Supplement Brand Validates New HRV+ Supplement Using Decentralized Digital Health Monitoring Technology.

Supplement Brand Validates New HRV+ Supplement Using Decentralized Digital Health Monitoring Technology.

Platform Automatically Collects Sleep & Behavioral Data Through Wearables & Assessments.


Mode+Method is looking to validate a new product in the supplement space aimed at increasing a customer’s HRV with a goal of rapidly scaling sales this calendar year.

Business Challenges 

Mode+Method primary challenges were finding users to test the product, the cost of collecting, managing, and analyzing health data, finding the right partner(s), with a flexible platform. Lastly, Mode+Method did not want to be limited into taking a rigid data collection and development environment.

The end result Mode+Method aimed for:

Mode+Method needed a device-agnostic flexible software solution that could automatically capture the health data they needed while also being able to analyze it in near real-time with ease. The goal was to produce health data that can be used to build trust by making objective claims in their sales and marketing materials. 

In the future, Mode+Method wanted a model that could be replicated for discovering product opportunities and validating new products that they develop. 

About The Industry 

The supplement industry is one of the most competitive and fastest growing industries in the United States. There are over 29,000 dietary supplements available in the U.S. market, with approximately 1,000 new supplement products being introduced to the market every year. 

Despite being such a large market, with an estimated 77% of Americans taking at least one supplement, 59% of global consumers want to see scientific evidence supporting supplement efficacy. Many factors play into this, such as legislation that limits the regulation of most dietary supplements, the presence of “snake oil” supplement brands that devalue the reputation of other brands, and limited research on the effectiveness of supplements.

The scientific awareness of the consumer has evolved post-COVID, partially thanks to new interest in longevity and immunity enhancement. Consumers are no longer only swayed by marketing techniques and older research on individual ingredients, consumers want evidence that the “specialty blends’ developed by supplement manufacturers work as advertised. 

For companies to succeed in this evolving market, validating their products and services with decentralized trials will be necessary to build trust with consumers’ purchasing decisions, answering the consumer’s authentic question of, “will this work for me?”

About HRV+

Longevity Labs, Inc, the parent company for Mode+Method, is a health and wellness research company specializing in longevity and human aging. They developed the supplement product HRV+ and designed it to optimize performance and boost Heart Rate Variability (HRV), a health marker associated with reduced morbidity and mortality. 

HRV+’s active ingredients include cannabinoids extracted from a proprietary hemp oil, curcumin, magnesium, and omega-3 oil. 

Business Challenges:

Since Mode+Method is a new supplement company, and they have aspirations to rapidly grow their new product (HRV+) in 2023. They needed a flexible research solution that is cost effective and quick to set up so that they could receive results back quickly. 

Mode+Method is focused on producing high quality supplements, and does not have the infrastructure to validate the product with an in-house technology solution. The complexity of organizing the study, obtaining participants, onboarding them, collecting the data and analyzing it needed to be achieved quickly, with help from a partner.  

Therefore, Mode+Method searched for a: 

  • Trusted partner who was well-connected to the wellness and supplement industry, and had experience in consumer health data analysis, all while providing top notch user service.
  • Research process that was simplistic both internally and for the participants.
  • Flexibility to try new ideas and possibly test new products easily.
  • Support with participant recruitment and onboarding.
  • Single platform that could accurately track biometric data from various inputs that could be easily analyzed at both an individual and cohort level.


HeadsUp Health worked with Mode+Method to create a solution that supported their research goals to validate their product (HRV+) and differentiate themselves in the supplement industry.

Collaboration & Support

  • Process Driven: Together, Mode+Method and HeadsUp created a highly collaborative and process-driven study startup based on HeadsUp’s experience. 
  • Accessible: HeadsUp works closely with clients to provide an optimal research study experience. For this project, the Mode+Method team and HeadsUp met weekly during the first 4 weeks of their collaboration,
  • Top-Notch Customer Support: HeadsUp provided consistent customer support, not just through study start, but throughout the duration of the collaboration to ensure a smooth user experience.

Speed: Up and running in weeks

  • The traditional research recruitment process can be tedious and it can take months for companies to get meaningful sample sizes of participants to validate supplement claims.
  • HeadsUp’s team simplified the process for Mode+Method by developing a recruitment plan, creating a participant onboarding experience, streamlining the consent process, and creating a customized dashboard experience for data input and collection. Together, these solutions reduced the recruitment time so that the study could be up and running in weeks.

Turnkey experience for study subjects

  • Built into HeadsUp’s system are safeguards against participant attrition, which can slow the speed of effective data collection. HeadsUp is an easy to use platform, with both customizable and intuitive-to-use desktop/mobile interfaces for participants.
  • The system allows for low-burden data collection in the form of automated data collection. HeadsUp also provides participants with a step-by-step guide concerning expectations and tasks required to be a part of the study. 

