The coronavirus disease 2019 (COVID-19) pandemic has uprooted conventional health care delivery for routine ambulatory care, requiring health systems to rapidly adopt telemedicine capabilities. The digital divide, has been well documented with lower rates of technology and broadband adoption among racial/ethnic minorities. Additionally, Black patients suffer a disproportionate burden of hypertension and cardiovascular disease. This study will implement a text-based home hypertension monitoring program among Black Medicaid patients with hypertension and cardiovascular disease (CVD) and compare its uptake to the currently available blood pressure monitoring program using the patient portal that is integrated into the electronic health record (EHR).

Inclusion Criteria:

• Self-identified Black race
• Medicaid or Medicare insurance
• Hypertension
• Cardiovascular disease or presence of at least 1 cardiovascular risk factor
• Seen for in-person consultation at the Heart and Vascular clinic at the Hospital of the University of Pennsylvania

Exclusion Criteria:

• Does not speak English
• Already owns a BP cuff
• Does not have internet access or a phone 15 with texting capabilities

Interested researchers can email study investigator to request de-identified participant data.

Study data will be shared within a 4 week timeframe of request.

Submission of a protocol describing analysis plan.