Choosing the right pricing model can make or break your Remote Patient Monitoring (RPM) program. Many vendors today use revenue-share models where they take 20% to 40% of the clinic’s RPM billing (source: MGMA reports). This may look easy at first, but the cost often grows as your patient volume grows.
Flat-rate pricing solves this problem. It gives clinics a simple monthly fee per patient, with no cuts, no hidden charges, and no surprises. This helps clinics keep more revenue, plan better, and grow faster.
In this blog, you’ll learn why flat-rate pricing works better than revenue-share models, how each model impacts your bottom line, and what makes flat-rate a safer long-term choice for RPM success.
What Is Flat-Rate Pricing in RPM?
Flat-rate pricing is a simple model where the clinic pays one fixed fee per patient each month. There are no surprise charges, no shared billing, and no percentage taken from your RPM revenue. You always know your cost, even as your patient volume grows.
This model helps clinics plan better, keep more profit, and avoid billing disputes.
| Feature | Flat-Rate Pricing | Revenue-Share Model |
| How You’re Charged | One fee per patient | % of RPM billing |
| Monthly Cost | Predictable | Changes each month |
| Risk Level | Low | High |
| Profit Kept by Clinic | High | Lower |
| Hidden Fees | None | Common |
| Control Over Billing | Full | Shared |
Flat-rate pricing gives clinics peace of mind. They stay in charge of billing and keep the revenue their team earns. That is why more RPM programs are moving away from revenue-share and choosing a simple fixed-fee structure.
Problems With Revenue-Share Models
Revenue-share models may look simple in the beginning, but they create long-term problems for clinics. Since the vendor takes a percentage from every RPM claim, the clinic ends up earning less as its RPM program grows. This makes it harder to plan costs, manage billing, and keep stable margins. Key problems with revenue share models:
- Unpredictable monthly costs: Your fee changes every time your billing changes.
- Lower clinic margins: Vendors commonly take 20–40% of RPM revenue (MGMA).
- Hidden fees: Some vendors add extra charges for onboarding, reports, or support.
- Conflicts of interest: The vendor’s earnings depend on your claims, not on patient care.
- Harder to scale: As you add more patients, the vendor’s cut increases, reducing your net revenue.
Revenue-share models make RPM more complex than it needs to be. Clinics lose control over billing and often earn far less than expected.
Financial Impact: Flat-Rate vs Revenue-Share
The biggest difference between flat-rate and revenue-share shows up in your monthly revenue. With flat-rate, the cost stays the same no matter how many patients you monitor. With revenue-share, the vendor takes a percentage from every RPM claim, which reduces your profit as your panel grows.
Below is a simple example to show the real impact.
| Model | Clinic Revenue (100 pts) | Vendor Fee | Clinic Keeps |
| Flat-Rate ($10/patient) | $6,500–$12,500* | $1,000 | $5,500–$11,500 |
| Revenue-Share (30%) | $6,500–$12,500* | $1,950–$3,750 | $4,550–$8,750 |
*Revenue range depends on CPT codes billed (99457, 99454, 99458).
Quick Takeaways
- With a flat-rate, the clinic keeps $1,000–$2,000+ more each month.
- With revenue-share, vendor fees increase as the clinic grows.
- Flat-rate gives a clear profit margin every month.
- Revenue-share reduces the benefit of adding more RPM patients.
Flat-rate pricing protects your earnings. You grow your RPM panel without worrying about a vendor taking a bigger share. This makes planning, forecasting, and scaling much easier for your clinical and financial teams.
Why Flat-Rate Pricing Helps Clinics Scale Faster
Flat-rate pricing makes it easier for clinics to grow their RPM program because the cost stays the same for every patient. There are no surprises, no percentage cuts, and no changes in billing. This helps clinics plan ahead, add more patients, and expand at their own pace. How flat-rate supports faster growth:
- Easy forecasting: Clinics know the exact cost per patient every month.
- No penalty for growth: Adding more patients does not increase vendor fees.
- Stable margins: Revenue stays consistent as volume increases.
- Simple budgeting : Finance teams can plan long-term without confusion.
- Less admin work: No shared billing, no percentage splits, no extra reporting.
Flat-rate pricing removes the barriers that slow RPM growth. Clinics stay in control and can scale without worrying about rising vendor fees.
