Pro Care Innovations

What Pro Care Innovations does

Pro Care Innovations (Pro Care Innovations, LLC) is a privately held healthcare services company founded in 2017 and headquartered in Owasso, Oklahoma, that delivers turnkey Chronic Care Management (CCM), Principal Care Management (PCM), Remote Patient Monitoring (RPM), and Annual Wellness Visits (AWV) on behalf of specialty medical practices serving Medicare beneficiaries. The company's core value proposition is enabling independent specialty practices, particularly in urology, to capture CMS reimbursement for care coordination activities without adding clinical workload to their own staff; PCI deploys its own Care Team Coordinators and licensed practical nurses from telehealth call centers in Owasso, Oklahoma and Fort Smith and Fayetteville, Arkansas to perform monthly patient outreach, medication reconciliation, care-plan development, and triage.

The technology backbone is a proprietary Chronic Care Management platform built internally by CIO Kevin Kilgore, featuring SQL-backed patient identification, filtering, and eligibility analysis. The RPM offering layers proprietary medical devices (blood glucose meter, blood pressure cuff, digital weight scale) configured for zero-touch operation without patient-side smartphone, app, or WiFi requirements, paired with a Provider Portal that streams real-time biometric data to partner practices. The platform supports 15,000+ monthly patients and has accumulated 500,000+ preventive medicine visits as of May 2022.

PCI's business model is built entirely around CMS reimbursement codes, monetizing Medicare payments that would otherwise go uncollected by partner practices. Services are billed to practices on a usage-based (RPM: $700/patient/year) and subscription-recurring (CCM and PCM: monthly per-patient CMS fee schedule) basis, with AWV delivered as turnkey professional services. The go-to-market is sales-led enterprise field sales targeting large specialty groups and health systems, supplemented by inbound demo requests, content marketing (blog, white papers, SEO), and PR. The company serves urology, oncology, orthopedics, primary care, cardiology, pain management, endocrinology, and other specialty practices across at least eight states.

Name

Pro Care Innovations

Legal name

Pro Care Innovations, LLC

Website

https://procareinnovations.com

Company type

Private

Founded year

2017

Operating status

Operating

Headcount range

11–50 employees

Short description

Pro Care Innovations delivers turnkey Chronic Care Management, Principal Care Management, Remote Patient Monitoring, and Annual Wellness Visit services to specialty medical practices serving Medicare patients, using a proprietary CCM platform and licensed-nurse telehealth call centers across the South and Midwest.

Ownership category

akta.pro rank

Product category

Chronic Care Management Services

NAICS

Services for the Elderly and Persons with Disabilities (624120), Offices of Physicians (62111)

SIC

Services-Misc Health & Allied Services, Nec (8090), Services-Home Health Care Services (8082)

akta.pro primary industry

Care Management & Coordination Platforms (case/disease management workflows) (HLACAHAD)

akta.pro secondary industries

Cardiometabolic RPM & Chronic Disease Management (diabetes, hypertension, CHF, obesity) (HLALAFAA), Medical-Grade Device Connectivity & Device Management (MDM) (HLACAFAG)

Keywords

• Chronic care management
• Remote patient monitoring
• Principal care management
• Annual wellness visits
• Preventive medicine services

Headquarters

HQ city

Owasso

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales

Revenue model

1. Remote Patient Monitoring (RPM) Services: Medicare reimburses $700 per patient per year for remote monitoring services. PCI provides all hardware, connectivity, and patient support to physician practices managing chronic patients remotely.
2. Chronic Care Management (CCM): CMS program paying practices monthly for routine patient interactions focused on managing chronic conditions. Requires 2+ chronic conditions, 20 minutes of monthly monitoring, individualized care plans, and medication reconciliation.
3. Annual Wellness Visits (AWV): CMS-covered yearly preventive care appointments for Medicare beneficiaries. PCI provides turnkey services including patient data gathering, scheduling, conducting visits, and providing predictive/preventive data to practices.
4. Principal Care Management (PCM): CMS program reimbursing practices for focused monthly care coordination for patients with a single high-risk chronic condition. Requires 30 minutes of monthly monitoring.

Pricing tiers

Go-to-market motion3 records

Distribution channels3 records

Marketing channels8 records

Core offering

Pro Care Innovations delivers turnkey Chronic Care Management (CCM), Principal Care Management (PCM), Remote Patient Monitoring (RPM), and Annual Wellness Visit (AWV) programs to specialty medical practices and health systems serving Medicare patients. The company operates licensed-nurse and Care Team Coordinator call centers that perform monthly patient check-ins, care coordination, medication reconciliation, and care-plan management on behalf of provider clients. PCI supplies all hardware (blood glucose meters, blood pressure cuffs, digital weight scales), connectivity, proprietary analytics software, and clinical staff at no upfront cost to the practice, and bills through CMS reimbursement for the four program types.

