Your blood pressure check-in. As simple as a text.
Text your reading. Get clear guidance or a nurse callback in minutes. No app, no login, no confusion. Just a phone number that becomes your safety net.
Stay safe without the ER. Know right away if your reading needs attention, or if you can relax and stay home.
A real person when it matters. If your numbers are high, a licensed clinician calls you, not in hours, in minutes.
Works on any phone. Text or call from the phone you already have. Nothing to download, nothing to set up.
138/84 — Safe Range
Keep taking your meds. We're here if you need us.
Why It Matters
Why ER visits happen
High blood pressure readings and scary symptoms drive millions of older adults to the ER every year. Many of those visits can be avoided with better measurement, reassurance, and fast clinician follow-up. SerenePulse is designed to catch those moments at home, before a trip to the ER becomes the default.
0%
of adults 60+ have hypertension
NHANES 2021–2023
0M
treat-and-release ER visits per year
AHRQ HCUP 2021
$0
average ER cost for seniors (65+)
AHRQ HCUP 2021
0
ER visits per 100 people ages 75+
CDC NHAMCS 2022
How It Works
Three simple steps to safety
Text your reading. Get clear guidance or a nurse callback in minutes.
Report Your Reading
Text or call a single number with your blood pressure reading. No app. No login. Just send something like "138/84 feeling ok" and the system understands.
Works on any phone. SMS, IVR, or connected devices. No passwords. No setup.
Get Clear Guidance
Normal reading? You get a quick reassurance message. High reading? The system asks you to sit quietly, rest for a few minutes, and check again. If the repeat is still high, it walks you through a few symptom questions in plain language.
Deterministic, auditable triage rules. Every step is logged and reviewed by clinicians.
138/84 — Safe Range
Keep taking your meds. We're here if you need us.
158/92 — Check Again
Rest for 5 minutes and take another reading.
165/100 + Headache
A nurse is calling you now.
The Right Help at the Right Time
If your reading needs attention, a real clinician calls you within minutes. They connect you to the right next step, whether that is a telehealth visit, a same-day appointment, or just reassurance that you can stay home. No panic. No unnecessary ER trip.
Urgent callbacks within 5–15 minutes. We handle medication, transportation, and caregiver support barriers in real time.
Trusted by Seniors & Families
Real stories from real people
Seniors and their families are already using Serene Pulse to stay safe and avoid unnecessary ER visits.
"I was terrified every time my blood pressure spiked. Now I just text Serene Pulse and within minutes I know if I need to go to the ER or if I can stay home. It's given me so much peace of mind."
Margaret, 72
Senior • Ohio
"My mom lives alone and I worry constantly about her health. Serene Pulse lets me know she's checking her blood pressure regularly, and the system alerts me if there's anything concerning. I sleep better at night."
David, 45
Son • Texas
"No app to figure out, no passwords to remember. Just text my reading like I'm texting my grandkids. If something's wrong, a nurse calls me right away. It's that simple."
Robert, 78
Senior • Florida
"We went to the ER twice last year for high blood pressure that turned out to be nothing serious. With Serene Pulse, my dad can get guidance from home first. We've already avoided one unnecessary trip."
Sarah, 38
Daughter • California
"My doctor recommended Serene Pulse and I'm so glad she did. It's helping me stay on top of my numbers, and I feel like someone's actually listening when I report my readings."
Eleanor, 81
Senior • New York
Serene Pulse is HIPAA-compliant, clinically validated, and trusted by seniors nationwide.
*These stories reflect common experiences from early users and pilot participants. Individual results may vary.
For Health Plans & Providers
For health plans and provider networks
SerenePulse is designed to reduce avoidable ER visits in your highest-cost older members through the simplest possible interface. We handle enrollment, clinical staffing, and reporting. You provide the member list.
Start Now
Get started in 30 seconds
Just text your phone number below. We'll send you a welcome message with instructions on how to start reporting your blood pressure readings.
Text-based, no app required
Works on any phone with texting capability
Instant confirmation
Receive guidance on your readings within seconds
Always free for seniors
Your insurance or health plan covers the cost
💬 Example: Text "138/84 feeling ok" and get instant feedback.
Start Your Journey
Enter your phone number to begin
Already enrolled? Just text your blood pressure reading anytime.
Beyond Blood Pressure
We address the barriers that drive ER visits
When a high reading is really about a missed medication, a ride to the pharmacy, or just needing someone to talk to, we catch that too.
Medication Access
Trigger: Repeated elevation + "out of meds" message
Staff coordinates refill, med reconciliation, and adherence coaching with pharmacy and PCP.
Transportation
Trigger: "Cannot get to appointment" or missed follow-ups
Staff schedules NEMT ride or switches to telehealth/home visit. Closed-loop referral tracking.
Anxiety & Uncertainty
Trigger: Frequent check-ins with normal rechecks
Reassurance messaging, measurement coaching, and optional coaching call to address triggers.
Caregiver Support
Trigger: Patient unable to self-report consistently
Caregiver enrolled as proxy reporter. Receives alerts and coaching alongside the patient.
For Payers & Partners
ER-offset in a box
We are not selling "remote blood pressure monitoring" as a generic feature. We package a ready-made hypertension safety net that reduces avoidable ER utilization for your highest-need members — with clear, measurable ROI.
Humana's own analysis shows Medicare Advantage members in value-based care arrangements had 13.4% fewer ER visits and 7.6% fewer hospital admissions. Serene Pulse brings that same proactive model to your hypertensive cohort through the simplest possible interface.
