
Intercepting Cardiometabolic Disease
Before It Starts.
Cardiometabolic disease costs the U.S. hundreds of billions a year. Diabetes, hypertension, obesity, cardiovascular risk: the system waits until these conditions are chronic, then pays to manage them forever. RenewRx takes a different path. Pregnancy is the on-ramp, not the destination. We intercept cardiometabolic disease during the pregnancy window, when prevention is reimbursed, urgency is real, and a single intervention can change the health trajectory of a mother, her child, and every generation that follows.
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See How It Works

2024-2025 retrospective cohort study. Accepted for publication in Journal of Clinical Medicine (2026). n=77 glucose cohort, n=53 delivery outcomes. *Compared against published U.S. gestational diabetes benchmarks
The System Provides Sick Care,
Not Health Care.
Cardiometabolic disease encompasses diabetes, hypertension, obesity, and cardiovascular risk. These conditions cost the system hundreds of billions because by the time they are diagnosed and treated, they are chronic, expensive, and permanent. The system’s response has been the same for decades: wait until the disease is established, then pay to manage it forever. Prevention does not get reimbursed. Until now.

We Act at Stage, Before Stage 4 Becomes Inevitable.
Pregnancy is not just a clinical event. It is a cardiometabolic alarm. RenewR answers that alarm by executing care between visits during the pregnancy window, then extending the relationship into postpartum cardiometabolic health: diabetes, hypertension, obesity, and cardiovascular risk. Pregnancy is the on-ramp, not the destination. What starts as a three-month engagement becomes a 30-year patient relationship.
OUR MISSION
Guiding 100 million lives to
better cardiometabolic health.
Starting with mom.
Never stopping there.
RenewRx is a public benefits corporation, legally required to place its mission above all other business decisions. Every product decision, every partnership, every hire is measured against one question: does this move us closer to intercepting cardiometabolic disease before it becomes chronic and permanent?
OUR VISION
A world where
cardiometabolic
disease is intercepted,
not inherited.
Pregnancy is the on-ramp, not the destination. The same infrastructure that manages gestational diabetes today expands into hypertension, obesity, and cardiovascular risk tomorrow. Adding a blood pressure cuff unlocks new conditions and new codes. Postpartum continuity programs keep the relationship active for decades. We are building the platform that empowers patients to turn a single cardiometabolic alarm into lifetime of prevention, across conditions, across generations, and across the full spectrum of cardiometabolic health.
Built by a Clinician Who Broke
Under the Weight of the System
and Decided to Rebuild It.


Kari Cao did not study cardiometabolic disease from the outside. She watched it take hold, patient after patient, from inside a system designed to ignore it. As a Physician Assistant managing high-risk pregnancies, she watched mothers arrive terrified with cardiometabolic diagnoses they did not understand and care plans that were impossible to execute.
She discovered that the system was not just failing to prevent cardiometabolic disease. It was actively structured to reward waiting until disease became permanent. Every extra visit she scheduled cost her practice money, because it did not matter if you saw a patient 8 times or 13, the practice gets reimbursed the same. The reimbursement model punished prevention.
“Pregnancy was not the disease. It was the cardiometabolic alarm. An alarm the system was trained to silence rather than answer.
I decided to build the infrastructure that answers it.”
RenewRx is the result. When a major insurance carrier moved to restrict coverage for cardiometabolic care services, Kari assembled an alliance of practitioners and advocates. The insurance provider reversed course.
That is not a company that waits for permission.
Building the Cardiometabolic
Interception Platform.

Not Corporate Slogans.
Operational Commitments.
These are the values that drive every member of the Renew Crew.

Between-Visit Care Execution
for Cardiometabolic Health.
We act as a cardiometabolic health GPS: turning your doctor’s care plan into daily action so cardiometabolic risk is intercepted before it becomes permanent disease.

Your Body Is Giving You a 10-Year Preview of Your Cardiometabolic Health.
This diagnosis is not a verdict. It is an early warning.
What you do in the next few months can change the trajectory of your cardiometabolic health, your baby’s health, and the health of every generation that follows. Diabetes in pregnancy, hypertension, obesity, cardiovascular risk: these are signals the system was trained to silence. We answer them, together.
You do not need to change everything at once. You just need to focus on one thing. Our Just One Thing coaching program gives you personalized meal planning and 1:1 support that fits your culture, your budget, and your life. When you see your numbers improve from that single shift, you are motivated to take the next step.
Get Back to the Patient Care
You Trained For.
Clinicians spend only 27% of their day on direct patient care. Every click in the EHR steals time from the patients in front of you. RenewRx handles between-visit care execution without adding a single click to your workflow.
Real-time data replaces chasing paper logs and waiting on faxes.
Your schedule opens up. Your patients get daily support between visits. You practice medicine the way you intended.


