Apollo 360 Health needed more than a development team - they needed a clinical technology partner who understood medically supervised digital care and could deliver a compliant, scalable telehealth platform from the ground up. ForNex Health designed and delivered the full product, from discovery to live deployment, in 2025.
At ForNex, our core pillars guide everything we do. They shape our protocols, decisions, and the way we build our education solutions.
A specialized digital health platform delivering medically supervised chronic care - covering cardiovascular disease, obesity, diabetes, hypertension, high cholesterol, and depression - built on HIPAA-compliant infrastructure and integrated with Athenahealth via FHIR R4.
Client
Apollo 360 Health · apollo360health.com
Industry
Digital Health / Chronic Disease Management / Telehealth
Project Type
HIPAA-Compliant Telehealth Platform with EHR Integration
Stage
Growth - Active Deployment with Real Patient Population
Geography
United States (National)
Business Model
Insurance-Covered Digital Care (Medicare + Major Insurers)
Platforms
Web · iOS · Android
Tech Stack
React · Node.js · AWS HIPAA · FHIR R4 · Athenahealth
Dr. Michael Ghalchi, MD, FACC, is a board-certified cardiologist and founder of Manhattan Cardiovascular Associates - one of New York City's leading cardiology practices. Over his career, Dr. Ghalchi witnessed daily how fragmented chronic disease management between patients, care teams, and referring physicians created dangerous gaps in ongoing patient support.
Physicians, coaches, patients
Built for chronic conditions
Chronic care relies on meticulous continuous management - medication tracking, behavioral coaching, nutrition guidance, wearable data monitoring, and structured documentation. Managing all of that across quarterly appointments, disconnected EHR notes, and manual follow-up calls was not just inefficient; it was putting patients at risk of falling through the cracks between visits.
Dr. Ghalchi founded Apollo 360 Health to solve this at the care coordination level - building a medically supervised digital platform that covers cardiovascular disease, obesity, hypertension, high cholesterol, diabetes, and depression, with insurance coverage through Medicare and major plans.
Dr. Michael Ghalchi, MD, FACC
Founder & Medical Director
Apollo 360 Health specializes in medically supervised chronic care - cardiovascular disease, obesity, hypertension, and diabetes - utilizing a team-based approach with insurance coverage through Medicare and major plans.
"The manual process of tracking each patient's progress, coordinating with care teams, and maintaining compliant documentation was fragmented and entirely dependent on individual staff knowledge. I needed a platform that gave every team member the right information at the right moment, regardless of their familiarity with a specific patient's history."
Founder, Apollo 360 Health
Flip through our story to see how we transformed a bold vision into an industry-shifting reality through relentless innovation.
Handwritten medicine schedules tracked doses, timings, and refill notes daily.
Automatic reminders, dosage schedules, refill alerts, and shared updates.
Printed sheets recorded appointments, symptoms, routines, and caregiving tasks.
Track appointments, symptoms, tasks, and daily notes instantly.
Organized folders stored reports, contacts, prescriptions, and care notes.
Store reports, prescriptions, contacts, and records digitally.
Pill boxes separated medicines by day and dosage timing.
Organize medicines with reminders, instructions, and adherence tracking.
Spreadsheets managed medications, expenses, appointments, and progress updates manually.
Manage tasks, expenses, schedules, and updates in one place.
Calls and chats handled reminders, updates, and family coordination.
Assign tasks, share updates, and coordinate caregivers easily.
Before Apollo, patients managing chronic conditions faced a broken care journey. Their interaction with healthcare was limited to scheduled clinic visits - quarterly or annually for conditions like diabetes or cardiovascular disease - with little or no structured support in between.
When problems arose between appointments, patients were left without guidance. When lifestyle changes were needed, there was no infrastructure to support or monitor them.
Chronic conditions worsened between visits due to absence of daily intervention
Medication burdens increased as behavioral factors went unaddressed
Hospital utilization remained high among patients who could have been managed digitally
Patients managing obesity-related comorbidities had no daily accountability structure
Delayed detection for patients whose between-visit deterioration went unnoticed
Quarterly clinic visits with no between-visit support structure
Verbal lifestyle guidance with no accountability follow-up
Fragmented care notes rarely shared across the care team
No continuous monitoring of blood pressure, glucose, or weight
Insurance billing limited to in-person visit codes only
Patients over 65 with multiple chronic conditions, adults managing obesity-related comorbidities, and individuals with complex cardiovascular risk profiles - precisely the population that accounts for the largest share of preventable healthcare spending in the United States.
Three clinical and commercial realities converged to make building Apollo both urgent and necessary.
