A missed follow-up visit is rarely just a scheduling problem. For a rural family, it can mean hours on the road. For a child with sensory sensitivities, it can mean stress that undermines the visit before it begins. For safety-net providers, it can mean another gap in continuity that affects outcomes and reimbursement. The dr. miltie n9+ virtual exam device is built for that reality – helping healthcare organizations bring clinically relevant assessment closer to where patients live, learn, and receive support.

What the Dr. Miltie N9+ virtual exam device changes

Many telehealth programs still rely on basic video, which works for some encounters but falls short when clinicians need better insight into a patient’s physical condition. A virtual follow-up is far more valuable when the care team can collect meaningful patient data, support guided assessments, and document findings with greater confidence.

The Dr. Miltie N9+ is designed to close that gap. Rather than treating virtual care as a video call with limited clinical utility, it supports a more complete remote exam experience through wireless connected tools and patient monitoring capabilities. That distinction matters for organizations trying to expand access without diluting care quality.

For administrators and clinical leaders, the value is operational as much as clinical. A stronger virtual exam model can help extend provider capacity, reduce unnecessary travel, improve follow-up compliance, and create more flexible care pathways across homes, schools, clinics, and community sites.

Why device-enabled virtual exams matter now

Healthcare organizations are under pressure from multiple directions at once. Access challenges persist, especially in pediatrics and rural health. Workforce shortages continue to affect scheduling and care coordination. At the same time, reimbursement and program sustainability require more than good intentions. Virtual care has to be clinically useful, operationally realistic, and financially supportable.

That is where a device-enabled approach has a practical advantage. When providers can move beyond conversation-only telehealth and conduct more informed virtual physical exams, remote care becomes relevant for more visit types and patient populations. It is not a replacement for every in-person encounter, and it should not be framed that way. But it can reduce how often patients need to travel for issues that can be appropriately assessed and managed at a distance.

This is especially significant in pediatric care. Children often do better in familiar environments, and caregivers are often more engaged when care happens where they already are. For autistic children and pediatric patients with special healthcare needs, lower-stress settings can improve cooperation and make the encounter more productive for everyone involved.

Where the Dr. Miltie N9+ virtual exam device fits best

The strongest use case for the Dr. Miltie N9+ is not simply telehealth expansion. It is care model expansion.

For pediatric practices, the device can support follow-up visits, symptom assessments, care coordination, and monitoring that might otherwise require disruptive travel. A child seen at home, in a school-based setting, or in a community clinic may present more naturally than in a busy office, giving clinicians and caregivers a clearer picture of day-to-day needs.

For rural health clinics, federally qualified health centers, and critical access hospitals, the device helps extend limited clinical resources across wider geographies. A provider does not need to be physically present in every setting to conduct a useful assessment, but the exam still needs enough clinical substance to guide decisions. That is the point of a virtual exam platform with connected medical tools rather than video alone.

For health systems and community-based programs, the opportunity is often about continuity. Patients move between acute care, primary care, specialty care, and home settings. A connected virtual exam device can support transitions, chronic disease follow-up, and monitoring workflows that reduce fragmentation.

Clinical utility depends on workflow, not just hardware

One of the most common mistakes in virtual care planning is evaluating technology as a device purchase rather than as part of a care delivery model. A virtual exam platform only works when it fits staffing, documentation, escalation pathways, caregiver participation, and reimbursement strategy.

That is why healthcare decision-makers should look beyond the technical feature list. The better question is whether the platform supports the way their organization actually delivers care. Can nursing staff, care coordinators, school-based personnel, or community health workers participate appropriately in the process? Can clinicians capture data that is useful for decision-making? Can the program support remote patient monitoring or chronic care management goals where applicable?

The answer depends on the deployment model. A pediatric specialty program may prioritize caregiver-guided follow-up and sensory-friendly encounters. A rural network may focus on distributed access points and workforce extension. A safety-net organization may care most about reducing no-shows, supporting preventive care, and improving patient engagement in hard-to-reach populations.

