Andor Health adds remote monitoring to Epic Toolbox for CMS ACCESS

Why it matters

CMS ACCESS gives virtual-care vendors a 10-year payment test tied to outcomes. Andor is betting an Epic-native bundle of software, devices and clinicians can turn that policy into health-system distribution.

In an August 14 announcement, Andor Health said founder and CEO Raj Toleti has put ThinkAndor Remote Patient Monitoring in Epic Toolbox, giving health systems running Epic a packaged route into Medicare's new ACCESS chronic-care model. The Orlando company is combining connected devices, automated triage, workflow software and clinical staff rather than asking hospitals to assemble those pieces separately. (PR Newswire)

The product follows a pattern Toleti has pursued through several generations of healthcare software. He began in Microsoft's healthcare consulting practice, later founded HealthGrid and sold it to Allscripts in 2018, and previously built Galvanon and Cytura, which were acquired by NCR and Mobius. Toleti founded Andor Health in 2018 around the recurring problem beneath those businesses: health systems collect large amounts of patient information, yet clinicians still spend time finding the right data and coordinating the next action. (Andor Health)

The Epic listing gives that thesis a timely commercial opening. CMS launched the 10-year ACCESS model on July 5 to test recurring payments tied to measurable improvements in chronic conditions. Andor is betting that hospitals will prefer to enter that model through their existing record system and an affiliated clinical-services operator instead of creating a remote-care operation from scratch.

The product is a software and labor bundle

ThinkAndor sends patient-generated data, device readings, alerts and longer-term trends into Epic, which remains the system of record. Andor says its software continuously reviews incoming readings, prioritizes patients who may need attention and places those cases into established clinical workflows. Patients can receive cellular-enabled monitoring devices, reducing the need to configure home Wi-Fi or rely on a personal smartphone. (PR Newswire)

The clinical-services layer carries equal weight. Psynergy Health, an Andor Health Ventures company, supplies nurses, care navigators, dietitians and other personnel that can handle engagement, monitoring and coordination. That structure lets a hospital add enrolled patients without hiring an equivalent number of internal employees, according to Andor. It also puts Andor closer to care delivery, where staffing quality and intervention speed matter alongside the software.

The Epic relationship itself is established. Andor introduced ThinkAndor in Epic's App Orchard in May 2020 for care-team collaboration, then expanded its marketplace presence in July 2021 across four telehealth categories. The August 2026 announcement extends that history into a dedicated remote patient monitoring category and connects the offering to ACCESS. It is a distribution expansion around a new reimbursement channel, rather than Andor's first integration with Epic. (PR Newswire)

ACCESS gives remote care a different payment model

CMS describes ACCESS as an outcome-aligned payment test for technology-supported chronic care in Original Medicare. Participants can offer virtual visits, monitoring devices, coaching, medication support and related services for conditions including hypertension, diabetes, chronic kidney disease, musculoskeletal pain and depression. Payments depend on the share of patients who meet condition-specific outcome targets, replacing activity-based reimbursement for beneficiaries enrolled with an ACCESS participant. (CMS)

That model changes the incentive for vendors. Remote monitoring businesses have historically sold devices, software subscriptions, implementation work or clinical services under several reimbursement arrangements. ACCESS creates a national, decade-long test in which the organization managing the patient is accountable for measured results. An alerting system that produces more work without improving patient health becomes harder to defend under that structure.

Psynergy Health appears on CMS's accepted-applicant list for cardiometabolic and kidney care, musculoskeletal care and behavioral health. Andor calls Psynergy a certified clinic and first-cohort participant. CMS's public page, updated August 12, identifies Psynergy as an accepted applicant and cautions that inclusion does not guarantee final participation because Medicare enrollment, participation agreements and other requirements still apply. (CMS)

The distinction matters because Andor's pitch depends on Psynergy functioning as the accountable clinical operator. Epic customers would keep patient information and clinician work inside Epic while partnering with Psynergy for ACCESS services powered by ThinkAndor. That arrangement could shorten the operational path into the program, provided the contracting, enrollment and clinical responsibilities are clear.

Toleti is tying his workflow thesis to reimbursement

Toleti made the strategy explicit when Andor and Psynergy introduced their ACCESS clinic in July. He described the next step for healthcare AI as "agents running the end-to-end clinical workflow and getting paid on whether the patient actually improves." The statement captures the commercial bet behind the Epic listing: AI becomes easier to fund when it is attached to a covered service and an organization responsible for outcomes. The July announcement also kept licensed clinicians in control of care decisions. (Andor Health)

Andor has disclosed little financing information. M12, Microsoft's venture fund, became Andor's sole Series A investor in November 2020, without announcing the size of the investment. M12 backed Toleti when ThinkAndor focused on orchestrating tasks before, during and after virtual visits. The ACCESS product carries the same orchestration approach into continuous chronic care. (M12)

Rivals are assembling similar pieces

Remote patient monitoring companies are converging on bundles that combine data infrastructure, EHR integration and clinical labor. Cadence said in June that it raised a $100 million Series C led by Spark Capital and was treating more than 100,000 active patients through health-system partnerships. ChartSpan announced its acquisition of Validic in June, while Health Recovery Solutions acquired Rimidi in March to deepen its chronic-disease and EHR capabilities. Those figures and performance claims come from the companies.

The consolidation shows what buyers increasingly expect from a remote-care vendor: devices must arrive and connect, readings must enter the record, software must identify the patients who need attention, and qualified staff must act. Epic Toolbox can reduce procurement and integration friction for Andor. The listing does not establish that ThinkAndor produces better outcomes or lower costs than Cadence, ChartSpan, Health Recovery Solutions or other established providers.

Andor's broader company homepage reports 20 million AI-based virtual-care interactions and deployments at more than 500 facilities. Those company-reported totals cover the wider ThinkAndor platform and do not measure adoption of the newly listed RPM service. CMS says it expects to begin publishing risk-adjusted ACCESS outcomes in winter 2028, creating a future public test for Psynergy and other participants. (Andor Health)

For now, Toleti has aligned three assets around the start of a federal payment experiment: an existing Epic presence, a remote-monitoring service that includes clinical labor and an affiliated ACCESS applicant. His next task is operational. ThinkAndor must turn device readings into timely interventions while keeping hospital staff inside familiar workflows and proving that the bundled service improves the outcomes CMS will measure.