care management programs.
- AMC Health: Virtual care and RPM provider offering telehealth, remote monitoring, and chronic care management services to providers, payers, and ACOs. Comparable to Medistics in serving Medicare chronic-care populations with bundled device and care-coordination services.
- CareSimple: RPM and chronic care management platform purpose-built for providers and ACOs, with cellular-connected devices and EHR integration. Comparable to Medistics on the device-agnostic multi-condition RPM, EHR data aggregation, and ACO-facing GTM.
- 100Plus: Remote patient monitoring platform (acquired by AliveCor) offering connected devices and clinician dashboards targeted at independent practices serving Medicare patients. Comparable to Medistics in primary-care RPM positioning, Medicare CPT-aligned economics, and device-kit distribution model.
- Prevounce: CCM and RPM platform and services company that helps physician practices launch and bill for Medicare care management programs. Comparable to Medistics in the CMS-aligned CCM/RPM services-plus-platform model and focus on independent primary-care providers.
- Optimize Health: RPM platform offering cellular-connected devices and clinician workflows for chronic care management across providers and ACOs. Comparable to Medistics in device-kit distribution, multi-condition RPM, and CMS-reimbursement-aligned per-patient economics.
- Validic: Digital health and RPM data platform that aggregates biometric data from hundreds of connected devices into EHRs and care management workflows. Comparable to Medistics on the device-agnostic data aggregation layer and integration with RPM ecosystems serving chronic-care populations.
- Hicuity Health: Remote monitoring and tele-ICU/care services provider delivering continuous clinical surveillance for health systems and post-acute populations. Comparable to Medistics in remote clinical monitoring, dedicated clinical team model, and CMS-aligned value-based care positioning.
Broad incumbents
- Optum (UnitedHealth Group): Diversified health services and health IT conglomerate (parent of Vivify Health) operating in care management, population health, and value-based-care services at massive scale. Comparable to Medistics as the dominant incumbent competing in the same CMS-funded CCM/RPM space with vastly broader resources.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights6 records
Customer concentration
Medistics social profiles
Digital presenceMedistics compliance and trust
Trust signalCompliance1 record
Medistics financial estimates
Financial estimateRevenue estimate
Valuation estimate
Medistics leadership team
Management profileNumber of profiles
Profiles1 record
Medistics funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Medistics M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Medistics
What does Medistics do?
Medistics sells a unified Care Management Platform combined with managed clinical services to U.S. healthcare providers, independent pharmacies, and ACOs serving Medicare beneficiaries with chronic conditions. The platform aggregates patient data from EHRs, remote patient monitoring devices, pharmacy systems, and HIEs, and is delivered alongside connected health devices (including Smart Caps), dedicated care managers (nurses, nutritionists, social workers), and machine learning-driven clinical decision support to enable reimbursable CMS programs such as CCM, RPM, RTM, TCM, AWV, and Behavioral Health Integration.
Is Medistics a public or private company?
Medistics is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Medistics founded?
Medistics was founded in 2018. It employs 11 to 50 people.
Where is Medistics based?
Medistics is headquartered in Clark, United States, in the North America region.
How does Medistics make money?
One revenue line is on record: care Management Platform Services (B2B SaaS / Managed Services).
Who are Medistics's main competitors?
Direct peers on record are Health Recovery Solutions, Vivify Health, AMC Health, CareSimple, 100Plus, Prevounce, Optimize Health, Validic and Hicuity Health. Optum (UnitedHealth Group) is listed as a broad incumbent.
Does Medistics have an API?
No public API is recorded for Medistics.
What industry is Medistics in?
Medistics's product category is Healthcare Care Management Software. Its primary akta.pro industry code is HLALAFAL, Multi-Condition RPM Platforms & Care Orchestration (device-agnostic, population management), with a secondary code of HLACAHAD, Care Management & Coordination Platforms (case/disease management workflows). Its NAICS code is 54151 and its SIC code is 8000.