Automation & Data Visibility

  • HeadsUp’s platform is an integrative technology built around continuous remote monitoring, and supports passive data collection from multiple wearable devices and apps all in one place. In addition to other collected biometric data, Oura Ring wearables were used in the study to accurately measure HRV and other health metrics.
  • Our platform can easily generate individual reports to hone in on the effects of the supplement on a person-to-person basis, but that’s not all.
  • HeadsUp supports automated cohort analysis to ensure adherence to the protocol, help companies review macro trends across the subject population, and get real-time readings on how performance is trending – all at the click of a button. 

Tools In Action:

White-labeled web and mobile app to have unified branding.


Participant Signup

Custom signup page to promote customer trust.

Custom Video Introduction

Welcome video introduction to build a rapport with the participant and educate them on what to expect.

Participant Walkthrough

Click-by-click platform walkthrough for each participant to ensure they understand the expectations and how to use the platform.

Easy click-button consent process to simplify the onboarding experience. 

Automated Data Collection

Automatically collected data from wearable devices like Oura that can be set up in seconds.

Assessment Feature

Collect pre and post-subjective data from participants.

Customized Dashboards

Only show relevant metrics to participants. 

Signals reports

Automated cohort analysis for quick decision-making and visibility
(ex: out of range tracker, performance snapshots)



The results of the study with HRV+ will be available in H2 of 2023. 

Here’s a sneak peek of how the HRV+ team plans on leveraging the study data:

  • They will validate existing claims using the data, and unveil new claims (as revealed by generated reports)! 
  • They will use new insights from understanding audiences’ needs and problems that can work for deploying new products/services to increase the lifetime value of customers. 

Are you looking to validate your health product?

Schedule a call with our Trials Specialist to find out how our program can work for you. 

Signals CGM Reporting Suite

Signals CGM Reporting Suite

Continuous Glucose Monitoring Analytics Reporting

Heads Up Signals provides health professionals with a suite of CGM reports to better monitor and manage their clients’ glucose levels. Through the master dashboard, individual drill-down, the Cohort Performance Over Time report, Out of Range, Week over Week Improvement dashboards and Data Export report, health professional teams can identify areas of out of range, fluctuations, and improvements quickly. These reports allow for tracking of trends over time, and help health professionals better understand their clients’ glycemic control.

With these automated reporting tools, health professionals can then use this information to motivate and inspire their clients to take positive and informed actions towards maintaining their glucose levels. Ultimately, Heads Up Signals provides a comprehensive set of reports for health professionals to efficiently manage their clients’ glucose levels.

These reports have been designed to provide users with a clear overview of all the CGM and glucose statistics of their practice in one place, enabling easy identification of individual users who may need closer monitoring. The reports also allow for detailed analysis of the performance of specific cohorts, helping health professionals see glucose trends over time and identify areas for improvement.

The list of Continuous Glucose Monitoring (CGM) suite includes:

  • Reports Overview
    • Master Dashboard
    • Cohort Performance Over Time
    • Individual Drill Down
    • Out of Range
    • WoW Improvements
    • Data Export

Reports Overview

The Out of Range report is another useful feature that highlights instances where different users may be exceeding safe levels, providing an early warning of potential concerns. The Week over Week Improvements report enables users to monitor positive trends in glucose levels and highlight the success of individuals in their practice. Lastly, the ability to export raw data is perfect for those who wish to analyze the data outside the platform. Overall, these new reports offer a powerful toolset for professionals to manage patient glucose data and monitor changes in real-time, in one single platform. Sign Up.

Master Dashboard

The new CGM Glucose Related Stats Master Dashboard showcases four key stats: average glucose, standard deviation of glucose, the time and range between 70 and 120, and the percentage of readings above 140. These stats are conditionally formatted to support ease of understanding, with recommendations from the experts in CGM and glucose. Users can adjust the conditional formatting and stats according to specific requirements for their practice. This dashboard helps users to manage glucose levels and track glucose data for all users in their practice via a single platform.

Individual Drill Down

The Individual Drill Down Dashboard allows users to select a specific user in their practice to see changes in their glucose stats over a certain time period in a graphical way. The individual drill-down dashboard displays glucose stats such as average, standard deviation, time and range, and spikes in a tabular format. Users can see how these measurements have changed over time for the selected individual. The report allows users to identify fluctuations and take actions to improve glucose levels for the individual in question.

Cohort Performance Over Time

The Cohort Performance Over Time report displays the same glucose stats as the individual drill-down report but for the entire cohort. Users can see at a glance whether a new protocol or challenge is working for the population as a whole. Users can customize the report by selecting different time periods, granularity, specific users or groups using tags. This new report enables users to assess performance over time and quickly identify changes and fluctuations in the population, and make more informed decisions. Try it out for yourself.

Out of Range

The Glucose Out of Range report allows for health professionals to see who is out of range quickly and easily. Users can customize the report by setting criteria to define what you consider to be out of range glucose values. The report will then display readings where users go above or below the defined thresholds for a certain time period. Users can use this report to identify when users’ readings are out of range and engage in discussions to improve future readings. This report can help users take actions quickly and improve health outcomes.

