01
Diabetes & Prediabetes
CGM-backed programs, A1C tracking, and lifestyle coaching for type 2 and prediabetes.
Healthcare / Chronic Care App Development
Chronic Care App Development
We build chronic care apps that patients actually open on month six — connected to their home devices, their care team, and their EHR — while helping providers capture CCM, RPM, and PCM reimbursement that usually slips through the cracks.
4.6/5
Median patient app rating across deployments
CCM + RPM
CPT 99490/99439/99453/99454/99457 tracking built in
32%
Improvement in medication adherence at 6 months
Trusted by global innovators
Industry Overview
Chronic Care App Development: Engineered End-to-End
Chronic conditions drive 80%+ of US healthcare spend, but most patient-facing apps are glorified logbooks. We engineer chronic care apps that fuse home devices, medication adherence, education, and clinician workflows into one coherent program — with the billing hooks that make it financially sustainable.
Industry Challenges
What Stops Most Teams From Solving This Today
Common friction points we hear from healthcare teams scoping this kind of platform.
Logbook Fatigue: Self-tracking without feedback loops loses patients by week six.
Medication Abandonment: Up to 50% of chronic-condition patients stop meds within a year — typically invisible to the care team until a downstream event.
Reimbursement Complexity: CCM, RPM, and PCM codes have overlapping but distinct documentation rules — easy to underbill or get denied.
Care-Team Overload: Without triage tools, chronic care managers drown in low-risk alerts and miss the patients who actually need intervention.
Our Approach
Our Engineering Approach
We engineer for the operational reality — not the demo.
Connected Home Devices
BP cuffs, CGMs, scales, pulse oximeters, and peak-flow meters flow directly into the app and the EHR.
Adherence & Behavior
Pill-reminder nudges, refill prediction, and behavior-change content tuned per condition and literacy level.
Reimbursement Engine
Automatic time-on-task tracking, documentation packets, and claim-ready summaries for CCM / RPM / PCM CPT codes.
Capabilities
Capabilities
Production-grade features the platform ships with from day one.
Condition Care Pathways
Evidence-based pathways for diabetes, CHF, hypertension, COPD, CKD, and obesity.
Home Device Integration
Direct sync from Dexcom, Abbott, Omron, Withings, iHealth, and Apple/Google Health.
Medication Adherence
Pill reminders, refill prediction, and pharmacy integrations for home delivery.
Symptom & Outcome Tracking
Condition-specific PROMs and symptom diaries with longitudinal trending.
Care-Team Messaging
Asynchronous messaging with triage SLAs and escalation to video visit or nurse call.
Risk Stratification
ML-assisted stratification to focus care managers on rising-risk patients first.
Education & Coaching
Literacy-tuned content, coaching journeys, and group programs for behavior change.
CCM / RPM / PCM Billing
Time-on-task logs, documentation, and claim-ready summaries for each CPT code.
EHR Sync
Bidirectional Epic, Cerner, and Athena sync via SMART on FHIR and FHIR write-backs.
How It Works
Reference Architecture
How data and decisions flow end-to-end.
Patient App Layer
iOS, Android, and SMS journeys that share a single clinical model.
01
1
Device & Pharmacy Ingestion
BLE device SDKs and Surescripts pharmacy integrations into the clinical core.
02
2
Care Engine
Condition pathways, risk stratification, and reimbursement tracking run over FHIR data.
03
3
Clinician Workspace
Care-manager dashboards, triage queues, and documentation tools.
04
4
EHR Integration
SMART on FHIR, FHIR write-back, and HL7 v2 interfaces to the source-of-truth EHR.
05
5
Engineering Stack
Technology Stack
A pragmatic stack chosen for reliability, speed, and ease of operation.
Standards
FHIR R4USCDI v3SMART on FHIRHL7 v2LOINCSNOMED CT
Devices & Pharmacy
DexcomAbbott LibreViewOmron ConnectApple HealthKitSurescripts
Backend
Node.jsPythonGraphQLPostgreSQLTimescaleDB
Apps
React NativeNext.jsTailwind
AI / ML
PyTorchscikit-learnMLflow
Infra
AWS HIPAAAzure HIPAAKubernetesVault
Measured Impact
Measured Impact
Quantified outcomes from production deployments.
32%
Medication adherence improvement at 6 mo
25%
A1C reduction in diabetes cohort
4.6/5
Patient app rating
$3.2M
Avg. CCM/RPM revenue recovered per 10k patients
Multi-Condition Chronic Care Program
A primary-care group practicing value-based care across five states needed one app to support diabetes, hypertension, CHF, and COPD cohorts — and to capture CCM and RPM reimbursement they were leaving on the table. We shipped a unified patient app with per-condition pathways and a care-manager workspace integrated with Epic.
