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Our Services

Chronic Care Management

Consistent care coordination and case management of patients with multiple chronic conditions.

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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.

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Health Risk Assessment (AWV)

An important annual physician visit aimed at creating a prevention-based care plan for patients.

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Remote Patient Monitoring

Use of an FDA-approved medical device to monitor patients' vitals at home.

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Remote Therapeutic Monitoring

Use of an FDA cleared medical software application to monitor patients with musculoskeletal or respiratory conditions for fall risk.

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Principal Care Management

Consistent care coordination and case management of patients with a single complex or chronic condition.

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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.

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Behavioral Health Integration

Consistent care coordination and case management of patients with behavioral, psychosocial, or mental health conditions. 

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Our Services

Chronic Care Management

Chronic Care Management.png

Advanced Primary Care Management

Advanced Primary Care Mgmt.png

Health Risk Assessment (AWV)

An important annual physician visit aimed at creating a prevention-based care plan for patients.

Annual Wellness Visit.png

Remote Patient Monitoring

Use of an FDA-approved medical device to monitor patients' vitals at home.

Remote Therapeutic Monitoring.png

Remote Therapeutic Monitoring

Use of an FDA cleared medical software application to monitor patients with musculoskeletal or respiratory conditions for fall risk.

Remote Patient Monitoring.png

Principal Care Management

Consistent care coordination and case management of patients with a single complex or chronic condition.

Principal Care Management.png

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.

Transitional Care Management.png

Behavioral Health Integration

Consistent care coordination and case management of patients with behavioral, psychosocial, or mental health conditions. 

Behavioral Health Integration.png
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