WoW Improvements

The Week over Week Improvements dashboard is inspired by one of the health practitioners on the platform who used CGM in her practice, emphasizing the need to provide users with positive feedback to motivate compliance. The Week over Week Improvements dashboard is simple and shows on average for the week versus the previous week. What cohorts change in average glucose, standard deviation, and time and range have occurred. It also shows which users had the biggest metric changes in the positive direction, allowing practitioners to share positive feedback with these users for encouragement. This dashboard motivates users to continue with their actions and to strive for further improvements. Create a complementary account.

Data Export

This is the Data Export report that is part of the Continuous Glucose Monitoring CGM Reporting Suite in Signals. This report offers a simple solution for users to export raw glucose data for specific users or for all users over a designated time period. The exported data file is in a CSV friendly format that users can further analyze outside of the platform. This report is a straightforward solution for data export, allowing users to analyze and interact with the data outside of the software.

CGM Reporting Suite Conclusion

The CGM Reports inside Signals offer a comprehensive solution for Health Professionals to gain a deeper understanding of their clients’ glucose levels as a cohort and individually. These tools give Health Professionals the power to track client’s glucose levels more effectively and identify areas that could use improvement. Through tracking trends, identifying out-of-range values, understanding cohort performance and having access to easy data exports – Health Professionals are equipped with actionable insights that will motivate their clients towards better glucose levels for improved health.

Sign up for Heads Up’s Connected Health Platform today and try Signals in your practice. With Signals, you can quickly get valuable insights into your patients’ health status, helping you deliver better care, faster. Plus, it’s completely free to use with up to 3 users! Join now and experience the power of connected health.

Sign up here and try it out for yourself!

Using the Oura Ring with your patients

Using the Oura Ring with your patients

The Oura Ring is one of the most accurate wearable devices for tracking biometrics related to sleep, recovery, movement, and overall wellness. To follow are the various steps you and the patient will need to take to add the Oura Ring to your patient’s portal.

Connecting the Oura Ring to the Oura Application

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The first thing the patient will need to do once they receive their Oura Ring is download and connect the ring to the Oura application (IOS or Android). Please see Get Started with Oura for step-by-step instructions. 

Connecting Oura Rings to Heads Up Platform

Heads Up pulls the patient’s Oura data from the Oura cloud. The patient’s data is sent to the Oura cloud after the patient first opens the Oura application after awakening.  The Oura ring will sync to the Oura cloud each time it is opened during the day. 

Next, you will need to make sure your patient’s Oura ring is connected to Heads Up. The patient can connect Oura via the Heads Up mobile or web application. 

Once connected, you should see the patient’s Oura ring data on Heads Up. If the Oura ring data is not up to date for any reason, then you should ask the patient to force a manual backup of their Oura ring data to the Oura cloud using the below instructions:

1. Ensure WiFi or cellular data is enabled.

2. Go to the menu Icon_Bars.png on the Home Icon_Home.png tab.

3. Tap Settings Icon_Settings.png.

4. Below Account, tap ‘Back up all data.’

Interpreting the Oura Ring data

Oura rings collect and shares a lot of data. Below are a few of the metrics you should focus on.


There is a modern-day misconception about the importance of sleep. We’ve convinced ourselves that anything else is more productive and frequently hear the expression “you can sleep when you’re dead.” 

Recently though, sleep science has been gathering steam and proving what should have been intuitive all along: that our bodies didn’t evolve to waste time. Sleep is central to health and performance. Although we remember little from our time asleep, our brains are firing and our bodies are actively repairing. During sleep, the brain consolidates memories and removes toxins, while the body stokes the immune system and regulates metabolism. 

The sleep hygiene movement is starting to have a social impact and people are waking up to the importance of investing in sleep. If you want to take better care of yourself, start by making your sleep a priority.

The research is clear that adults should get 7 to 9 hours of sleep per night. This range of sleep hours is based on years of research and is the standard set by the National Sleep Foundation. It’s been determined that chronic sleep deprivation can lead to a dramatic increase in the risk of cardiovascular disease and lead to weight gain, in addition to other health issues. 

Another important aspect of sleep that can help maintain optimal health and performance is sleep consistency. Ensuring consistency in your bedtime and waking time can make a world of difference. For example, going to bed early and waking up early during workdays can help improve productivity throughout the week.

Some individuals will wake up tired despite sleeping the appropriate number of hours due to restless sleep. Sleep Disturbances caused by wake-ups, get-ups, and restless time during your sleep can have a big impact on sleep quality and daytime cognitive performance. Restless sleep is less restorative than uninterrupted sleep and it is usually the cause of daytime sleepiness. 

Disturbances can be caused by various factors, such as stress, noise, partners, pets, or different foods. Here are a few tips to improve your chances of getting restful sleep: 

  • Optimize your sleep environment by making sure your mattress is comfortable and your bedroom is cool (~ 65℉/18℃), quiet, and dark. 
  • Avoid spicy, heavy meals, and alcohol close to bedtime. 
  • Avoid caffeine prior to bedtime and late in the afternoons. 
  • While regular physical activity can make your sleep more restful, try to avoid exercising at least 1-2 hrs before your normal bedtime. 
  • Help your brain and body to wind down by disconnecting from bright screens and dimming bright lights 1-2 hrs before going to sleep.


