Caremark has developed an in-home program that monitors weight and symptoms using a telemonitoring device. The device includes a special scale and telephone. A registered nurse monitors for any changes in the participant and further assesses their condition. The goal of this program is to encourage participants to weigh daily to recognize early symptoms and to follow their physician. OBJECTIVE: To evaluate the effectiveness of the CarePatterns heart failure home monitoring program. METHODS: Participants were selected based on severity, not on dialysis, not in any other monitoring program, not going out of town, and fewer than 320 pounds. The objectives were to get participants to meet selected benchmarks after 60 days. These included daily weight taking, action plan, and when to call their physician, no changes in weight or symptoms in prior 28 days, and fewer than three Non-Compliance alerts in 28 days. RESULTS: In total, 100 participants enrolled, 51% male 49% female, mean age of 73. Seventy-seven individuals started daily weight taking. A total of 54, or 71%, of these participants met the graduation requirement. The retention rate for the CarePatterns Heart Failure program was 98% for the enrolled group and 80% for the non-enrolled group p<0.05, 45 participants had an alert, resulting in 16 doctor visits, two emergency room visits and two hospitalizations, 32 participants did not have an alert. Conversely, these participants had 3-doctor visits, one emergency room visit and two hospitalizations. Ninety-eight percent of the graduated participants reported being satisfied with the program. CONCLUSIONS: Enrollment in the CarePatterns Heart Monitoring program successfully trains participants to monitor their weight daily and develop an Action Plan. The monitoring program also increases overall retention and participants report strong satisfaction with the program. These factors all should contribute to lower medical utilization and improved clinical outcomes.