In each case, the device matters, but workflow design matters more.

A better fit for pediatric and special-needs care

Pediatric virtual care is often discussed as a convenience issue. That understates what is at stake.

For many families, especially those caring for children with developmental differences or complex medical needs, the clinical environment itself can be a barrier. Travel, waiting rooms, sensory overload, missed school, caregiver work disruption, and transportation logistics all shape whether care happens at all. The right virtual exam approach does not eliminate every challenge, but it can reduce enough friction to improve access and follow-through.

The Dr. Miltie N9+ is particularly relevant in these settings because it supports clinician-directed care in environments that may be more comfortable for the child. That can improve caregiver participation and help providers observe symptoms, behavior, and response in context. Sometimes that context is clinically meaningful. Sometimes it simply makes the visit more feasible. Both outcomes matter.

There is also an equity dimension here. Families with the greatest burden often have the least flexibility. Tools that support distributed pediatric care can help organizations serve these patients more consistently, especially when paired with thoughtful scheduling, caregiver education, and care coordination.

Operational and financial considerations for healthcare leaders

Adoption decisions are rarely driven by clinical promise alone. Program leaders need to know whether a virtual exam model can be implemented, staffed, and sustained.

A platform like this is most compelling when it aligns with broader organizational goals such as access expansion, remote patient monitoring, care coordination, workforce efficiency, and reimbursement-aware deployment. If virtual exams reduce avoidable transfers, improve follow-up completion, support chronic disease management, or extend specialist reach into underserved settings, the return is more than anecdotal.

That said, not every organization will realize value in the same way. Some will benefit most from pediatric outreach and family retention. Others will see gains in rural access, reduced transportation burden, or support for school and community-based care. Larger systems may prioritize integration across service lines, while smaller organizations may focus on practical wins like fewer missed visits and better continuity.

Healthcare leaders should also evaluate training requirements, patient support needs, data capture expectations, HIPAA compliance, and the internal ownership of the program. Technology that appears straightforward can still underperform if no one owns workflow design, escalation rules, and clinician adoption.

What to ask before choosing a virtual exam platform

If your organization is assessing the Dr. Miltie N9+ virtual exam device, the most useful questions are the ones tied to care delivery.

Start with patient mix. Are you serving pediatric populations, rural communities, chronic care patients, or populations with high access barriers? Then consider setting. Will the device be used in homes, schools, clinics, community sites, or across all of them? After that, look at staffing. Who will facilitate the visit, who will review the data, and how will findings translate into next steps?

It is also worth asking where a more complete virtual exam can replace travel without compromising judgment. Some encounters still need in-person care, and clear escalation criteria protect both patients and clinicians. The goal is not to force every visit into a virtual channel. It is to create a flexible model where the right patients can be seen in the right setting with the right level of clinical information.

That is where connected-care strategy becomes more valuable than standalone telehealth. Organizations need tools that fit reimbursement realities, support care teams, and help maintain clinical quality as care moves beyond the traditional exam room.

One reason providers evaluate Dr. Miltie is that the platform is positioned not just as hardware, but as a connected-care model that supports customized workflows, virtual primary care, and a broader Circle of Care™ approach. For institutions trying to scale access thoughtfully, that distinction can make implementation far more practical.

The next phase of virtual care will not be defined by more video visits. It will be defined by whether healthcare organizations can examine, monitor, and engage patients in ways that are clinically credible and easier to access. The right device should help you get closer to that standard, especially for the communities that have historically had the hardest time reaching care.

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PointClickCare (PCC) Integration with Nonagon N9+ Device and Virtual Exam Platform – Resident Dashboard – Clinical Tab – Weights Vitals

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PointClickCare (PCC) Integration with Nonagon N9+ Device and Virtual Exam Platform – Resident Dashboard – Clinical Tab

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PointClickCare (PCC) Integration with Nonagon N9+ Device and Virtual Exam Platform – Resident Dashboard – Admin – Misc Tab

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PointClickCare (PCC) Integration with Nonagon N9+ Device and Virtual Exam Platform – Patient Card

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CMS proposed changes to the physician fee schedule that would provide physicians with additional compensation to account for balancing telehealth visits with maintaining their physical offices, Politico reported July 17.