From a circadian biology perspective, your day begins when you go to sleep each evening. Sleep allows the human body to recover from the physical and mental demands of the day. There are a number of metrics related to recovery, such as Resting Heart Rate (RHR) and Heart Rate Variability (HRV).

Resting Heart Rate captures the number of times your heart beats per minute while at rest. An abnormally high or low resting heart rate may mean you’re overly stressed and not getting enough rest, or perhaps your immune system is fighting something. 

Heart Rate Variability refers to the constant variation in milliseconds between your heartbeats. As popular as the metaphor may be, a healthy heart doesn’t beat as regularly as a metronome—it changes its rhythm with each beat. Some situations increase variation (high HRV), while others cause the intervals between beats to remain constant (low HRV). 

You may be unaware of these subtle variations, but they reflect your heart’s ability to respond to different situations. HRV can react to stress and/or illness before resting heart rate (RHR), which makes it one of your body’s most powerful signals—providing useful insights into your stress levels, recovery status, and general well-being. As a rule of thumb, high HRV is associated with rest-and-digest, general fitness, and good recovery, while low HRV is associated with fight-or-flight, stress, illness, or overtraining.

While individual days may be lower after high-intensity exercise, a night out, or a stressful day, if your recent HRV is on par with or better than your average, it’s a sign of good recovery. Monitoring HRV trends with an Oura Ring shows whether you are adapting or not to the “load” you are exposed to. This load could be new medications or treatment plans, or an increase in training load. 

Body Temperature

Body temperature is a key signal, as your body constantly generates and sheds heat to hover around your ideal temperature. This metric can act as a warning, signaling cold or broader health development like hormonal fluctuations. Very few wearables track this metric. One exception is the Oura Ring, which monitors your skin temperature while you sleep. This form of measurement is very close to your core temperature only while you are sleeping. You can also use one of the many digital thermometers to check your temperature right after you get out of bed. 


Sitting is considered by many to be the new smoking due to the rising evidence that prolonged sitting can contribute to a range of diseases and conditions including: 

  • Cardiovascular disease 
  • Type 2 Diabetes 
  • Anxiety and depression 
  • Obesity
  • Elevated blood pressure 
  • Higher cholesterol 

The human body performs better with regular movement throughout the day. Even standing up once every hour and stretching or doing a few jumping jacks can bring enormous health benefits.

Additional Oura Ring Resources

Below are links to Oura blog posts and help guides that cover the Oura ring and associated mobile application.

How Can Connected Health Technology Improve Patient Outcomes?

How Can Connected Health Technology Improve Patient Outcomes?

Daniel was completely shaken.

He was a man in his late 50’s. His brother, 63 years old, recently had a heart attack that scared the whole family. 

Thankfully, his brother got medical attention quickly. After a trip to the cath lab and a few stents, he’s been recovering well at home, all things considered. 

But the experience was a wake-up call for Daniel. 

Not only did he almost lose his brother, but his mom also passed at a young age from heart disease. He knew heart disease sometimes has a genetic component. With what happened to his mom and his brother, he knew he needed to get his heart health checked out. … And he’d be the first to admit that he hadn’t seen his primary in years.

But he had three kids at home. He had a wife. They all depended on him.

So he made an appointment with his physician. And sure enough, Daniel had pretty significant undiagnosed hypertension.

After a three-minute talk with his doctor where he was too stunned to begin formulating questions, he walked out of the office with a new prescription in hand.

But later, the questions flooded his head:

  • Was taking medicine just a part of his everyday life now?
  • Is there any way to lose weight, adjust diet, or exercise to decrease the dosage of medication needed?
  • What are the common side effects to look out for?
  • Is medicine the only way to treat hypertension?

He felt helpless and confused. All he knew was that he needed to take care of his cardiac health for the sake of his family. So despite his questions, he religiously took his meds. And thankfully he did start seeing blood pressures in the healthy range. 

If you’ve been a physician or a medical provider for longer than a few years, I’m sure you’ve had a patient like Daniel. While he did get the care he needed, there are definitely some gaps in the process. 

If you’re looking for a way to fill in those gaps and holistically care for your patients, implementing the connected health model could be the game-changer you’re looking for.

Here at Heads Up Health, we’re passionate about helping you help your patients. Which is why we’re also passionate about connected health. Let’s dig into exactly what connected health is, how it can help your patients, and how we’ve integrated it into our technology.

What Is Connected Health

Why did you first decide to open your own practice?

Maybe you wished you could do more for your patients… but you only had so much time to see so many patients.

Maybe your patient list was too long to remember each one… but you want to care for your patients on a personal level.

Or maybe… you became frustrated with how disconnected traditional healthcare can be.

Regardless of your reason, you made the choice to practice medicine in a way that feels more comprehensive and gives you more time with each patient. And that is so important to the patients you care for. This is why the connected health model could help you help your patients even more.