Better Compliance and Patient Outcomes Under Flat-Rate Models
Flat-rate pricing creates a calmer, more stable RPM workflow. When the clinic is not tied to billing percentages or shared revenue rules, the team can focus fully on patient care. This leads to better follow-ups, better coaching, and more consistent readings.
Research from the American Heart Association shows that strong RPM routines improve blood pressure control in up to 77% of patients. A pricing model that removes billing pressure makes it easier to build these routines.
Here’s a simple example: A clinic with 80 hypertension patients noticed that patients who received steady weekly follow-ups stayed more engaged. With flat-rate pricing, the clinic could schedule these follow-ups without worrying about whether the vendor would bill extra minutes or claim a higher percentage. The care team had one clear goal, keep patients on track. As a result, the number of missed readings went down, and more patients stayed within their healthy BP range.
When costs stay predictable, clinics can design better care plans, train staff with less stress, and build patient trust. The result is higher compliance and stronger long-term outcomes.
How Flat-Rate Removes Conflict of Interest
Flat-rate pricing creates a level of trust that revenue-share models cannot match. When a vendor takes a percentage of RPM billing, both sides begin to depend on each other’s financial performance. This often leads to tension about how claims are submitted, how time is logged, and how tasks are reported.
Clinics may start to question whether the vendor is completing tasks for patient care or to increase billable minutes. These doubts can slow decisions, hurt workflows, and make compliance checks harder.
Flat-rate pricing removes this conflict completely. The vendor gets paid a fixed fee, and the clinic keeps full control over all RPM billing. The clinic can review claims, check logs, and run audits without worrying about how it affects the vendor’s earnings. This also makes Medicare reviews easier because there is no shared billing activity to justify. Everything becomes clear, simple, and easy to track.
When both sides know exactly how pricing works, trust improves. The clinic stays focused on outcomes, not percentages. The vendor focuses on support, not billing. And the entire RPM process becomes cleaner and more aligned with patient needs.
Final Thoughts
Flat-rate pricing gives clinics a clear path to grow their RPM program without losing profit or control. It removes the tension that comes with revenue-share models and replaces it with simple, stable costs. Clinics know exactly what they will pay each month, and they keep all of their RPM revenue. This makes planning easier, improves team workflow, and supports better patient outcomes.
If your clinic wants predictable pricing and stronger margins, a flat-rate model is the safest and most reliable choice. CandiHealth uses a simple $10 per patient flat-rate plan that keeps your costs steady and your revenue untouched.
Book a quick demo to see how much your clinic can save each month.
Frequently Asked Questions (FAQs)
What’s the main difference between flat-rate and revenue-share pricing?
Flat-rate pricing charges one fixed fee per patient each month. Revenue-share takes a percentage of your RPM billing. With flat-rate, you keep more profit and always know your cost. With revenue-share, your fee changes every month and reduces your earnings as your patient list grows.
Does flat-rate RPM pricing reduce hidden fees?
Yes. Flat-rate pricing removes hidden fees because everything is included in one monthly amount. Revenue-share models often add extra charges for onboarding, reporting, or support. Clinics using flat-rate pricing avoid surprise costs and can plan their budget with confidence.
Is revenue-share ever a better option than flat-rate?
Revenue-share may work for clinics that only have a few RPM patients or want a fully outsourced model. But for any clinic planning to grow, flat-rate pricing is almost always better because it protects margins, reduces risk, and gives full control over billing.
Does flat-rate pricing work for new clinics starting RPM?
Yes. Flat-rate pricing is ideal for new clinics because it keeps costs simple from day one. Clinics can grow their panel at their own pace without worrying about vendors taking a percentage of revenue or adding extra fees as volume increases.
Does Medicare prefer one pricing model over another?
Medicare does not regulate vendor pricing models, but clinics must keep full billing responsibility. Flat-rate pricing makes this easier because the vendor does not submit claims or share billing. This leads to cleaner audits and fewer documentation issues for RPM reviews.
Does flat-rate pricing improve patient compliance?
Yes. Flat-rate pricing helps clinics build stable workflows without billing pressure. When teams focus only on patient care—rather than meeting billing requirements—patients receive more consistent follow-ups. This leads to better engagement and stronger long-term results.