The proposal would increase the payment rates of healthcare providers for the virtual care they offer Medicare patients remotely. 

The additional compensation for telehealth services will be determined through a “non-facility” payment rate, which will vary based on the type of service being provided, according to the report.

The proposal also seeks to make the following changes, according to the report:

• Federally qualified health centers and rural health clinics can bill patients separately for remote patient monitoring.
• Physicians are permitted to virtually supervise certain medical services through 2024 that were previously required to be in-person.
• The categorization process will be simplified for telehealth service billing.
• The pandemic rules that allowed audio-only telehealth visits for certified opioid treatment programs will be maintained through 2024.

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Over the last several years, Anthem Blue Cross and Blue Shield of Missouri has been expanding access to care through telehealth, urging consumers to use this valuable tool as an entry point to care that is fast, easy and more affordable. In the early days of the pandemic, we worked with our care provider partners to rapidly meet the need for telehealth, which had become immediately necessary. As more of our care provider partners embraced the model of making virtual the first access point to care, health plans accelerated their work in this area.

The health care industry is experiencing a digital revolution that’s making the consumer experience more customized, predictive and proactive. We’re taking the next step by now offering virtual-first health plans. Now is the time for St. Louis employers to take advantage of virtual-first plans to modernize their approach to employee health and health benefits given the central role these play in productivity and talent retention.

What are virtual-first plans?

Virtual-first plans give consumers more affordable access to convenient, quality care options, first. While each plan boasts its own set of unique offerings, virtual plans include access to tools and programs, symptom checkers leveraging artificial intelligence, routine wellness care, chronic condition management, behavioral health care and more. In addition, employers can see savings of up to 20% with Anthem Link, Virtual-First health plans as compared to other traditional health care offerings.

Utilization and demand are increasing

For consumers, virtual-first plans enhance their care by offering easy access to benefits, cost transparency tools and resources they need 24/7. According to one study, convenience and accessibility are among the top traits that people find most appealing about virtual care. The ability to chat with a doctor from wherever they are (35%), 24/7 availability (31%), and the overall ease of use (30%) are also appealing.

Consumers are also looking for more connected care. For example, through the Anthem Blue Cross and Blue Shield digital health platform, we are working to ensure Anthem Link, Virtual-First health plans can connect care data from various visits and care providers throughout the health care system. In many cases, interoperability – or the ability to exchange data – allows care data to move more seamlessly between virtual-first providers, in-person doctors and specialists. This helps enhance the health care experience by reducing redundancies as people go from one care setting to another and, as appropriate, giving providers easier access to previous health information.

Virtual-first plans benefit employers

Employers are looking for the right network options and plan designs to meet their employees’ health goals as well as their business needs. We partner with our customers to build a deep understanding of their population needs, high-cost conditions and local health contexts, so the networks and supporting programs they select will drive results. Virtual-first plans help reduce barriers to care for employees, helping to boost productivity with reduced travel and wait time associated with care, bringing immediate savings to employers.

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The Defense Health Agency plans to advance its use of virtual technology with an aim to get the patient connected to the medical provider no matter where they are, according to one of the agency’s top doctors.

Dr. Brian Lein, assistant director for health care administration for the DHA, said the agency needs to invest in people, capabilities, systems, and processes to achieve a virtual future for DHA.

“What’s the most important thing we need to invest in?” asked Lein. “It’s culture. How do we invest in the culture within the military health care system to get to a virtual-first environment?”

The solution, he said, is all about the patient.

“It’s investing in a culture change of who we are as a military health care system to truly put the patient first.”

Lein was one of several Military Health System leaders who talked about the future of using health care technology at the annual Healthcare Information and Management Systems Society conference, held in Chicago, Illinois, in April.