But what exactly does “connected health” mean? If you searched online for the term, you’d probably get at least 5 different definitions. And it’s hard to pin down an exact explanation, because it’s more of an attitude or frame of mind around healthcare. ¹

Basically, the idea of connected health is that the patient should be connected to their clinicians, and clinicians should be connected to each other, all keeping the patient’s health at the center.¹ Wellness and preventative medicine is highly emphasized in this model, as well as the clinicians meeting the patient where they are on a continuum of care.¹ In the connected health model, the patient is an active participant in their health plan.²

The term “connected health” is often used within the context of “telehealth” or “health technology.” While practices implementing connected health don’t necessarily need to be using technology to keep everyone connected, tech and telehealth companies have stepped up to help in a major way.² 

Heads Up Health Gives You a Connected Health Platform for Your Practice 

Heads Up Health is a company that uses technology to collect data from:

  • Clinically validated wearable devices
  • smart watches
  • health apps
  • lab results
  • remote patient monitoring devices, such as blood glucose monitors and blood pressure monitors

After collecting the raw data, it’s formatted and organized so you can easily analyze, make improved clinical decisions, and avoid medical errors. The more you know about your patients’ day to day health, the better you’re able to treat them. That’s why the data that’s extracted and organized by Heads of Health is so valuable. Plus, all of that data is displayed beautifully and clearly in one user-friendly platform.

4 Major Ways Connected Health Through Heads Up Health Benefits Your Patients

The connected health technology Heads Up Health provides not only makes your life easier, but it helps you deliver real results to your patients. Let’s dig into specific ways connected health through Heads Up Health can improve outcomes for your patients.

  1. It’s simple to use.³

Not only is the data clear and easy for you to use, it’s also easy for the patient to collect. In most cases, participation from the patient is nearly effortless. Often they simply wear a monitor, a smart watch, or click a few buttons in an app. Since most of us have our smartphones and smart watches on anyways, often these types of monitors and devices don’t disrupt our routines, which makes the data easy to obtain, reliable, and consistent.³

  1. There are fewer errors, and the accuracy of health trends are better than ever.⁴

The numbers collected from medical devices and smart devices tend to be much more accurate than self reported data.⁴ More accurate data results in more accurate diagnosis, and more appropriate interventions. It’s human nature to want to fudge the numbers on a medical form, or to forget to log a check on your blood glucose log. But with all that automated, the data is comprehensive and accurate. This gives you a realistic picture of the illness and a clear view of what next steps to take.

  1. Allows for more thorough monitoring of chronic diseases.

Because of the accuracy and consistency of the data collected through Heads Up Health, the way you monitor chronic diseases could totally change for the better. If your patients are forgetful or inconsistent in the past with self monitoring, this is a great option for them. 

As discussed above, remote monitoring takes so little effort on the part of the patient that collecting the data is easy for your patients.

Because of this, you’ll have the data you need to catch dangerous data trends before they turn into a hospital visit.⁴ In fact, one study showed that cardiac patients who received alerts to an app about their condition had a 16% decrease in overall hospital admissions.

The ability to more tightly manage chronic illnesses like diabetes and heart disease could add years to your patients’ lives, save them thousands of dollars in hospital visits, and improve their quality of life for years to come. 

Plus, many patients enjoy following along and seeing how their numbers trend. This encourages active interest and participation from the patient.³

  1. Remote patient monitoring makes care more accessible and often more affordable.

Remote patient monitoring through Heads Up Health brings healthcare specialists to remote areas where patients might not have care locally. This is a game-changer for individuals living in rural communities and less access to care.⁵ Since a patient can be virtually monitored from anywhere, this aspect of connected health truly connects patients to the care they need.³

Remote patient monitoring tends to be affordable for both the practice and the patient, breaking down some of the financial barriers to patients.⁷ Additionally, remote patient monitoring is reimbursable through health insurance, making it a win-win for everyone. Even cash-based practices have started moving to the payer system for RPM services due to the revenue generating opportunity.

About 60% of all healthcare organizations already use some type of connected health technology, and it’s easy to see why.⁶ It’s easy to use, has less errors, improves patient outcomes, and is highly accessible.

At Heads Up Health, We’re Passionate About Using Connected Health to Bring You Closer to Your Patients

Remember Daniel from the opening story? At Heads Up Health, we use connected health to help patients just like him by:

  • Makes connecting with your patients easy with our beautiful, efficient platform. Patient data is securely organized and succinct. This means your time with your patient can be spent educating and addressing concerns, instead of trying to make sense of the numbers.

    (The system can even be branded to your practice as well!)
Open Client Dashboard Chiba@2x

  • Providing you with effortless, pertinent data and trends. Changes in therapy are easy to assess. So if Daniel was your patient and lived in a rural area, you could potentially lower his medication dose, knowing that you can regularly track his blood pressure monitor to see if he’s tolerating the change. 
Clients Gladd@1x

  • Making compliance simple and encouraging patient participation. The simpler a tool is to use, the more likely a patient will use it. Since the remote patient monitoring features require little work from the patient, patient compliance is improved. Plus, patients often are interested in tracking their own health trends through the platform, encouraging the patient to be an active participant in their health plan. 

