Chronic Care Management | Remote Patient Monitoring (RPM)
How 2-G Consulting Scaled Rural Care Management with ThoroughCare
2-G Consulting delivers personalized care management services to healthcare providers and patients across rural south-central Texas. Facing challenges like limited clinical resources, fragmented EHR systems, and geographic barriers, 2-G needed a scalable solution to grow efficiently.
In 2021, 2-G partnered with ThoroughCare, a leading care management software platform, to:
- Scale Chronic Care Management (CCM), Principal Care Management (PCM), and Remote Patient Monitoring (RPM)
- Improve care team efficiency
- Enhance patient engagement and outcomes
- Build a sustainable, revenue-generating care model
Today, 2-G supports 3,500+ patients, partners with 22 healthcare organizations, and has doubled its business within one year.
About 2-G Consulting
Founded in 2021 and headquartered in Seguin, Texas, 2-G Consulting was created by Misti and Ben Guenther to address healthcare gaps in rural communities.
With a background in nursing and home healthcare, Misti saw firsthand how underserved populations struggled with:
- Limited access to primary care
- Overcrowded emergency rooms
- Poor chronic condition management
"I wanted to do healthcare the way it should be; with heart." - Misti Guenther, Founder & President, 2-G
The Problem: Rural Healthcare Challenges
Rural Texas faces significant healthcare access issues:
- Texas ranks 47th in primary care physicians per capita
- High prevalence of chronic conditions like hypertension, diabetes, and hyperlipidemia
- Limited infrastructure for ongoing patient management
Healthcare providers in these areas often lack:
- Tools to identify eligible CCM/RPM patients
- Systems to track care management activities
- Visibility into outcomes and ROI
This leads to underutilized care programs and missed revenue opportunities.
The Solution: Implementing Care Management Software
2-G Consulting chose ThoroughCare to power its care management programs from day one.
Key capabilities include:
- Patient-centered care plans
- Patient enrollment automation
- Care coordination workflows
- Integrated analytics and reporting
- EHR integrations (including athenahealth)
- Remote patient monitoring support
This allowed 2-G to:
- Build strong provider partnerships
- Standardize care delivery
- Demonstrate measurable outcomes
"We grew more than double in 12 months. That's not manageable without the right software." - Ben Guenther, CFO, 2-G Consulting
Results: Measurable Growth and Efficiency
Since implementing ThoroughCare, 2-G has achieved:
- 📈 2x business growth in one year
- 📞 36% increase in successful patient outreach
- ⏳ 23.4-month average patient retention
- 👩⚕️ Each care manager supports 180–200 patients monthly

Improving Annual Wellness Visits (AWVs)
ThoroughCare streamlined 2-G’s Annual Wellness Visit workflows by:
- Simplifying assessments
- Capturing structured patient data
- Identifying social determinants of health
- Supporting care plan development
- Automating documentation and claims
Result: Significantly higher AWV completion rates
Data-Driven Growth with Analytics
ThoroughCare’s analytics tools provide visibility into:
- Billable time and revenue
- Patient engagement metrics
- Care team productivity
- Program performance
This enables 2-G leadership to:
- Set measurable goals
- Optimize workflows
- Improve financial outcomes
“Analytics enables us to track key metrics, set meaningful goals with our staff, and focus on what matters most to our patients. It has significantly improved how efficiently we manage their care.” - Ben Guenther, CFO, 2-G
Enhancing Care Manager Efficiency
With ThoroughCare, care managers can:
- Access a unified patient view (care plans, history, notes)
- Track interventions and barriers
- Automate follow-ups with calendar tools
- Deliver personalized care at scale
This reduces administrative burden and increases time spent with patients.
"ThoroughCare's been great at making sure every care manager can stay effective and efficient." - Haley Jacobs, Clinical Lead, 2-G
Seamless EHR Integration (athenahealth)
Integration with EHR systems like athenahealth allows:
- Real-time data synchronization
- Reduced manual entry
- Fewer errors
- Faster workflows
Remote Patient Monitoring (RPM) at Scale
2-G uses RPM to track:
- Blood pressure
- Glucose levels
- Weight
- Oxygen levels
Through integration with Tenovi devices, care teams can:
- Order devices directly within the platform
- Monitor patients in near real time
- Intervene early to prevent complications
Identifying and Solving Patient Barriers
On average, 2-G identifies:
- 9 patient barriers
- 31 interventions per patient
Common barriers include:
- Transportation issues
- Medication access
- Low health literacy
ThoroughCare enables care teams to track, manage, and resolve these challenges proactively, improving adherence and outcomes.
Improving Patient Outcomes
One of 2-G’s primary objectives as a chronic care management provider is to close care gaps by helping patients to secure timely referrals, access the right providers, and avoid unnecessary and costly hospital visits and readmissions.
2-G top managed conditions amongst their patient population:
-
Hypertension
- Hyperlipidemia
- Diabetes
ThoroughCare equips 2-G's care managers with the tools to manage and educate high-risk populations proactively, including:
- Risk stratification
- Analytics
- Care planning tools and assessments
- Patient education
"I absolutely love the relationships I have formed with my patients and ThoroughCare has been instrumental in doing that." - Yolanda Lopez, Clinical Lead, 2-G
Real Patient Impact
Patients benefit from:
- Continuous support between visits
- Personalized care plans
- Education and guidance
- Reduced ER visits and hospitalizations
- Care manager who checks in monthly
“Care management keeps me out of the emergency room. I always feel like someone is there for me.”
— Patient (Betty)
Business Impact for Healthcare Providers
2-G’s provider partners see:
- Improved patient engagement
- Higher care plan compliance
- Better value-based care performance
- New recurring revenue streams from CCM, RPM, and PCM
“Our partnership with ThoroughCare is unbelievable. We’re looking to expand continuous glucose monitoring (CGM) for our diabetic patients, and I know if I bring that up, they’ll do everything they can to educate us and support us in making it a success.” - Misti Guenther, Founder and President, 2-G
The Future: AI-Powered Care Management
2-G is now leveraging AI within ThoroughCare to:
- Automate patient call documentation
- Transcribe interactions
- Improve workflow efficiency
They also utilize Clinical Advisory Services to optimize:
- Compliance
- Patient engagement
- Operational workflows
- Program profitability
Key Takeaways
2-G Consulting’s success highlights how care management technology can:
- Solve rural healthcare access challenges
- Scale care delivery efficiently
- Improve patient outcomes
- Drive sustainable revenue growth
Their partnership with ThoroughCare demonstrates the power of combining technology, analytics, and human-centered care.
Final Thoughts
As demand for chronic care management continues to grow, healthcare organizations—especially in rural areas—need scalable, data-driven solutions.
2-G Consulting proves that with the right tools and strategy, it’s possible to:
- Expand access to care
- Improve outcomes
- Build a thriving, future-ready healthcare business