Product overview

Pro Care Innovations provides a suite of preventive medicine programs for healthcare practices serving geriatric Medicare populations. The core offering consists of four integrated services: Chronic Care Management (CCM) for patients with multiple chronic conditions, Principal Care Management (PCM) for single high-risk conditions, Remote Patient Monitoring (RPM) with proprietary medical devices (blood glucose meter, blood pressure cuff, digital weight scale) paired with a Provider Portal, and Annual Wellness Visits (AWV). The company operates a proprietary chronic care management platform and Care Team Coordinator call center staffed with licensed nurses to deliver monthly patient check-ins and care coordination across specialty practices including urology, cardiology, orthopedics, oncology, and primary care.

Differentiator

Problem solved

Functional benefit

Products and services

• Chronic Care Management (CCM) A CMS-aligned monthly care-coordination program for Medicare patients with 2+ chronic conditions expected to last 12+ months. Pro Care Innovations delivers 20+ minutes of monthly monitoring per patient including care coordination, individualized care plan creation, medication reconciliation, preventive screenings, and care transition assistance on behalf of partner specialty medical practices, generating new monthly Medicare billable revenue without adding workload to clinic staff.
• Principal Care Management (PCM) A CMS reimbursement program providing focused monthly care coordination for patients with a single high-risk chronic condition. PCI delivers 30 minutes of monthly monitoring per patient on behalf of partner practices, allowing specialty and primary care providers to qualify for CMS PCM reimbursement without adding internal care-coordination headcount.
• Remote Patient Monitoring (RPM) A Remote Patient Monitoring platform that ships blood glucose meters, blood pressure cuffs, and digital weight scales pre-configured to stream health data directly to a Provider Portal — no smartphone, app, Bluetooth, or WiFi required from the patient. PCI provides all hardware, cellular connectivity, and patient support to physician practices managing chronic patients remotely, reimbursed under Medicare Part B at $700 per patient per year.
• Annual Wellness Visits (AWV) A turnkey Annual Wellness Visit service for Medicare beneficiaries in which PCI gathers and sorts patient data, schedules and conducts the yearly preventive visit (~30 minutes), and delivers predictive/preventive trend data back to the partner practice at no upfront cost — enabling practices to close care gaps and generate new CMS-covered revenue.

Quantifiable outcome

• 500,000+ preventive medicine visits completed, generating $22+ million in revenue for clients
• +3 more outcomes

Named customers15 records

Segments5 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

17 partnerships are on record, tiered core and strategic.