The market was saturated with point solutions - apps for steps, apps for meals, apps for video visits - but nothing that brought all of these elements under medically supervised, insurance-covered care.
Medicare and major insurers had expanded coverage for digital chronic care management, creating a real commercial pathway that had not previously existed at scale.
The team had done the clinical work to know that long-term lifestyle-based care produces measurably better outcomes than medication-only approaches, and they had the expertise to build the protocols that would power the platform.
ForNex Health designed and developed Apollo 360 Health end-to-end across 6 functional modules, built around a central care protocol engine. The four-status system gives every clinician an unambiguous, actionable answer about every patient's care status.
Mobile-first scheduling and video consultation access
Secure messaging with assigned care team members
Health metric dashboard with wearable data integration
Chronic condition progress tracking against clinical goals
HIPAA - compliant real - time video sessions
Structured note templates aligned to CMS billing codes
Session documentation integrated directly into care record
Supports both scheduled and urgent care team interactions
High - volume panel management with protocol deviation flags
Real- time wearable data feeds per patient
Shared notes and task management across care team roles
Alert logic triggered by values outside target ranges
Bidirectional data exchange with Athenahealth
Pulls existing medical records into Apollo care record
Pushes care summaries back to patient's primary EHR
HL7 v2 compatibility for legacy clinical system support
Automated time-tracking for CMS chronic care management codes
Documentation workflows satisfying Medicare and major insurer requirements
Previously inaccessible reimbursement pathways made viable at scale
Built in from the first design sprint - not retrofitted post-launch
Connects blood pressure cuffs, glucose monitors, activity trackers
Real-time health data flows into care team dashboard
Protocol-driven alert logic when values fall outside target ranges
Phase 2 expanding to continuous glucose monitors and cardiac devices
Stakeholder interviews, care protocol mapping, user persona research
Stakeholder interviews, care protocol mapping, user persona research
HIPAA infrastructure design, FHIR R4 contracts, data modeling
Step 2HIPAA infrastructure design, FHIR R4 contracts, data modeling
Wireframes, high-fidelity prototypes, multi-role design system
Wireframes, high-fidelity prototypes, multi-role design system
Full-stack build with embedded QA and HIPAA compliance verification
Step 4Full-stack build with embedded QA and HIPAA compliance verification
Staged rollout with structured clinical feedback loops
Staged rollout with structured clinical feedback loops
Performance monitoring, iteration cycles, Phase 2 planning
Step 6Performance monitoring, iteration cycles, Phase 2 planning
Apollo 360 Health is designed for clinical professionals across the full chronic care and referral workflow - from the patient managing daily health metrics to the referring physician monitoring progress from their own EHR.
Patients
Adults managing chronic conditions - cardiovascular disease, obesity, diabetes, hypertension. Typically Medicare-eligible or major insurance covered.
Care Coaches
Monitor patient progress daily, deliver behavioral health and lifestyle coaching, escalate concerns to physicians within protocol-defined guidelines.
Supervising Physicians
Review patient data, adjust care protocols, manage prescriptions, and document clinical decisions aligned to billing compliance requirements.
Referring Physicians
Read-access layer to stay informed of their patient's Apollo care journey without adopting a new system or duplicate any data entry.
A stack selected for HIPAA compliance, clinical performance, EHR integration capability, and long-term scalability - the non-negotiables for a national digital health platform.
iOS App
React Native
Cross-platform consistency, shared codebase with Android, faster iteration cycles
Android App
React Native
Single codebase delivering consistent clinical UX across both platforms simultaneously
Web Portal
React
Component-based architecture optimized for complex multi-role clinical UI workflows
State Management
Redux-style architecture
Predictable state handling for multi-step care team workflows and conditionality logic
Backend API
Node.js
High-throughput API layer for care team dashboards and real-time patient data feeds
Database
PostgreSQL (Relational)
Structured queries for care protocol management and audit-compliant PHI retention
Cloud Infrastructure
AWS HIPAA-eligible
Established BAA, healthcare-grade security services, national scale without architectural changes
Data Encryption
AES-256 at rest · TLS 1.2+ in transit
PHI protection across all storage and transmission surfaces - non-negotiable from day one
AI Layer (Phase 2)
Groq AI
High-speed inference for protocol recommendation assistance and predictive risk flagging
Athenahealth
FHIR R4
Bidirectional data exchange, CMS interoperability compliance - Encoded Phase 1
Legacy Clinical Systems
HL7 v2
Backward-compatible integration layer for hospital systems not yet on FHIR - Encoded Phase 1
Wearable Devices
Device API Layer
Blood pressure, glucose monitors, activity trackers - real-time data feed to care dashboard
Quarterly or annual clinic visit. No structured support between appointments. Lifestyle guidance given with no follow-up mechanism or accountability structure.