If you would like to get started leveraging the Heads Up connected health intelligence platform in your practice, click here to register for your free account.

After registering you will get an opportunity to schedule with a Heads Up Data Architect to help you with setting up the Heads Up Connected Health Platform to get the most out of it for your unique practice.

Click here to register for free.


Ciba Health: Remote Patient Monitoring for Type 2 Diabetes with Freestyle Libre, Withings and Oura Ring

Ciba Health: Remote Patient Monitoring for Type 2 Diabetes with Freestyle Libre, Withings and Oura Ring

Powerful Life-Saving Prevention Technology


Ciba Health is a tech-forward virtual chronic disease reversal platform successfully leveraging Remote Patient Monitoring (RPM) for their Type 2 Diabetes Reversal program.

Ciba’s RPM program leverages cutting-edge digital health devices including the Freestyle Libre Continuous Glucose Monitor (CGM), Oura ring, Withings scale, and Withings blood pressure cuff for a complete connected care solution.

The Ciba RPM program leverages a multidisciplinary team of physicians, dietitians, and health coaches for patient engagement, goal setting, lifestyle modification, and running the day-to-day operations of the RPM program.

The RPM program has created new revenue opportunities for Ciba Health inside the payer system, delivered quantified improvements in patient outcomes, and has positioned Ciba Health as a category-leading integrative practice with sophisticated RPM capabilities.

Ciba has selected Heads Up as the software platform for their RPM program. The Heads Up dashboard integrates seamlessly into the Ciba Health EHR system to facilitate data aggregation, analysis, alerting, reporting, RPM billing, and much more.

About Ciba Health

Ciba Health was founded in late 2019 by Dr. Innocent Clement, a trained physician, and former CEO and Co-Founder of Kaia Health Inc., a digital therapeutic company. The formation of Ciba Health was a response to the pitfalls of the conventional medical model, and an understanding that holistic, patient-centric care was essential for patient health.

Ciba Health is powered by the mission to provide better healthcare by researching the unique biochemistry of every patient, offering tools to practice better self-care, preventing diseases, and encouraging people to live their life to their fullest. Personalize, prevent, and educate—that’s the Ciba Health motto for creating healthcare that truly cares.

Ciba offers programs in Advanced Primary Care, Type 2 Diabetes Reversal and Depression & Anxiety Breakthrough and Digestive Health

Remote Patient Monitoring Overview

Remote Patient Monitoring (RPM) is a system in which digital technologies are used to monitor and capture physiological data from patients at home. The data is monitored and reviewed by healthcare providers for personalized patient care.

Clinics and providers that use RPM can bill and submit claims for RPM services to healthcare payer systems through the use of CPT codes.

These codes assist in healthcare documentation and can be used for processing claims and billing, reporting medical procedures and services, and evaluating the utilization of healthcare services.

The primary CPT codes used for Remote Patient Monitoring include the following:

  • CPT Code 99453: the initial patient education on the medical device and training on the proper use
  • CPT Code 99454: the monthly remote monitoring of physiological parameters by wearable devices, includes provision and programming of device
  • CPT Code 99457: monthly billing for care management and coordination, requiring 20 minutes of interactive virtual care
  • CPT Code 99458: billing for additional time spent with the patient beyond the initial 20 minutes, billed in 20-minute increments

Business Challenges

Heads Up worked with Ciba Health to create a Remote Patient Monitoring platform to address their unique challenges:

  • Device data fragmentation
    • The Ciba RPM program leverages best-in-class devices (Libre, Oura, and Withings). Ciba Health needed a solution to seamlessly integrate data from multiple devices onto centralized dashboards for both patients and providers.
  • Diagnostic lab testing
    • In addition to integrating device data, Ciba Health needed an RPM platform that could also track lab tests including lipid panels, metabolic markers (Hba1c), functional diagnostic testing (Great Plains, Dutch, etc.), and much more.
  • EHR integration & white-label ready
    • Ciba Health needed an RPM solution that could integrate directly with their EHR system to simplify the user experience for both patients and providers. As part of the integrated solution, Ciba wanted to use their own branding on the patient-facing dashboard.
  • Advanced analytics
    • Ciba Health needed a platform with the analytics capabilities for their data science team to measure outcomes across their entire Type 2 Diabetes Reversal program.
  • Patient engagement
    • Ciba Health leverages FMCA health coaches for patient engagement. They needed an RPM platform that could integrate health coaching with biometric data from the devices as part of their RPM patient engagement strategy.
  • Lifestyle medicine
    • Ciba Health needed an RPM solution that would enable monitoring lifestyle factors including diet, sleep, stress, and exercise. Visibility into these lifestyle factors is a key part of Ciba’s holistic approach to Type 2 Diabetes Management.
  • Increase revenue
    • Ciba Health was seeking to explore revenue opportunities that rely on tracking RPM billing eligibility for each CPT code and export data in a customized format for their billing team.

Technology Solution

Heads Up was selected as the technology vendor to meet both Ciba Health’s business and practice needs for their RPM solution.

