Best Remote Patient Monitoring Platforms: Validic vs Optimize Health vs 100Plus (2026)
Remote patient monitoring is not just a device decision. It is a care-delivery system.
The platform has to connect devices, patients, clinical teams, alerts, EHR workflows, billing requirements, and escalation rules without burying staff in data.
Three platforms worth evaluating in 2026 are Validic, Optimize Health, and 100Plus.
Quick Comparison
Validic
Best when the organization needs a large device ecosystem, normalized health data, enterprise EHR integration, and infrastructure that can support multiple remote-care programs.
Validic currently says its platform supports more than 700 devices and health apps. Its RPM solution can write discrete patient-generated data into EHR workflows, including Epic and Oracle Health, and supports configurable alerts and enterprise-scale deployment.
Best fit: health systems, payers, digital-health companies, and organizations building a broad connected-health data layer.
Optimize Health
Best when the organization wants a more managed RPM program rather than only a device-data infrastructure layer.
Optimize Health positions its RPM offering around software, connected devices, patient engagement, clinical monitoring, reimbursement support, and program operations. Its current materials emphasize chronic-condition programs such as hypertension, heart failure, kidney disease, diabetes, and other longitudinal care models.
Best fit: medical groups and specialty practices that want more operational support around enrollment, monitoring, care workflows, and reimbursement.
100Plus
Best when a physician practice wants a turnkey remote-care program with cellular devices, patient onboarding, monitoring support, adherence tools, EHR integration, and reimbursement assistance.
100Plus currently offers RPM and chronic care management, an AI virtual health assistant, cellular-connected devices that do not require Wi-Fi or a smartphone, patient onboarding, monitoring services, and reporting on billable activity.
Best fit: outpatient physician practices managing chronic-condition populations and trying to reduce the staff burden of running RPM internally.
1. Start With the Care Model
Before comparing vendors, define the program.
Ask:
- Which condition is being monitored?
- What physiologic data matters?
- How often should patients take readings?
- Who reviews the data?
- What triggers an alert?
- Who responds to the alert?
- What gets documented in the EHR?
- What happens when a patient stops transmitting?
- Which parts are billed to Medicare or another payer?
A platform that is excellent for enterprise device aggregation may be unnecessary for a practice that simply wants a managed hypertension RPM program.
2. Device Strategy Can Make or Break Adoption
RPM can fail before the first reading if device setup is too difficult.
Evaluate:
- cellular vs Bluetooth
- whether a smartphone is required
- whether Wi-Fi is required
- device shipping
- replacement logistics
- battery and charging burden
- patient training
- technical support
- supported device types
Validic is strongest when device breadth matters. 100Plus emphasizes cellular-connected blood pressure cuffs, glucose meters, scales, and pulse oximeters designed to work without Wi-Fi or a smartphone. Optimize Health has historically supported both cellular and Bluetooth device strategies.
3. More Data Is Not Automatically Better
The hard part of RPM is not collecting readings. It is turning readings into useful clinical action.
Evaluate how the platform handles:
- alert thresholds
- trend detection
- patient prioritization
- duplicate or noisy readings
- staff queues
- clinical escalation
- documentation
Validic currently promotes configurable real-time alerts and EHR-integrated workflows. 100Plus offers a monitoring service in which its clinical team reviews incoming information and escalates what matters to the practice. Optimize Health also positions managed services and monitoring as part of its RPM offering.
4. EHR Integration Should Reduce Work
A remote-monitoring program creates operational debt if clinicians have to live in a separate dashboard all day.
Ask whether the platform can:
- write discrete readings into the EHR
- surface trends inside the clinical workflow
- send alerts into the provider inbox
- document interactions
- support billing workflows
- avoid duplicate patient records
Validic's current RPM platform specifically emphasizes direct EHR workflows and discrete data in flowsheets. 100Plus also promotes EHR integration as part of its platform. For any vendor, verify the exact integration available for the organization's EHR.
5. Medicare RPM Rules Are a Buying Requirement, Not a Marketing Feature
CMS updated its Remote Patient Monitoring guidance in May 2026.
CMS currently describes RPM as three components:
- Education and setup
- Device supply and data transmission
- Treatment and management
CMS states that Medicare broadly covers RPM for physiologic data used to manage chronic or acute conditions. The connected device must meet FDA's definition of a medical device and digitally upload data.
Notably, CMS's current 2026 RPM page says the device should collect and transmit health data on at least 2 days every 30 days. That is an important change from older materials that often referenced a 16-day threshold for certain RPM billing codes.
Because coding and billing rules can change, practices should verify current CMS guidance, CPT requirements, payer contracts, and billing policies before designing an RPM program around reimbursement.
6. Do Not Buy RPM Based on CPT Codes Alone
The reimbursement model matters, but the program still has to work clinically and operationally.
Model:
- eligible patient population
- enrollment rate
- device cost
- device loss and replacement
- staff monitoring time
- clinical escalation time
- patient adherence
- billable activity
- denials
- collection rate
- vendor fees
An RPM program can look attractive on a reimbursement spreadsheet and still fail if patients do not take readings or the staff cannot manage the alerts.
7. Managed Service vs Infrastructure Platform
This is one of the biggest differences between these vendors.
Validic leans toward infrastructure and enterprise data integration.
Optimize Health leans toward a managed RPM program with software, devices, clinical workflows, and reimbursement support.
100Plus leans toward turnkey remote care for physician practices, including patient onboarding, cellular devices, adherence support, monitoring services, and reimbursement assistance.
The right model depends on how much of the care operation the organization wants to own internally.
8. Patient Adherence Deserves Its Own Score
An unused connected device produces no useful program.
Evaluate:
- onboarding completion
- percentage of enrolled patients transmitting readings
- days with readings
- drop-off after 30, 60, and 90 days
- reminder effectiveness
- support contacts per patient
- device replacement rate
100Plus makes adherence a major part of its product through onboarding and its AI virtual health assistant. Optimize Health also emphasizes patient engagement and ongoing monitoring. Validic is more infrastructure-oriented, so adherence may depend more heavily on the program built on top of the data layer.
9. RPM Platform Scorecard
Score each vendor from 1 to 5 on:
- device breadth
- cellular device support
- Bluetooth support
- patient onboarding
- device logistics
- technical support
- adherence tools
- alert management
- clinical escalation
- managed monitoring
- EHR integration
- API depth
- data normalization
- reporting
- billing support
- Medicare workflow fit
- security and contract fit
- implementation effort
- total program cost
- fit with the care model
Current Official Sources
- Validic Remote Patient Monitoring
- Validic Supported Devices
- Optimize Health RPM Selection Checklist
- 100Plus Remote Care Platform
- CMS Remote Patient Monitoring
The Bottom Line
There is no universal best RPM platform.
Validic is strongest when enterprise device aggregation and EHR-connected data infrastructure matter. Optimize Health is strongest when a medical group wants a managed RPM program with devices, monitoring, and reimbursement support. 100Plus is strongest when an outpatient practice wants a turnkey remote-care program with cellular devices and hands-on operational support.
The right choice is the one that fits the clinical program and staff capacity, not the one with the most impressive vendor deck.
For the parent category, see Best Telehealth Software Platforms. For the broader architecture, see Telehealth Tech Stack & Vendor Compliance.
