Key takeaways
Advanced Primary Care Management (APCM) is a U.S. billing and care framework that reimburses clinics for the ongoing management of medically complex patients, not just the time spent in a scheduled visit. That distinction matters for Parkinson's disease: motor and nonmotor symptoms fluctuate day to day and week to week, while most patients are seen only once every few months. Clinicians end up making care decisions based on a patient's recollection of the last several months rather than on what's actually been happening. Continuous digital monitoring closes that gap - symptom reports, medication adherence, function, safety events, and targeted screeners give clinicians current information at the point of decision, not just at the point of the visit - and APCM gives clinics a structured, billable way to act on it.
StrivePD Guardian helps care teams understand what is happening with patients between appointments, without adding a separate monitoring workflow.
Patients use StrivePD to share information about their symptoms, medications, and day-to-day experience. The care team can review that information on an ongoing basis and quickly identify patients who may need additional support or follow-up.
For patients who are doing well, monitoring can remain relatively light touch. When something changes, the care team has more context to decide whether outreach or an earlier visit is needed.
The workflow also helps capture the documentation needed to support APCM billing, so reimbursement fits into the care process rather than becoming an additional administrative task.
Selkirk Neurology, a community neurology practice in Spokane, WA, launched this program in January 2026 in partnership with Rune Labs. Enrollment scaled through outreach via the clinic's existing patient portal, and the large majority of enrolled participants went on to generate billable care management activity - evidence the workflow held up in a real, busy clinic, not just a controlled setting.
The care team also gained a new way to triage between visits. According to Helena Maynard, RN, Selkirk's Movement Disorders Nurse Coordinator, the dashboard and reports helped the team prioritize outreach and catch issues that otherwise would have waited for the next scheduled visit, including several instances where a finding in StrivePD Guardian led to a same-day televisit instead of a delayed check-in. Clinicians also reported spending less time reconstructing patient history at the start of a visit and more time on decision-making once they were with the patient, all without expanding the care team.
"As movement disorder specialists, we're often making important treatment decisions based on patient in-office visits that may occur twice a year. Continuous data monitoring with StrivePD Guardian from Rune Labs extends our view beyond one-on-one clinical visits, giving us greater insight into symptoms, medication response and changes that occur in patients' daily lives. That added context supports more informed conversations and helps us focus our time on what matters most for each person. New advances in medication and devices to treat PD symptoms now require clinicians to meet therapeutic advances with real-world clinical data. Accurate data reflecting the individual needs of the patient is absolutely required to ensure therapies deliver on their promises. The team at Selkirk Neurology is excited to utilize StrivePD Guardian and make this technology available to our Parkinson's disease community. It's a valuable tool for delivering more continuous, personalized care."
— Jason Aldred, MD, FAAN, Neurologist, Movement Disorders, The Selkirk Neurology Comprehensive Movement Disorder Center
The program was run in a small community setting, a clinic most likely to struggle with the staffing overhead that between-visit monitoring usually requires, rather than a large, resource-rich health system. That was the case Rune Labs made when it shared this work at MDS 2026 in Korea: if a lean neurology practice can stand up a proactive, digitally-monitored care management program that supports its own operating costs, the same model has room to scale into larger health systems and into other coordinated Parkinson's care models internationally, including outside the U.S. billing context.
Rune Labs is continuing to work with Selkirk on deeper EHR integration and a formal cadence for tracking patient and clinician satisfaction as the program scales. The next steps in the broader question of whether digital monitoring can be the connective tissue between visit-based neurology care and continuous, structured care management, which was the focus of the findings Rune Labs presented at MDS 2026.
What is StrivePD Guardian? Rune Labs' digital platform for Parkinson's disease, used for continuous symptom monitoring, proactive insights, medication tracking, and patient-reported outcomes between clinic visits.
What billing codes can APCM and remote monitoring for Parkinson's disease support? APCM care management codes and remote physiologic/therapeutic monitoring (RPM/RTM) codes, depending on program design and device-based monitoring enrollment.
Does adding digital monitoring require more clinical staff? The Selkirk program ran on its existing care team by using automated review and escalation to focus staff time where it mattered most.
Is this model specific to U.S. clinics? The APCM billing framework is U.S. specific, but the underlying workflow applies to coordinated Parkinson's care models in other health systems internationally.
Where can I learn more or talk to Rune Labs about this program? Rune Labs shared this work at the MDS 2026 conference in Korea (see the poster presentation); health systems and clinics interested in a similar program can reach out directly.
Interested in bringing this kind of program to your clinic or health system? Contact Rune Labs at info@runelabs.io to talk about what a StrivePD Guardian-supported APCM or remote monitoring program could look like for your patients.