Customized Dashboards

Heads Up created a dashboard to integrate all of the devices and data required for the RPM program. Libre, Withings, and Oura all seamlessly integrate into a single view for patients and providers.

Open Client Dashboard Chiba@2x

Integrated Lab Testing

Ciba Health uses a combination of conventional lab testing (Hba1c, lipid panels etc.) and functional diagnostic testing. The RPM portal was also configured with the ability to track diagnostic lab testing alongside the device data.

EHR Integration

The dashboard was directly embedded into the Ciba Health EHR system and uses single-sign-on (SSO) for a seamless user experience.Screenshot 2021 03 15 at 19.20.47

Advanced Analytics

Customized data exports are delivered each month to the Ciba data science team. Outcomes can be analyzed across the entire patient base. As the data set grows, Ciba can start to apply machine learning and AI to learn more about how their programs are performing.

Customized Billing Reports

Customized reports are delivered to Ciba throughout each calendar month. These reports help determine where there are clinically relevant RPM related billing opportunities each month.

RPM Ciba 1

Train Health Coaches

Consistent with their high standards as a virtual functional medicine practice, Ciba Health hired health coaches certified by the Functional Medicine Coaching Academy (FMCA). 

The FCMA health coaching program is considered a gold standard in functional medicine, and is the only program designed and delivered in collaboration with the Institute for Functional Medicine (IFM).

These coaches were then trained through the Heads Up University RPM Certification Course for health coaches. This program consists of seven video modules and additional resources that cover how to get started with RPM, coding and billing, medical protocols, and legal considerations for RPM.

As a result of this training, the Ciba Health coaches are better equipped to manage the day-to-day of the RPM programs and can use the incoming data as opportunities to check-in with patients.

Business Outcomes

Using the remote monitoring solution created by Heads Up, Ciba Health was able to achieve the following outcomes.

Increased Revenue

Ciba Health has enrolled in the payer system and is now generating claims revenue for their RPM services. With a proven RPM solution in place, Ciba Health is preparing to scale their RPM revenue as they bring on new clients.

Improved Outcomes

Using the data generated from their RPM program, Ciba Health is able to quantify outcomes both at the individual level and at the cohort level to validate their program’s efficacy. 

These outcomes are published on their website and used in other outbound communications.


Testimonials From Patients About Ciba’s Type 2 Diabetes Reversal Program

Increased engagement

Instead of waiting several months between doctor visits and conventional lab test results, Ciba health coaches and providers can use patient-generated data for real-time biofeedback.

Data from the devices creates new opportunities for Ciba Health coaches to engage patients and guide them toward health lifestyle modification.

Additionally, patients learn to use the data from the devices themselves to make healthy corrections to diet and lifestyle.

Summary and CTA

Ciba Health has developed an industry-leading Remote Patient Monitoring program for Type 2 Diabetes built on the Heads Up connected care platform.

The program integrates the latest digital health devices from Oura, Abbott (Freestyle Libre) and Withings combined with diagnostic lab testing.

FMCA-certified health coaches are trained to manage the RPM program and integrate biometric data into patient coaching.

Ciba Health is leveraging objective clinical and lifestyle data to study outcomes as their programs scales.

Lastly, new revenue streams are now available to Ciba as Remote Patient Monitoring continues to expand.

Interested in exploring a custom-built program for your practice?


GladdMD Provides Remote Ketogenic Coaching with Heads Up and Keto-Mojo

GladdMD Provides Remote Ketogenic Coaching with Heads Up and Keto-Mojo

About GladdMD

GladdMD is an Indiana-based integrative practice that sees clients both in-person and remotely from all over the world. They rely heavily on their relationships with patients and aim to partner with them on their journey to optimal health.

GladdMD was founded in 2010 and is headed up by Dr. Jeff Gladd, a physician entrepreneur and sought-after expert who turned to integrative medicine after his own health journey and education through the University of Arizona Integrative Medicine fellowship. GladdMD provides a holistic approach to patient health blending conventional and functional approaches with a customized diet, nutrition, and lifestyle interventions.

Business challenges

GladdMD runs a number of different health optimization programs with their clients. These programs are offered virtually with one-on-one consultations and group visits. 

By adding a remote monitoring component to their ketogenic weight loss program, GladdMD was seeking to address a number of challenges:

  • Without an easy way to monitor glucose and ketone readings on a daily basis, it was difficult for GladdMD clients to objectively verify if clients were in ketosis.
  • With no solution for remote data collection, it was challenging for GladdMD to personalize the program for each client. 
  • Without a centralized dashboard, tracking weight loss outcomes at the individual and cohort level was challenging and relied on self-reports from users, spreadsheets and other cumbersome tools.
  • For clients who have out-of-network health insurance coverage, providing super bills for reimbursement would allow GladdMD to help clients offset the cost of the program and scale the program to more clients
Dashboard Gladd@1x

Technology solution: Heads Up & Keto-Mojo

The goal for Heads Up was to create a technology solution for GladdMD to support their unique needs. Heads Up created a custom, centralized dashboard to improve quality of client data tracking and health program personalization.

