An ounce of prevention leads to a pound of better patient outcomes

We are highly focused on preventative care.  From our Personal Health Advocate training to our remote patient monitoring capabilities and our proprietary software that identifies needed preventative services, we can help you ensure that your patients are receiving all of the preventative care they need.  Early detection and early treatment is proven to be the best strategy to improve the overall health outcomes of your patients.

 

 

 

We can help you maximize your shared savings potential

As a first step, we can help you gain a more complete picture of each patient, ensuring the overall cost to take care of that patient is accurately represented.  We then leverage our personal relationship with each patient to understand important dimensions of their lives, including things like Social Determinants of Health, that could potentially drive up the cost of their care.  Lastly, we follow the patient over time to ensure that they are staying on their treatment plan and complying with all of the doctor’s recommendations.

 

 

 

Patient-centered care coordination

Through our trusted patient relationships, we help to ensure that all parts of the ACO healthcare ecosystem (Primary Care, Specialists, Hospitals, Home Health, Pharmacies, etc.) are coordinated and working well together.  We can also help to direct patients within the ACO ecosystem.  Care coordination is an essential cog in delivering better patient outcomes while controlling the overall cost of care.

 

 

 

Extensive data collection and analytics capabilities

Through our frequent, one-on-one contact with your patients, we are able to collect deeper patient insights and funnel this information into the stream of ACO patient data.  These insights allow for better diagnosis and treatment strategies, help to reduce unnecessary and/or costly care options, and ultimately fuel better patient outcomes.  We also provide any customized reports necessary to track results and analyze overall performance.

 

 

 

 

 

Success is baked right into our process

We understand and embed your key metrics into our proprietary software platform that directs our Personal Health Advocate’s daily workflow, tracking, and reporting.  We then stratify our patient interactions based on a patient’s health risk (age, weight, chronic illnesses, behaviors, SDoH, etc.) which focuses our efforts to maximize their impact.  The final result is our trusted patient relationships will drive patient behavior and compliance aligned with ACO key metrics.