Discover how Waco Heart & Vascular achieved nearly 90% long-term patient engagement, while exceeding financial expectations despite limited staffing.

For many cardiology practices, remote patient monitoring (RPM) promises better clinical outcomes, but delivers operational headaches. Third-party vendor management models often come with complex pricing, high staff friction, and low patient adoption—especially among older demographics. Waco Heart & Vascular faced this exact reality: its vendor-managed RPM program strained clinic staff, fell flat with an elderly patient base due to complex mobile app usage, and suffered from claim denials that impacted financial sustainability.

Determined to find a better way, Waco made the strategic shift to a provider-managed, software-first RPM model powered by Murj®. By bringing care management in-house and leveraging intelligent dashboards, automated billing compliance, and hands-on staff training, it transformed the RPM program. 

The practice streamlined clinical workflows while creating a high-touch, accessible care experience for patients. The results speak for themselves: high patient adherence, reduced administrative overhead, and predictable financial returns. 

If your clinic is ready to move away from high-cost vendor dependencies and build a scalable, profitable RPM strategy, this case study offers a proven blueprint.

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Key takeaways

  • High patient retention: 89.8% of patients remained active past 90 days, and 55% maintained active engagement for more than two years.
  • Financial sustainability: The practice achieved a $1,711 annual reimbursement rate per patient (from data collected in 2026), through optimized billing and time tracking
  • Efficient scaling: The practice successfully scaled the program to 373 active patients while maintaining their lean staffing structure of 2.5 FTEs.

Lead Author

Jesse Henderson, MSEd
Waco Heart & Vascular

Co-authors

Timothy M. Stivland, MBA, BSE
Kodiak Ridge

Adam Smith, BS
Waco Heart & Vascular

John Gethoefer, BA
Murj

Phillip Myatt, MD, FACC
Waco Heart & Vascular