$215,000 From One Clinic. A Fraction of Eligible Patients Enrolled.
Commercial insurance covers the services RenewR provides. Some pay three to four times what Medicare offers for identical services. The revenue is already approved. Nobody is collecting it.
RenewRx adapts to your structure. Eight reimbursable CPT codes. Commercial reimbursement up to $300 per patient per month. No new headcount required.
Spend Less on Cardiometabolic Disease Now, or Spend Exponentially More on Complications Later.
Cardiometabolic disease is bankrupting the system.
Diabetes, hypertension, obesity, cardiovascular risk.
A single NICU admission costs hundreds of thousands.
A lifetime of chronic cardiometabolic disease costs millions per member. The math is brutal and it compounds every year you wait.
RenewRx reduces avoidable escalations by improving daily cardiometabolic execution during the pregnancy window, when intervention costs the least and changes the most. The model is already reimbursed through 8 existing CPT codes. The outcomes are already documented. This is not a bet on future value. This is a partnership that stops cardiometabolic disease from entering your book as a permanent line item.

Most Platforms Monitor Data.
We Intercept Cardiometabolic Disease.

When You Act Before Disease Takes Hold,
Everything Changes.
Mothers who arrived carrying a cardiometabolic diagnosis they did not choose leave the program with their glucose controlled, their risk trajectory changed, and habits that last. Women who understood what their diagnosis meant for the decade ahead left with something the system never gave them: a head start on cardiometabolic health.
Clinicians who were buried in documentation find open appointment slots and real-time patient data waiting for them. Referring OB offices began reaching out unprompted, asking how they could connect their own patients.
Practices discover commercial remote monitoring reimbursement at three to four times Medicare rates. A revenue model that starts with pregnancy and expands into the full spectrum of cardiometabolic health: diabetes, hypertension, obesity, and cardiovascular monitoring, without adding headcount.

// TRUSTED BY AND PARTNERED WITH




Our Team
The Renew Crew
We are a team of clinicians, mothers, and fathers who have lived these challenges and decided to rebuild the system from the inside out.
Kari Cao PA-C, MHS, NFC
Healthcare provider and emerging leader in maternal health innovation with a background spanning clinical medicine, culinary nutrition, and digital health. Led the coalition that reversed a major insurance provider’s coverage restriction. 2025 AAPA keynote speaker.


Kelly Carter BAS, CNP, NNCP
Certified nutritionist & architect of RenewRx’s proprietary behavior-change engine. 15+ years scaling metabolic and nutrition programs across clinical populations.
Julianne Brainard
SHRM-CP
Head of People & Strategy
Kim Sandman
RN
Director, Coaching & Practice Success
Ryan Meardon
MS
Business Development & Strategic Partnerships
Atankshu Nanda
MS
Technology Lead
Matthew Zeeb
CPA
Head of Finance
& Accounting
Cass Tavares
B.COMM, CNP
Head of Marketing
Hanah Polotsky SHRM-CP
Endocrinology, Diabetes & Metabolism
Maryanne Bruno MSN
Perinatal Diabetes & Clinical Expertise
Robert Freeman JD
Healthcare Strategy & Compliance
Sarah Hormachea MS
Technology Lead
Matt Alley MS
Operations & Go-To-Market Strategy
Robbye Penrod MBA
Healthcare Coding, Billing & Auditing
Dan Wonstolen MBA
Diabetes & Metabolic Care Platforms
Jue Cao MD
Clinical Research &
Pediatric Orthopedic Surgery
Daniel Simpson RAC
Healthcare Regulatory Strategy
Metabolic Disease Does Not Wait.
Neither Should You.
We pull your contracted commercial rates for metabolic care codes and show you exactly what is sitting uncollected. No pitch. Just proof. 30 minutes.
Whether you are a mother, a clinician, a practice, or a health plan, the first step toward intercepting metabolic disease is the same:a conversation.
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Schedule Your Free 30-Minute Call
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Download the Retrospective Study
Available on Android and iOS. Ask your doctor to enroll you.


