Our comprehensive care management program will
provide the following:
– Evidence-based disease self-management programs
– Targeted care coordination
– Navigation services to assist with maximizing access to eligible
social service programs, disease self-management programs,
and applicable medical support programs

Suite of evidence-based programs and interventions
targeting older adults and persons with disabilities.
• Community-based programs and intensive direct care
coordination supporting community-dwelling persons to
address medical and social needs.
• Program Goals
– Increased Revenue
– Increased compliance with disease self-management
– Improved health outcomes
– Boost Quality Metrics
– Reduced expenditures
– Improved physician value-based payment
– Improved patient satisfaction

An extensive range of services intended to support a
person to improve clinical outcomes and reduce
exacerbation of disease
– Managing Transitions
– Care Management Services
– Coordinating community and social support services
– Coordinating with external agencies supporting the consumer
– Disease self-management support
– Health Education
– Symptom management
– Medication management

Our Target Market
• Physicians
– Hospital-Owned Practices
– Independent Practices
– Specialists vs Primary Care
Hospitals/Health Systems
– Readmissions / Admissions
– ER Utilization
– Post-Acute Care Provider Network
• Integrated Delivery Networks
• Accountable Care Organizations
• Payors
• Pharmaceutical Companies
• Bundled Payment programs
• Medicare FFS Beneficiaries in your market

We partner with physicians and healthcare organizations to deliver collaborative telehealth solutions, including Advanced Chronic Care Management (CCM) with medication risk management and Remote Patient Monitoring (RPM).
healthcare, chronic care management, CCM, telehealth, RPM, pharmacists, remote patient monitoring