In addition to this, Keto Mojo, the glucose and ketone meter used by GladdMD for their ketogenic weight loss program is able to be easily integrated into the Heads Up software.

  • Remote Patient Monitoring Solution
    • One of the main challenges that GladdMD faced in their ketogenic weight loss program was accurate and easy monitoring of glucose and ketone readings for their clients.
    • Using Heads Up’s wearable integration technology, GladdMD can easily access daily readings from the Keto Mojo wearable, verify the state of ketosis, and improve the efficiency of program personalization.
  • Additional Lifestyle Data from Other Wearables
    • Heads Up technology allows for data integration from a number of premium digital health devices and apps. This added value to coaching sessions and doctor’s visits by allowing providers to see additional data on physical activity, sleep, and nutrition. 
    • In turn, GladdMD providers are able to better gauge client motivation for change, target lifestyle areas for improvement, and help clients understand physiological responses beyond weight loss.
  • Client Dashboard Customization
    • Heads Up built a custom client dashboard for GladdMD’s ketogenic weight loss program. This led to increased client motivation and empowerment due to patients being able to see real-time results from following the program.
    • To improve brand recognition, Heads Up created a custom dashboard with GladdMD branding.
  • Health Coach Dashboard
    • The health coach dashboard built by Heads Up improved the efficiency of monitoring client data remotely. Because all of the client data is centralized, providers are able to spend more time clients focusing on interventions instead of data review.
  • Patient Engagement Tools
    • Heads Up provides several tools to improve communication and tracking of client outcomes. GladdMD utilizes the platform’s HIPAA-compliant secure messaging, monthly progress reports and other tools for increased patient engagement and retention.
  • Super bill for clients who can submit for out-of-network coverage.

Leveraging a Health Coach for Remote Patient Monitoring (RPM)

Combining a health coach with RPM is a powerful combination. Health coaches are trained experts in patient engagement and the data from remote devices provides abundant opportunity for coaches to engage, educate and empower clients on their journey to optimal health. 

The health coach at GladdMD, Marina Arambula, runs the ketogenic therapy program on a day-to-day basis. Marina works with clients remotely to onboard them onto the Heads Up platform, connect their Keto-Mojo device and educate clients on how to start measuring glucose and ketones daily.

Clients Gladd@1x

“Using the Heads Up dashboard has been transformational for my coaching. With these additional tools, I have been able to help clients understand the importance of metabolic health and approach being healthy in a holistic manner.”

– Marina, GladdMD Health Coach

Business Outcomes

Using the remote monitoring solution with Heads Up and Keto-Mojo, GladdMD was able to achieve the following outcomes:

  • Increased efficiency for the practitioner
    • Heads Up technology is able to centralize data collection and create reports to track client outcomes. Use of these tools has improved GladdMD’s data organization and allowed more targeted interventions to shorten time frames for client outcomes.
    • Health coach is able to communicate more frequently with doctors about client updates, which reduces time spent on reviewing client histor

  • Increased patient engagement and retentions
    • Through the Heads Up platform, GladdMD health coaches have increased communication with clients. These clients develop a deeper relationship with the practice not only with communication with providers, but by seeing visualized data of program progress and success. These features have improved client retention.
  • Increased revenue for the practice
    • GladdMD is able to reduce program costs through increased efficiency of data collection and interpretation by providers.
    • Clients using the dashboard created by Heads Up were able to see reports and visualization of health outcome progress, which led to additional services, increased follow ups
    • Improved client retention and faster program outcomes increases client trust in GladdMD services. Clients increase new client acquisition by organic word-of-mouth about their successes with GladdMD’s health optimization programs.

Clients who have been long-term users of GladdMD services have also seen benefits from the remote patient monitoring made possible by Heads Up technology.

One client thought that, prior to using the Heads Up platform, she was following the protocol for GladdMD’s ketogenic weight-loss program. She had some success with weight loss, but her health was not being optimized.

After adding Heads Up to her care, the health coach and client were able to see objective data showing that the patient was not following protocols as well as she originally thought. With the help of the health coach and ongoing data monitoring, the client was able to course-correct her actions and have significant improvements in weight loss.


GladdMD is an integrative practice dedicated to helping patients achieve optimal health through nutrition and lifestyle interventions. Heads Up helped bring remote patient monitoring in GladdMD’s ketogenic weight loss program to life. 

To address their issues of centralized data collection, easy client health outcome tracking, and daily lab monitoring, Heads Up created a seamless user experience for both clients and practitioners.

As a result, GladdMD experienced increased practitioner efficiency, increases in client engagement and retention, and overall increased practice revenue. Health coaches and practitioners with GladdMD are able to focus on tailoring program interventions to client needs, improve consistency of ketosis, and developing relationships with their clients.

Heads Up technology increases success for both practitioners and clients in healthcare delivery systems that use remote patient monitoring. 

Interested in a custom data portal for your practice?

Schedule a session with one of our specialists to learn how to integrate Heads Up Health into your organization and demo the Heads Up platform.