In rural South Texas, chronic conditions like diabetes, hypertension, and hyperlipidemia are not just common—they’re often difficult to manage due to limited access to care, transportation barriers, and gaps in patient education.
To address these challenges, 2-G Consulting Healthcare Solutions partners with physician practices to deliver scalable, technology-enabled care management services. By combining personalized care coordination with digital tools from ThoroughCare, 2-G is helping underserved populations achieve better health outcomes while reducing avoidable hospitalizations.
About 2-G Consulting Healthcare Solutions
Founded in 2021 by Misti and Ben Guenther, 2-G Consulting was built to close critical gaps in rural healthcare delivery.
Today, the organization supports:
- 22 healthcare providers
- Over 3,000 patients
- Communities across south-central Texas
2-G leverages Medicare programs such as:
These programs enable continuous, proactive care for patients managing multiple chronic conditions—especially in areas where access to hospitals and specialists is limited.
“Some of the patients don’t even have hospitals in their town… our mission is bridging the gap in healthcare to prevent unnecessary hospitalizations or ER visits.” — Misti Guenther, President, 2-G Consulting
The Challenge: Managing Chronic Disease in Rural Communities
Rural populations face unique healthcare barriers, including:
- Limited emergency and specialty care access
- Transportation challenges
- Lower health literacy levels
- Reactive (instead of preventive) care patterns
Before enrolling in care management programs, many patients relied on emergency rooms as their primary source of care.
2-G recognized that improving outcomes required more than access—it required continuous engagement, education, and coordination.
The Solution: Technology-Enabled Care Coordination
Using ThoroughCare, 2-G built a structured, scalable care management model that empowers care teams and patients alike.
Key Capabilities Include:
- Personalized, guided care plans
- Integrated clinical content and education
- Streamlined care manager workflows
- Remote Patient Monitoring (RPM)
- Real-time alerts and interventions
This approach transforms care from episodic to continuous—keeping patients connected between visits.
Personalized Care Plans Drive Better Outcomes
Care managers use ThoroughCare's CCM and PCM workflows to create individualized care plans tailored to each patient’s conditions, goals, and lifestyle.
“We’re able to establish personalized care plans… what interventions we need, what goals we should have, and track progress during monthly follow-ups.” — Teriawna Caka, LVN, Clinical Lead, 2-G Consulting
Through ongoing engagement:
- Patients better understand their conditions
- Care teams track goal progression
- Adjustments are made in real time
This structured approach is especially impactful for high-risk conditions like diabetes and hypertension.
Patient Education Improves Engagement and Self-Management
Health literacy is a major barrier in rural care. To address this, 2-G integrates WebMD Ignite within their workflows.
Care managers send:
- Evidence-based articles
- Educational videos
- Condition-specific resources
“The health education materials are created in such a way that patients understand… it gives us topics to reinforce during conversations.” — Yolanda Lopez, LVN, Clinical Lead, 2-G Consulting
Engagement tracking allows care teams to:
- Identify knowledge gaps
- Personalize follow-ups
- Reinforce behavior changes
Remote Patient Monitoring Enables Proactive Care
With RPM, patients can submit health data (like blood pressure or glucose levels) directly from home.
This creates a continuous feedback loop:
- Care teams receive real-time data
- Alerts trigger immediate intervention
- Providers can adjust treatment quickly
“We get notifications when readings are outside parameters… we were able to intervene and prevent an ER visit.” — Teriawna Caka, LVN, Clinical Lead, 2-G Consulting
For rural patients, RPM eliminates the need for frequent in-person visits while improving clinical oversight.
Reducing ER Visits and Hospitalizations
One of the most impactful outcomes of 2-G’s program is the reduction in avoidable acute care utilization.
Care managers proactively address common barriers such as:
- Lack of understanding of disease management
- Confusion about when to seek care
- Medication adherence issues
“We’ve seen hospitalizations, ER visits, and healthcare costs trending down… because we’re helping stabilize patients.” — Yolanda Lopez, LVN, Clinical Lead, 2-G Consulting
By shifting from reactive to preventive care, 2-G improves both patient outcomes and cost efficiency.
Empowering Patients Through Continuous Care
Beyond clinical improvements, 2-G is helping patients take control of their health.
Patients now:
- Understand lifestyle changes (diet, exercise)
- Monitor key health metrics regularly
- Stay connected to care teams
- Seek preventive care instead of emergency care
“It’s not about just coming to the doctor for an acute problem—it’s about taking care of chronic conditions." — Yolanda Lopez, LVN, Clinical Lead, 2-G Consulting
The Bigger Impact: Scaling Rural Care Management
2-G Consulting’s success highlights a broader shift in healthcare:
- Nurses and care managers are expanding into proactive, tech-enabled roles
- Rural healthcare is becoming more accessible through virtual and remote solutions
- Care coordination platforms are enabling small organizations to scale impact
By combining human touch with digital tools, 2-G is redefining how chronic care is delivered in underserved communities.
Key Takeaways
- Chronic disease management in rural areas requires continuous, coordinated care
- Technology platforms like ThoroughCare enable scalable, patient-centered workflows
- Patient education and RPM are critical to improving engagement and outcomes
- Proactive care reduces ER visits, hospitalizations, and overall costs
- Care management programs like CCM, PCM, and RPM are transforming rural healthcare delivery
FAQ: Chronic Care Management in Rural Texas
What is Chronic Care Management (CCM)?
Chronic Care Management (CCM) is a Medicare-supported program that provides ongoing, non-face-to-face care coordination for patients with two or more chronic conditions. It includes monthly check-ins, care planning, medication management, and patient education to improve long-term health outcomes.
How does Remote Patient Monitoring (RPM) help rural patients?
Remote Patient Monitoring (RPM) allows patients to submit health data—such as blood pressure or blood glucose—from home. This enables care teams to monitor conditions in real time, identify risks early, and intervene before complications require emergency care.
How does care coordination reduce ER visits?
Care coordination addresses gaps in patient understanding, medication adherence, and access to care. By proactively managing conditions and educating patients on when to seek appropriate care, unnecessary emergency room visits and hospitalizations are reduced.
Why is patient education important in chronic disease management?
Patient education improves health literacy, empowering individuals to make informed decisions about diet, exercise, medications, and symptom monitoring. Educated patients are more likely to adhere to care plans and avoid complications.
What challenges do rural healthcare populations face?
Rural populations often experience limited access to healthcare facilities, transportation barriers, provider shortages, and lower health literacy. These challenges make continuous, technology-enabled care especially important.
How does care management software improve outcomes?
Care management platforms streamline workflows, provide structured care plans, enable remote monitoring, and improve communication between patients and care teams—leading to better engagement and measurable health improvements.
