A CCM-first model that strengthened clinical results, reduced staff burden, and generated millions in new revenue.
Piedmont Healthcare – one of the Southeast’s largest integrated delivery networks was facing rising rates of hypertension and diabetes, strained care teams, and prior chronic care programs that failed to scale. They needed a sustainable model that could improve outcomes while reducing operational burden.
This case study highlights how Piedmont enrolled more than 19,200 patients into a redesigned CCM-first program and achieved measurable improvements in A1C, blood pressure, and revenue.
Download the full case study to see the exact care model, rollout strategy, and results.
Quick Stats:
- 19,200+ total CCM & RPM enrollments
- 30% improvement in A1C control
- 12% improvement in blood pressure control
- $5M new revenue in first two quarters; projected $11M annualized
The Challenge
Like many health systems, Piedmont recognized the growing urgency of managing chronic disease more proactively. Previous virtual care efforts showed promise, but limited staffing, poor workflow integration, and weak financial return made it difficult to scale.
Leadership sought a partner who could deliver clinical improvements, operational relief, and financial sustainability – all at system scale.
The Solution
Piedmont partnered with TimeDoc Health to build a CCM-first Virtual Care Management model, followed by targeted RPM for high-risk populations. The program focused on:
- CCM as the operational foundation
- High-touch relationships that drive engagement
- Targeted RPM for patients with uncontrolled hypertension and diabetes
- A phased rollout with strong provider alignment and staff enablement
This approach allowed Piedmont to scale quickly while maintaining high patient engagement.
The Results
Clinical Outcomes
- 30% increase in patients achieving A1C < 8
- 12% improvement in blood pressure control
- 1.2-point average A1C reduction among active RPM patients
- 12-point drop in systolic BP
Operational + Financial Impact
- 16,600+ CCM and 2,600+ RPM enrollments
- 82.32% engagement rate month-over-month
- $5M new revenue in two quarters; projected $11M through 2025
Piedmont reduced staff burden, improved patient adherence, and established a financially sustainable care model – without overwhelming clinics.
- On track for $11M+ in annual revenue
- Reduced clinic workload through shared care coordination
Why It Worked
Piedmont chose TimeDoc Health for:
- Proven ability to scale across large health systems
- Strong clinical expertise in chronic care
- A partnership model that reduces clinic strain
- Demonstrated financial return and measurable outcomes
See how the full model was implemented—from region-by-region rollout to workflow integration, provider alignment, and engagement strategy.
Or connect with our team to explore what this model could look like at your organization.