Care Coordination
You provide the coordinator (typically an LPN) and we do the rest. Identify, enroll, and start case management with patients in as few as three clicks. From onboarding and training, to care protocols, agendas, workflows, and billing, our Care Coordination platform increases efficiency and lightens the load for overburdened internal staff.
Care Coordination delivers financial benefits while also engaging your highest-risk patients. Care Coordination is a streamlined path to successfully executing case management programs, including Chronic Care Management (CCM), by facilitating easy patient identification and enrollment, full documentation (including agendas and care plans), time tracking, caseload management, and billing activities.
Results
Generated
in surplus for a
300-provider system
Achieved
of new reimbursement
via automated data feed
Increased Enrollment
of CCM patients
in 90 days
Generated
in ARR
first 90 days
Enhanced Reimbursement
in the first 90 days of
implementation
Increased
colon screenings
in 4 months
.
increase in
CCM enrollments
Increased from
to
point-of-care
gap closure
Drove
increase in
provider efficiency
Star Ratings
based on
A1C gap closure
Improved A1C Control
in CCM
patient population
Key Features
- Identify, enroll, and start case management with patients in as few as three clicks.
- Provide full documentation and caseload management features for easier execution and monitoring of care coordination programs.
- Streamline care management activities for more focus on high-quality care delivery.
- Improve patient outcomes by identifying and addressing gaps in care, leading to better health outcomes and increased reimbursement.
- Facilitate communication and collaboration among care team members, including physicians, nurses, specialists, and care managers.
- Templates and standardized protocols for common conditions to guide care delivery.
- Customizable templates for personalized patient interactions.
- Track and analyze patient outcomes, utilization patterns, and care team performance.
Used by:
Population Health
Care Coordinators
Clinic Operations
Clinical Staff
Patient
- Enhanced care coordination, education, and support.
- Improved access: same-day or next-day appointments.
- More personalized care: monthly 1:1 calls with a dedicated clinician (monitoring health, scheduling appointments, medication adherence, etc.).
- Improved outcomes and fewer ER visits and inpatient stays.
Provider
- Achieve scalable success within the CCM program without significant “projects” or capital outlay.
- Better control of chronic disease in high-risk patient populations.
- Improved quality scores and incentive-based reimbursement.
Payor
- Removes provider barriers to providing lower-cost care for the highest-risk patients, leading to greater adoption by providers.
- Better control of chronic disease in high-risk patient populations.
- Improved economics: savings within inpatient and emergency services.