• UroPartnerscoreStrategic or Co-development Partner · 27 April 2022Partnership announced April 2022. UroPartners is the largest independent urology group in the Midwest with over 90 providers and 37 locations across Illinois and Southern Wisconsin. Includes own pathology lab, urologic ambulatory surgical center, and radiation oncology services.
• UR Medicine Home Care (University of Rochester Medical Center)strategicStrategic or Co-development Partner · 1 January 2021Partnership for comprehensive Remote Patient Monitoring program. URMC is one of the nation's leading academic medical centers including Strong Memorial Hospital, Eastman Institute for Oral Health, and Schools of Medicine, Dentistry, and Nursing.
• Cape Girardeau UrologycoreStrategic or Co-development Partner · 1 January 2021Based out of Cape Girardeau, MO with 9 urology providers. Added as new client in 2021 with 68,000+ new patients to PCI programs.
• Pocahontas Medical CliniccoreStrategic or Co-development Partner · 1 January 2021Based out of Pocahontas, AR with 11 primary care providers. Added as new client in 2021.
• Comprehensive Medical CliniccoreStrategic or Co-development Partner · 1 January 2021Based out of Silver Springs, MD with 4 primary care providers. Added as new client in 2021.
• Albany UrologycoreStrategic or Co-development Partner · 1 January 2021Based out of Albany, GA with 4 urology providers. Added as new client in 2021.
• Texas Center for UrologycoreStrategic or Co-development Partner · 1 January 2021Based out of Fort Worth, TX with 8 urology providers. Added as new client in 2021.
• Dycus-Camp CliniccoreStrategic or Co-development Partner · 1 January 2021Based out of Moore, OK with 2 primary care providers. Added as new client in 2021.
• Urology Clinic of North TexascoreStrategic or Co-development Partner · 1 January 2021Based out of Dallas, TX with 53 urology providers. Added as new client in 2021.
• OSU MedicinecoreStrategic or Co-development Partner · 1 January 2021Based out of Tulsa, OK with 33 primary care providers. Added as new client in 2021.
• Urology San AntoniocoreStrategic or Co-development Partner · 16 November 2020Partnership announced November 2020. Largest urology group in South Texas with nearly 40 urology providers. PCI began providing CCM services in November 2020 for patients needing chronic care management.
• Ada Adult Medicine CliniccoreStrategic or Co-development Partner · 1 September 2020Partnership announced September 2020. Ada Adult Medicine Clinic is a private Internal Medicine practice in rural Oklahoma. PCI provides Comprehensive CCM program. Practice serves patients with thyroid disorders, diabetes, hypertension, heart disease, asthma, and autoimmune disease.
• Azalea OrthopedicscoreStrategic or Co-development Partner · 4 May 2020Partnership announced May 2020. Azalea Orthopedics specializes in orthopedic treatments including orthopedic surgery in the East Texas area. PCI provides their patients with a comprehensive CCM program to help fill gaps in care and reduce readmissions after major procedures.
• Norman Urology AssociatescoreStrategic or Co-development Partner · 17 March 2020Partnership announced March 2020. Norman Urology Associates was established in 1987 and provides highest level of care for men, women, and children. PCI provides CCM services for their Medicare patients with urology diagnoses and additional chronic conditions.
• Norman Interventional Pain Management (NIPM)coreStrategic or Co-development Partner · 6 February 2020Partnership announced February 2020. NIPM serves Norman and the greater Oklahoma City area with latest treatment options. PCI provides CCM services for their Medicare patients with chronic conditions including diabetes, COPD, hypertension, and obesity.
• Urology AustincoreStrategic or Co-development Partner · 9 April 2019Partnership announced April 2019. Urology Austin is a group of over 40 urologists with 19 clinic locations in the Austin metro area. PCI provides them with CCM services for their patients with chronic conditions.
• Urologic SpecialistscoreStrategic or Co-development Partner · 8 November 2017Partnership announced November 2017. Urologic Specialists is a group of 21 urologists with clinic locations in Oklahoma, Arkansas, and Missouri. PCI provides them with Chronic Care Management (CCM) services for their patients. CEO Matt Keep noted PCI serves as their integrated source for chronic care coordination with dedicated care coordinators.

Scale indicators8 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Health Recovery Solutions (HRS): HRS provides RPM software and device kits to hospitals and physician practices for chronic disease management, overlapping directly with PCI's RPM and CCM programs and target customer base of specialty medical practices.
• Vivify Health (Optum): Vivify offers an RPM and virtual care platform used by health systems and provider groups to monitor chronic patients remotely; competes head-to-head with PCI in RPM-enabled chronic care workflows.
• ThoroughCare: ThoroughCare delivers a CCM, RPM, AWV, and care coordination platform purpose-built for physician practices and ACOs, matching PCI's exact product suite and customer profile.
• Wellbox: Wellbox operates an outsourced CCM and RPM service with licensed nurse care coordinators, very similar to PCI's turnkey call-center model serving specialty and primary care practices.
• Prevounce Health: Prevounce provides a CCM, RPM, and AWV platform plus connected devices, targeting the same Medicare population and physician-practice customers as PCI.
• CoachCare: CoachCare offers RPM devices, a patient monitoring dashboard, and CCM program support to specialty practices including urology, directly competing with PCI's RPM-and-CCM offering.

Emerging players

• Cadence: Cadence is a venture-backed RPM and chronic care platform partnering with primary care groups and health systems, representing a fast-growing competitor with deeper capital than PCI.
• Medsien: Medsien provides CCM, RPM, and care management software plus services for specialty practices, overlapping PCI's product mix and specialty-practice GTM motion.
• 100Plus: 100Plus offers RPM devices and a clinician dashboard aimed at primary care and Medicare populations, overlapping PCI's elderly-Medicare RPM positioning.

Broad incumbents

• Optum (UnitedHealth Group): Optum is a broad incumbent in value-based care, population health, and care management services, owning Vivify and serving as a large strategic competitor that can bundle CCM/RPM into payer contracts.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/ProCareInnovat2
• Facebookfacebook.com/procareinnovations
• LinkedInlinkedin.com/company/pro-care-innovations
• Instagraminstagram.com/procareinnovations

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Pro Care Innovations