Expanding Technology-Enabled, Nurse-Delivered Chronic Disease Care: A Pragmatic, Randomized, Effectiveness-Implementation Trial

Background

Chronic diseases like type 2 diabetes (T2D) complicated by hypertension are major public health concerns requiring innovative care models. While comprehensive telehealth—integrating remote monitoring and nurse-led support—has shown promise in integrated health systems, its application in predominantly fee-for-service (FFS) environments remains sparse. Understanding the effectiveness and implementation challenges in FFS systems is vital as these models vastly differ from integrated systems in care coordination and reimbursement structures.

Objective

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