We work together to keep your members healthy
Patient Outcomes
Improving patient outcomes in collaboration with your intradisciplinary team.
Cost of Care
A proven care model focused on coordination and connectivity significantly reducing ED visits, hospitalizations and readmissions.
Quality Improvement
Identify gaps in care through real time population surveillance resulting in enhanced HEDIS and Stars measure performance.
Our Patient Population:
- Averages 5 or more co-morbidities
- Averages 5 or more high risk prescribed medications
- More than 50% of the population served are dually eligible
- More than 26% of the current patient population has a CMS-HCC score of greater than 3
- The majority of the population fits Medicare’s definition of seriously ill as well meets the institutional level of care, and living in the community
- The typical new patient shows a pattern of frequent unplanned hospitalizations and fragmented care given their complex disease burden
Patient Management Benefits
- 24/7 access to provider
- Physician lead interdisciplinary care planning
- Improves the quality of life for the patient and their caregiver
- Fully integrated HIPAA compliant telehealth platform that overcomes care barriers through virtual health options and customer preferences