Reduce ER Utilization
Programs using similar models have demonstrated BP improvements and reduced avoidable ER visits. Pilot data will measure engagement, utilization, and BP control.
Lower Total Cost of Care
Average treat-and-release ER visit for seniors costs $1,110. Even a 10% reduction across 2,000 members saves over $100K annually.
Improve HEDIS Scores
Directly supports the Controlling High Blood Pressure (CBP) quality measure that CMS and states use to evaluate MCO performance.
Turnkey Deployment
We handle enrollment, device logistics, clinical staffing, and reporting. You provide the member list and we deliver outcomes.
Built for Your Highest-Need Members
Purpose-built for older adults with hypertension, multiple chronic conditions, and prior ER use. Designed to support quality measure improvement.
Clean Data & Reporting
Monthly outcome reports with baseline vs. post-launch comparisons on ER visits, admissions, BP control rates, and engagement.
Revenue & Reimbursement Paths
Multiple billing and contracting models aligned to your organization's needs.
| Model | Timing |
|---|---|
| PMPM Program Fee | Medium |
| SMBP Billing (99473/99474) | Faster (monthly) |
| CCM Overlay (99490/99439) | Medium (monthly) |
| Shared Savings | Slow (end of period) |
Clinical Safety
Evidence-based triage framework
Our escalation logic is aligned with the AHA/ACC A-I-M framework (Assess, Identify, Modify) and AHA consumer emergency guidance. Every decision is clinician-overseen, logged, and auditable.
Assess
Confirm accurate measurement. Require re-measurement with proper technique (5 min rest, seated, two readings one minute apart).
Identify
Screen for reversible drivers: missed medications, pain, anxiety, sleep deprivation, acute illness. Structured symptom checklist.
Modify
Route to appropriate care level. Ensure outpatient regimen review and follow-up rather than reflexive ER escalation.
Escalation Matrix
Emergency
SLA: < 60 sec auto-response, < 5 min clinician callTrigger: BP >180/120 + emergency symptoms (chest pain, shortness of breath, neurologic symptoms, vision changes)
System: Advise 911 immediately. Create Red alert. Notify clinician.
Human: Clinician calls within 5 minutes. Caregiver notified if consented.
Urgent Callback
SLA: < 15 min for >180/120, < 60 min for ≥180/110Trigger: BP >180/120 without symptoms after recheck, or persistent SBP/DBP ≥180/110
System: Prompt rest + recheck. Create Orange alert.
Human: Clinician calls within 15–60 minutes. Schedule outpatient visit.
Same-Day Routing
SLA: Same-day or next business dayTrigger: BP 160–179 systolic or 100–109 diastolic with concerning symptoms, repeated elevation, or medication lapse
System: Create task for pharmacy support or transport referral.
Human: Same-day call or next business day depending on risk factors.
Routine Monitoring
SLA: Automated responseTrigger: BP <160/100 without concerning symptoms, or trending improvement after recheck
System: Reassurance message. Measurement coaching. Adherence prompts.
Human: Optional coaching call. Standard follow-up schedule.
Regulatory Guardrails
HIPAA & Data Security
Full HIPAA compliance from day one. Business Associate Agreements with all covered entities. Minimal PHI in SMS content. Role-based access and immutable audit logs.
FDA / SaMD Boundaries
Guideline-based routing with clinician oversight. No near-term event prediction. No automated "you do not need the ER" statements. Deterministic rules over generative outputs.
Pilot Design
Proof in 12 months
A focused pilot with 1,000–2,000 seniors in a single region, designed to answer two questions: Is it safe? Does it reduce avoidable ER use?
Setup
Months 1–3
- Clinical protocol + scripts approval
- Vendor contracting + BAAs
- Build V1 (SMS + IVR + dashboard)
- Staff training + dry runs
Launch
Months 3–4
- Soft launch (100–200 members)
- Full rollout (1,000–2,000 members)
Operate & Evaluate
Months 4–12
- Steady-state operations
- Midpoint analysis + protocol tuning
- Final evaluation + ROI report
Key Performance Indicators
Enrolled / invited
Enrollment Rate
25–40%
Members submitting 12+ readings/month
Active Engagement
50–70%
Confirmed repeat measurement rate
Severe-Reading Confirmation
>80%
Automated response for high-risk events
Time-to-Response
<60 sec
First call attempt after critical trigger
Time-to-Clinician
<5 min
Relative reduction vs. baseline
ED Deflection
5–15%
Channel Strategy
Layered channels to reach every senior, regardless of tech literacy.
| Channel | Adoption (65+) |
|---|---|
| SMS Texting | Moderate–High |
| IVR (Keypad) | High (incl. landlines) |
| Voice Agent | Potentially High |
| Connected BP Cuff | Variable |
Questions & Answers
Frequently Asked Questions
Everything you need to know about Serene Pulse, from privacy to getting started.
Getting Started
Privacy & Security
Cost & Insurance
How It Works
Technical Support
Family & Caregivers
Didn't find your answer? Our support team is here to help.
Contact SupportGet Started
Let's build your pilot together
Ready to see how Serene Pulse works for your members? Let us walk you through a 12-month pilot design with projected outcomes based on your population.
For Payers & MCOs
We'll walk you through a 12-month pilot design with projected ROI based on your member data.
For Provider Networks
Learn how SMBP (99473/99474) and CCM codes can fund hypertension monitoring for your panel.
For Health Systems
Explore how Serene Pulse integrates with your existing care coordination and referral workflows.
Serene Pulse is currently seeking pilot partners in Virginia and the Mid-Atlantic region. State innovation grants (e.g., VIPC CCF up to $100K) can co-fund early deployments.