Population Health Programs

We offer a comprehensive Population Health Program that partners with you to provide these valuable programs. Our turnkey approach allows you to provide these programs to your patients with no risk or upfront cost, while earning additional revenue for your practice.

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Our Programs

Chronic Care Management

Medicare 2022 Fee Schedule has increased from 2021

Personal Care Coordinator assigned for each patient

Personal Care plan developed for their Chronic Conditions

We assist patients with their appointments, medications, & medical supplies

Provide to you monthly updates on patients' progress

Remote Patient Monitoring

We provide all logistics and no upfront cost to your practice

We provide each patient with their device and education on its use

Provide ongoing coaching and care management services to help them improve

Provide to you remote monitoring data

Annual Wellness Visits

Our Nurses specialize in Annual Wellness Visits

We perform the entire visit with our comprehensive AWV platform

We provide the comprehensive document will all required information for AWV

Perform Advanced Care Planning services

Transition Care Management

Our Care Managers coordinate transition care for 30-days post discharge

Engage patient immediately upon discharge from hospital or other facility

Assure patients have received and attended their follow up appointments

Perform medication reconciliation and care management