The Effect of Veteran Race and Socioeconomic Status on Enrollment in Remote Patient Monitoring for Hypertension: Retrospective Observational Cross-Sectional Study

Prior research on RPM in veterans has examined duration or outcomes of RPM enrollment but not the probability of initial enrollment. We found higher enrollment rates in the VHA RPM program among Black veterans but slightly lower enrollment among Asian American or Pacific Islander veterans. Higher enrollment among Black veterans and among those with higher comorbidity burden suggests that the VHA RPM program is successfully reaching those who could most benefit, despite low overall enrollment. Given the low enrollment in RPM, future research should focus on improving uptake among veterans who could additionally benefit from the program. Non-VHA systems, particularly those serving low-income or socioeconomically disadvantaged areas, should explore subsidized or free RPM programs for eligible patients similar to the VHA's no-cost model for veterans.