Daily care team check-ins via platform. Wearable data monitored continuously. Protocol-driven coaching delivered between clinical touchpoints with documented outcomes.
Inconsistent or absent care coordination notes. Minimal formal documentation of decisions made between visits. Incomplete audit trails and no formal evidence of care coordination.
Every interaction documented in structured formats satisfying clinical and billing requirements. FHIR R4 integration pushes summaries to the patient's primary EHR automatically.
Billing limited to in-person visit codes. Chronic care management reimbursement pathways were underutilized due to the documentation burden they required.
Automated time-tracking and care coordination documentation. CMS chronic care management codes captured at scale without manual overhead on the care team.
Primary care physician unaware of patient's chronic condition progress between visits. No structured data sharing with care programs or specialists.
Referring physicians have real-time read access to Apollo care journey. Bidirectional EHR integration keeps the full care team aligned without duplicating entry.
Apollo 360 Health is currently in active deployment with its initial clinical user base providing structured feedback. Qualitative outcomes from early use have validated the platform's design against the most critical pain points in chronic disease care workflows.
Patients report feeling significantly more supported between clinical visits - describing daily care team contact as the critical difference from any prior program they had participated in.
Care coaches report the dashboard gives them the visibility to manage meaningful patient panels without losing sight of individuals who need immediate attention.
Referring physicians note that the FHIR integration provides unprecedented visibility into their patients' care journey between clinic visits.
Insurance coverage confirmation workflows allowed Apollo to enroll patients who previously assumed digital chronic care was a self - pay service - expanding the accessible patient population significantly.
The protocol status system is immediately intuitive - no training required for care teams to interpret and act on flagged patients with confidence.
Fewer cancelled scans, faster patient throughput, and a standardized safety process that no longer depends on individual staff knowledge or availability.
Faster access to care they previously waited weeks for - simply because compatibility and enrollment could not be confirmed quickly enough under the old model.
Reduced clinical waste, stronger audit trails, and a consistent care protocol that scales across every unit, every clinician, and every shift in the health system.
The most impactful clinical tools are built by people who understand the regulatory environment before they write the first line of code. ForNex provides full technical execution - from architecture to app store - with a team that understands healthcare at a clinical level.
Apollo's conditionality rules engine - encoding multiple EHR datasets into a precise, clinically validated decision system - is exactly the kind of rule-based medical architecture ForNex specializes in.
Apollo was built in React Native for cross-platform mobile with a Node.js backend on AWS HIPAA architecture - selected specifically for clinical-grade reliability, structured data integrity, and compatibility with existing healthcare IT environments.
Apollo's Phase 2 uses Groq AI as its intelligence layer. ForNex integrates AI into medical workflows with accuracy as the non-negotiable constraint - not an afterthought bolted on after the core product ships.
The platform architecture was designed to be category-agnostic from day one - adding new modules requires no rebuild of the core system. The database schema and API contracts are forward-compatible with everything planned in Phase 2 and Phase 3.
PHASE 1
Groq AI integration surfaces protocol adjustment suggestions based on patient health metric patterns, and flags patients at elevated risk of condition deterioration before clinical indicators become critical.
PHASE 2
Continuous glucose monitors, advanced cardiac monitoring devices, and emerging remote patient monitoring hardware added to the integration layer with no changes to the core architecture.
PHASE 4
Direct patient enrollment into Apollo's care program from existing physician workflows - eliminating the friction between a referral decision and the patient's first care team interaction.
PHASE 3
Health systems, employer health programs, and insurance plan chronic disease management programs deploy Apollo's care model within their existing patient populations at scale - no white-label rebuild required.
PHASE 1
Groq AI integration surfaces protocol adjustment suggestions based on patient health metric patterns, and flags patients at elevated risk of condition deterioration before clinical indicators become critical.
PHASE 2
Continuous glucose monitors, advanced cardiac monitoring devices, and emerging remote patient monitoring hardware added to the integration layer with no changes to the core architecture.
PHASE 4
Direct patient enrollment into Apollo's care program from existing physician workflows - eliminating the friction between a referral decision and the patient's first care team interaction.
PHASE 3
Health systems, employer health programs, and insurance plan chronic disease management programs deploy Apollo's care model within their existing patient populations at scale - no white-label rebuild required.
From private practices to enterprise health systems - here's what our clients say after going live.
"The ForNex Health team delivered a secure and scalable platform that perfectly fits our educational workflows. Their attention to compliance and system integration made the entire process smooth and successful."
Founder, SuperSchool.org
