Our Services
Chronic Care Management
Consistent care coordination and case management of patients with multiple chronic conditions.
Advanced Primary Care Management
Consistent, pro-active care coordination and case management of patients in advanced models like ACOs, Patient Centered Medical Homes, Rural Health Clinics, and FQHCs.
Health Risk Assessment (AWV)
An important annual physician visit aimed at creating a prevention-based care plan for patients.
Remote Patient Monitoring
Use of an FDA-approved medical device to monitor patients' vitals at home.
Remote Therapeutic Monitoring
Use of an FDA cleared medical software application to monitor patients with musculoskeletal or respiratory conditions for fall risk.
Principal Care Management
Consistent care coordination and case management of patients with a single complex or chronic condition.
Transitional Care Management
A one time, 30 day service offering that assists patients with safe transitions to home from the hospital or inpatient/skilled care.
Behavioral Health Integration
Consistent care coordination and case management of patients with behavioral, psychosocial, or mental health conditions.
Our Services
Chronic Care Management
Advanced Primary Care Management
Health Risk Assessment (AWV)
An important annual physician visit aimed at creating a prevention-based care plan for patients.
Remote Patient Monitoring
Use of an FDA-approved medical device to monitor patients' vitals at home.
Remote Therapeutic Monitoring
Use of an FDA cleared medical software application to monitor patients with musculoskeletal or respiratory conditions for fall risk.
Principal Care Management
Consistent care coordination and case management of patients with a single complex or chronic condition.
Transitional Care Management
A one time, 30 day service offering that assists patients with safe transitions to home from the hospital or inpatient/skilled care.
Behavioral Health Integration
Consistent care coordination and case management of patients with behavioral, psychosocial, or mental health conditions.