In his presentation, titled “Virtual First/Digital Always in the Defense Health Agency,” he talked about how the MHS can achieve integrated, digital-health capabilities. Lein discussed DHA’s current use of health technology across the enterprise and where it needs to invest to achieve modernization.

Lein, who manages the administration of health care delivery across all Department of Defense hospitals and clinics around the world, noted DHA’s undertaking of “the biggest merger and acquisition the health care industry has seen. We’ve combined 48 inpatient hospitals, hundreds of clinics, urgent care centers, dental clinics, 180,000, health care professionals, 100,000 or so in uniform and 60,000 or so out of uniform wear all into one health care system.”

“Before connecting this network of military hospitals and clinics, there was no one system, and no “standardized workflow (or) standardized processes. We had three different analytics systems, three different budgets, three different resource allocation systems,” Lein said. “Now we’re going to completely redesign that health care technology interface to better serve our patient population.”

“We need to implement a fundamental redesign of how we interact with the individual beneficiary and how that beneficiary interacts with an incredibly complex health care system,” he added.

Goals of Virtual Care

Currently almost 80% of all health care visits are in person with only about 20% being virtual, he added. “The downside is 95% of our virtual visits are telephone calls. We’re not really leveraging the health technology that’s out there.”

Lein shared the MHS’ goals to transition to virtual care, including:

• Enhance the system to be virtual-first with a digitally informed whole person-focused environment, where the individual beneficiary is at the center.
• Make individualized care based upon real-time analytics
• Apply best practices to leading-edge technologies to support our worldwide population.
• Drive and improve health outcomes for our people.

The DHA Transition to Virtual Health

“The patient is not involved in their care as much as they need to be,” noted Lein. “How do we improve that so you don’t have to go to the doctor’s office, so your encounter with the provider is seamless, and that the provider gets the information they need from you?”

He stressed the importance of getting the patient connected to the medical provider no matter where they are, saying that being “patient-centric” means coming to the patient, if possible.

“Imagine if you had a digital scale at home, that told the provider what you weigh, rather than telling the provider what you think you weigh. Imagine if that blood pressure cuff that you have at home was able to inform the provider on your blood pressure,” said Lein. “Imagine if you’re an end stage heart patient, and I noticed you gained three pounds today and gained three pounds yesterday, now you’re six pounds up, and I pushed you way off at the other end of the heart curve. Instead of waiting until tomorrow, or until an ambulance ride to the emergency room to the ICU, I can interrupt that, and I can start taking care of you now.”

Lein also mentioned the importance of doctors having access to all of your health data at once, no matter how many health care providers you’ve visited in the past.

“We now have the electronic health record that captures every bit of data on our beneficiaries. And it’s fielded to every place except for overseas and a couple of small hospitals within the United States,” said Lein. “There’s no other health care system that has this. It’s got that every bit of data, whether you’re inpatient or outpatient, if you’re in that military health care system and the direct care system, 2.3 million beneficiaries, we’re capturing every bit of that data. The power of that is huge.”

Future of Virtual Care in the DHA

Lein noted three future focus areas, including:
• Robotic process automation
• Remote patient monitoring
• Virtual appointments

Lein said that “we’ve got to have a massive investment in infrastructure changes” because of the difficulty of delivering that level of care in brick-and-mortar military hospitals and clinics.

“I don’t want to reinvent the wheel,” he said. “We should leverage the technological capabilities of the virtual health systems that are out there.”

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America, and for that matter the world, is facing a growing challenge in caring for two expanding groups of patients — those 60 and older and patients with such chronic diseases as cancer, diabetes and obesity.

Across the globe, the 60-and-older population is increasing quickly and will surpass 2 billion by 2050, according to the World Health Organization. Meanwhile, caring for the 60% of U.S. adults who have at least one chronic disease accounts for $3.7 trillion in annual health care costs, states the Centers for Disease Control and Prevention.

The ability to monitor health and deliver care outside traditional medical settings could significantly reduce this expenditure, notes a recent CB Insights report. The analysis examines home care tech markets that providers should prioritize over the next three to five years.

