Smart Meter vs Tenovi
Updated October 16, 2026
Remote monitoring companies and health systems that need home devices often compare Smart Meter and Tenovi. Both send readings over cellular networks, but Smart Meter builds the connection into each device it makes, while Tenovi uses a plug-in hub that reads many brands of Bluetooth devices. Diabetes programs and broad multi-condition programs tend to choose differently.
Our analysts compared Smart Meter and Tenovi on home setup, device range, diabetes support, medication tracking, fulfillment, and scale, using the HIR review of each company and both vendors' announcements. In the following sections, we compare the devices, describe the program each suits, and list each company's launches this year.
Smart Meter vs Tenovi at a glance, October 2026
| What buyers weigh | Smart Meter | Tenovi |
|---|---|---|
| Pricing model | Device and data pricing for monitoring companies, health systems, and health plans, quoted by Smart Meter. | Device, gateway, and data pricing quoted by Tenovi for monitoring companies, health systems, and health plans. |
| What drives cost | Number and type of devices, monthly data fees, test-strip refills, and shipping services. | Number of gateways and devices, monthly connectivity, fulfillment services, and API use. |
| Setup in the patient's home | Each device sends its own readings over cellular, so there is no hub to plug in. Clear edge | The gateway has to stay plugged into a wall outlet near the devices. |
| Range of devices | Smart Meter makes its own cellular cuffs, glucose meters, pulse oximeters, and scales. | The gateway works with more than 60 FDA-cleared Bluetooth devices from many brands, plus Tenovi's own. Clear edge |
| Diabetes programs | Cellular glucose meters come with automatic test-strip refills, and the FDA-cleared iGlucose Touch launched in January 2026. Clear edge | Glucose meters are among the Bluetooth devices the gateway reads. |
| Medication tracking | Smart Meter's device list has no pillbox. | The Tenovi Smart Pillbox lights up and reports when a compartment is opened. Clear edge |
| Getting devices to patients | Its SmartPartners program covers shipping, strip refills, and staff training, which scores 7.1. | Gateways and devices ship with fulfillment services, which scores 7.3. |
| Scale | Smart Meter has sold cellular devices since 2016, and HealthSnap is among the monitoring companies that use its cuff. | Tenovi said in August 2025 that it had shipped 268,000 devices to about 250,000 patients, and it lists more than 180 partners. Clear edge |
| Time to full value | About 2 to 4 months | About 2 to 5 months |
| What you need first | Monitoring software that accepts Smart Meter data. | Software that receives Tenovi data. |
| Deal-breaker | No monitoring software. | No software to receive data. |
| Pricing clarity score | 6.4 | 6.8 Clearer pricing |
| HIR overall score | 7.0, Recommend. | 7.3, Recommend. Higher score |
| Best for | Diabetes programs that want cellular glucose meters with automatic test-strip refills. | Remote monitoring companies, health systems, and community health centers that want one cellular hub for many brands of device. |
| Not a fit for | Programs that need continuous glucose monitors instead of fingerstick meters. | Programs that want each device to carry its own cellular connection with no hub in the home. |
Which fits which buyer
Think about what sits on the patient's kitchen counter.
Choose Smart Meter if
- You run a diabetes program and want cellular glucose meters with strip refills.
- You want no hub in the home, only devices that connect on their own.
- You want shipping and training handled through a partner program.
Choose Tenovi if
- You want one hub that reads many brands of FDA-cleared devices.
- You want a smart pillbox for medication tracking.
- You run programs for several conditions at once.
Verdict
Tenovi scores higher and suits programs that want flexibility across many devices. Smart Meter is the better fit for diabetes programs that value devices with built-in connections and automatic strip refills.
Programs that need continuous glucose monitors should confirm support with either vendor.
Where the two tools are headed in 2027 and beyond
Smart Meter: Smart Meter launched iGlucose Touch, a touchscreen cellular glucose meter, on January 20, 2026.
Tenovi: Tenovi launched its third-generation blood pressure monitor on July 20, 2026, and was named company of the year by the Connected Health and Safety Association on September 24, 2026.
Order sample kits and test them in a patient's home before committing.
Methodology
Each row comes from the HIR reviews of Smart Meter and Tenovi, scored under the HIR method, and from each vendor's public pricing where it exists. Any published price for Smart Meter or Tenovi was checked on that vendor's own site on October 16, 2026.
A green check marks a clear edge for Smart Meter or Tenovi only where their review scores differ by at least 0.3 points or the two reviews show a plain difference. Rows with nothing published for either Smart Meter or Tenovi are left out, and time to full value for each adds up the rollout stages in its review.
Sources
- HIR review of Smart Meter and HIR review of Tenovi
- Smart Meter website
- Tenovi website
- Smart Meter launches iGlucose Touch, January 20, 2026
- Tenovi Gen 3 blood pressure monitor, July 20, 2026
- Tenovi named CHS company of the year, September 24, 2026