Significant racial disparities in stroke outcomes in the U.S. are largely due to uncontrolled hypertension. Home Blood Pressure Telemonitoring (HBPTM) and Nurse Case Management (NCM) have shown efficacy in reducing systolic blood pressure, with HBPTM plus NCM leading to greater reductions than HBPTM alone, without significant difference in recurrent stroke rates. These findings support implementation in low-income, minority stroke survivors with multiple comorbidities, though challenges include coverage, clinical support, internet access, and data integration.