We explore some technologies CB Insights analysts say providers should scrutinize over the next one to three years and what’s been happening in these sectors.

4 Home Care Technologies to Explore

1 | At-home Infusion

This technology enables patients to have intravenous treatments like dialysis at home. Wirelessly connected infusion pumps share data with providers to platforms that monitor treatment regimens. Providers are turning to these devices to support convenient, consumer-focused care. Investments in this tech sector are up significantly over the last two years, with mega funding rounds going to Somatus ($325 million), Quanta Dialysis Technology ($245 million) and Monogram Health ($160 million).

Key Takeaway

Providers should be selective before investing in this technology to ensure that comprehensive solutions support key considerations like ease of administration, infection monitoring and prevention, and tools to determine post-infusion status, the report states.

2 | Virtual Clinical Exam Rooms

Exam tools ranging from digital stethoscopes to comprehensive digital medical kits provide diagnostic-quality equipment to the home to support virtual visits. The virtual care equipment market was worth $3.5 billion in 2021, according to a Global Market Insights report and is estimated to grow at a compound annual growth rate of 17.3% through 2028.

Key Takeaway

Advanced exam tools, especially those with built-in artificial intelligence, will become a more prominent component to support remote diagnosis and treatment decisions.

3 | Digital Therapeutics

These solutions combine evidence-based research with digital technologies to provide treatment options for ongoing medical issues that can be addressed in the home. The technology provides apps and digital tools to support issues ranging from mental health to the management of diseases related to gastroenterology, endocrinology and cardiology. Digital therapeutics companies have received more than $1.1 billion in funding over the past five years and the sector is evolving quickly as Food and Drug Administration-approved, clinically validated therapies find their way to the market.

Key Takeaway

Monitor this sector to identify therapies that deliver benefits across multiple specialties and conditions. Evaluate the technology based on ease of use, whether the solutions provide easy-to-grasp content and meet the disparate needs of the populations you serve.

4 | Home Care Management Platforms

This technology supports the transition from an acute care setting to the home to help ensure effective care coordination. These platforms traditionally have focused on care for those with chronic conditions and the elderly, but newer solutions also focus on parents who are caring for infants. The technology ranges from supporting the scheduling of ongoing care to monitoring whether patients have been attending to existing care needs.

Key Takeaway

Evaluate these systems to ensure that investments will fit with your comprehensive growth strategy for managing multiple patient populations, including the elderly, patients with chronic diseases and acute care patients.

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Nonagon Enables Clinical-Grade Remote Examinations for Heart, Lungs, Abdomen, and More, Potentially Improving Health Outcomes and Reducing Hospital Visits

CAESAREA, ISRAEL, April 19, 2023/EINPresswire.com/ — Nonagon, a fast-growing medical device company based in Israel and the US, has received FDA clearance to sell its N9+ device as an over-the-counter product, making remote patient examinations more accessible than ever. The Nonagon N9+ device allows for clinical-grade remote examinations of various health parameters, including the heart, lungs, abdomen, oxygen saturation, ears, mouth/throat, skin, and body temperature, and automatically documents and shares exam results with physicians via telehealth, potentially contributing to better patient care and outcomes.

“We are thrilled to receive FDA clearance for the Nonagon N9+ device, which brings us one step closer to our mission of making remote digital medicine clinically reliable and accessible to the community,” said Alon Natanson², CEO of Nonagon. “This clearance allows us to offer a cutting-edge solution that empowers patients to proactively manage their health and enhances the capabilities of healthcare providers to remotely monitor and diagnose patients.”

The Nonagon N9+ device will soon be available on the company’s website in June, with plans to launch it in broader distribution shortly thereafter.

With its user-friendly interface and advanced features, the Nonagon N9+ device is poised to revolutionize the healthcare industry by reducing unnecessary in-person visits and possibly improving health outcomes. The device has the potential to greatly benefit patients.

Omer Maman
Nonagon

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