 The study aims to assess the effectiveness and cost-effectiveness of implementing a mobile health, mHealth, enabled integrated care, IC, model for complex chronic patients undergoing primary total hip or knee arthroplasty in a rural region of Spain. The results show that the mHealth-enabled IC model reduced unplanned visits by 50% and generated savings, making it cost-effective. This article was authored by Jordi Calamina, Restridis, Montserrat Tora, and others.