Twelve months in, enrolled cohorts saw a 25% A1C reduction, a 22% drop in CHF readmissions, and $3.2M in recovered CCM and RPM revenue across the first 10,000 patients — funding the next phase of program expansion.
Case Study
Use Cases
Where This Earns Its Keep
Common deployment patterns we see across customers.
02
CHF & Cardiac
Daily weight, BP, and symptom tracking with heart-failure-specific escalation rules.
03
Hypertension
Home BP cuffs, titration protocols, and 988-day monitoring for uncontrolled HTN.
04
COPD & Asthma
Peak-flow, spirometry, and exacerbation-risk monitoring with action-plan support.
05
Obesity & GLP-1 Programs
GLP-1 titration support, side-effect tracking, and lifestyle coaching for weight-management programs.
06
Value-Based Care
ACO and VBC programs that need HEDIS, MIPS, and Stars measure lift.
Integrations
Integrates With Your Existing Stack
We connect to the systems your teams already know.
EHR
EpicCernerAthenahealth
Devices
DexcomAbbott LibreViewOmron
Pharmacy
Surescripts
Comms
Twilio
CRM
Salesforce Health Cloud
Compliance-First Development Services Backed by Global Standards
We build secure, scalable products designed for privacy, interoperability, and regulatory readiness from day one across every sector we serve.
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, and strict access controls.
General Data Protection Regulation
Implement lawful consent flows, data minimization, and secure processing for global data privacy.
Service Organization Control 2
Verified controls for security, availability, and confidentiality of enterprise data systems.
Health Information Trust Alliance
Healthcare-specific security controls and risk management practices trusted by global partners.
Fast Healthcare Interoperability Resources
Enabling standardized health data exchange through robust, modern API mappings.
Health Level Seven International
Supporting enterprise-grade interoperability for clinical messaging and record workflows.
Our Edge
Why Global Leaders Choose Us
We combine deep technical expertise with industry-specific knowledge to deliver solutions that aren't just functional, but transformational.
Enterprise-Grade Security
We implement rigorous security protocols and compliance standards (HIPAA, GDPR, SOC2) across all industrial solutions to protect sensitive data.
High-Performance Scaling
Our architectures are built to handle massive data loads and user bases, ensuring seamless performance whether you're serving ten or ten million.
Accelerated Time-to-Market
Leveraging our suite of internal tools and proven frameworks, we reduce development cycles and get your product to market 40% faster.
Embedded AI Integration
Beyond simple wrappers, we build deep-learning integrations and predictive analytics directly into the core of your industry-specific workflows.
Engagement Model
Engagement Model
Predictable, structured delivery from kickoff through long-term ownership.
01
Discovery & Scoping
We map the existing systems, constraints, and stakeholders to scope a focused 8–12 week first delivery.
02
Architecture & Pilot
A working slice on a representative environment — proving the data flow end-to-end before scaling.
03
Production Engineering
Hardened services, observability, access controls, and audit logging go live behind your IAM.
04
Operate & Iterate
We stay on as the embedded engineering team — closing tickets, tuning models, and shipping new value.
Voices of Success
We don't just build products; we forge lasting partnerships. See how we've helped industry leaders transform their vision into technical reality.
"I can clearly see how Agnotic has a unique way of handling end-to-end development. They are always active on quick chat and provide support quickly."
Aaron Phelan
Founder, Benchmark
"Agnotic is the best technical team we evaluated. Their engineering excellence made our work dramatically easier and allowed us to stay focused on what matters most for maternal care outcomes. They took full ownership of the technical execution, and we are always happy to continue working together."
Kim Smith
Founder, My Lauren
"Agnotic combines deep technical expertise with strong domain knowledge. They understand the business context, anticipate challenges, and make collaboration smooth and effective."
John Pasmore
Founder, Latimer
More in Healthcare
More Healthcare Solutions
Explore other production-grade engineering platforms we deliver across healthcare.
Cross-Industry Reach
The Same Engineering Patterns, Across Other Industries
The technical patterns behind this platform translate naturally into adjacent verticals.
Frequently Asked Questions
Yes. Time-on-task logging, documentation, and claim-ready summaries are built in for CPT 99490 / 99439 / 99453 / 99454 / 99457 / 99458 / 99426 / 99427.
Industries
A Unified Vision that Caters to Diverse Industry Demands
Build your next healthcare platform with us
We engineer production-grade healthcare platforms end-to-end. Talk to us about scoping a focused 8-week pilot.