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All casesSmart Monitor & CVS Health
Healthtech · 2 years · 8-person team

CVS Health Platform

We partnered with Smart Monitor, a Silicon Valley healthtech company, to design and build Acuma Health from the ground up. The platform helps patients and providers manage Multiple Sclerosis and Hemophilia. CVS Health adopted it.

2 years Continuous collaboration with the US team
Adopted the platform nationally
2 years
Continuous collaboration with the US team
8
Vetted professionals fully embedded
HIPAA compliant

The challenge

Managing chronic conditions like Multiple Sclerosis and Hemophilia requires a product that is clinically reliable, HIPAA-compliant, and simple enough for patients navigating demanding treatment protocols.

Smart Monitor had the vision. They needed a team that could design, build, and ship to US healthcare standards, and integrate without friction into their existing workflow.

Building a clinical-grade platform for chronic-condition management is unforgiving: data integrity, HIPAA-grade security and reliability are non-negotiable, and the roadmap had to move at startup speed while meeting the bar of a partner like CVS Health.

What we did

Our team handled the full product stack: from UX research through mobile development, web portal, hosting, and integrations.

Mobile Application (iOS and Android) Built in Swift (iOS) and Kotlin (Android), available on App Store and Google Play.

Features:

  • Onboarding and patient profile setup
  • Walking Test: Apple Watch integration for MS patients
  • Bleeding Register: 3D body model for Hemophilia patients
  • Symptoms log: condition-specific recording
  • Medications Cabinet: dosage, refill control, and schedule management
  • Medical Visit tracker: planned and unplanned visit registration
  • Moody Diary: daily mood tracking via interactive graph
  • Emergency Call: one-tap call and SMS to registered contacts, integrated with Apple Watch

Web Portal for Nurses, Managers, and Pharmacists Built with React, SQS, RabbitMQ, Python, Node.js, Redis, and Docker.

  • Nurses Dashboard: real-time overview of enrollment, call alerts, symptoms, medication adherence
  • Care Trend: timeline view of all patient diary events
  • Pharmacist Workspace: medication review and prescription management under the CVS Health brand
  • Engagement Portal: campaign and reminder builder for nurses

How we worked

Our team embedded directly into Smart Monitor's product cycle. Sprint planning, daily standups, product reviews: we operated as part of their core team, not on a ticket queue. Communication ran through Zoom, Skype, Slack, and Jira, with weekly alignment meetings across the full delivery chain.

Every professional was interviewed and approved by Smart Monitor's leadership before being embedded. No one joined until they said yes.

We applied Design Thinking methodology from day one, involving professionals from multiple disciplines to understand clinical needs, patient behavior, and provider workflows before writing a single line of code.

Integrations
TwilioSMS authentication, emergency calls and caregiver alerts
OneSignalPush notification delivery for patient reminders
Auth0User authentication and role-based permission hierarchy
AWSHIPAA-compliant cloud hosting and infrastructure
Apple WatchWalking test and emergency call integration for MS patients
Outcome
  • Acuma Health was adopted by CVS Health, one of the largest healthcare networks in the United States
  • The platform is actively used to manage Multiple Sclerosis and Hemophilia patients in production
  • Nurses and pharmacists monitor patients in real time through the CVS Health-branded web portal
  • The iOS and Android apps are publicly available on App Store and Google Play
  • Full architecture on AWS with HIPAA compliance from day one
Tech stack
Design UX/UIReactNode.jsPythonRabbitMQSQSRedisDockerSwiftKotlinAWSAuth0HIPAA
Deliverables
01
iOS and Android App
Swift and Kotlin. App Store and Google Play.
02
Walking Test
Apple Watch integration for MS patients.
03
Bleeding Register
3D body model for Hemophilia bleed tracking.
04
Medications Cabinet
Dosage, refill, and schedule management.
05
Nurses Dashboard
Real-time patient monitoring for clinical staff.
06
Engagement Portal
Nurse-to-patient campaign and alert system.
07
Pharmacist Workspace
CVS Health-branded medication management portal.
08
Hosting and Security
AWS + Auth0, HIPAA-compliant from day one.

Collaborating with this team was a seamless experience. Their team's dedication and expertise were crucial in developing a platform that not only met but exceeded our expectations.


Sanjaya Kumar