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Extend Your Care
A high-touch clinical and administrative extension-of-care service
Our Mission
A patient engagement and care completion platform for hard-to-reach populations
Advantis helps health systems, providers, and payers connect with hard-to-reach patients. We identify social needs and care gaps through HRSN screening and preventive health assessments, then guide patients to complete the care they need. By addressing social determinants of health and preventive screenings together, we provide foundational support and high-value care while improving outcomes, reducing care gaps, and increasing operational efficiency.
Learn About Our Approach
What We Deliver
We are the logistics and operational layer for care-gap closure: high-touch outreach, barrier resolution, and closed-loop documentation that turns intent into completed care.
Closing the loop on gaps & screenings
Outreach and follow-through until priority screenings, labs, and chronic-care measures are completed or properly handed off - aligned to your gap lists and quality calendar, without stopping at a single phone call.
Learn moreResources & Barrier Removal
When transportation, food, utilities, or other social needs block care, we screen, refer, and follow up so members can keep appointments and complete recommended steps.
Learn moreMedicare RPM & Chronic Care
For eligible Medicare members living with chronic conditions, full-service RPM and chronic care management - including devices, onboarding, monitoring, and nurse-led touchpoints - when this is in scope for your program.
Learn moreReporting & Documentation
Structured logs and summaries for oversight, gap closure, and billing support - built for plan and system quality teams, not vanity dashboards.
Learn moreOur Partners
Who We Serve
We partner with health systems, providers, and payers that need reliable, value-based care completion across preventive screenings, chronic-care follow-up, and social-need navigation.
Health Plans
Persistent member engagement, preventive screening completion, and resource navigation aligned to HEDIS and STAR measures - plus RPM and chronic care management for eligible Medicare members when you want clinical depth behind the outreach.
- Care-gap closure and measure completion
- Closed-loop screening and gap completion
- Medicare RPM/CCM where clinically appropriate
Health Systems & IPAs
Extra capacity for population teams: gap-closure campaigns, discharge follow-up, resource navigation, and - where appropriate - RPM/CCM operations that complement your employed or affiliated medical groups.
- Post-discharge stabilization
- Reduced readmissions
- Value-based contract support
Around the Clock Care
How It Works
01
Partnership Setup & Integration
We align on goals, data sharing, and workflows with your health plan or health system. Together we define priority populations, care-gap lists, and how handoffs work with your primary care partners.
02
Member Outreach & Trust
Our team reaches members with persistent, respectful outreach - explaining why screenings and follow-ups matter, answering questions, and scheduling the next concrete step (visits, labs, immunizations).
03
Resources, Barriers & Follow-Through
We help members access food, transportation, utilities, and other supports when barriers block care. We stay on the case until preventive and chronic-care actions are completed or clearly handed back to the clinical team. For eligible Medicare members with chronic conditions, we can stand up RPM and chronic care management.
04
Outcomes & Documentation
You receive structured documentation and reporting aligned to quality programs - HEDIS, STAR ratings, and care-gap closure - so you can see what was attempted, what completed, and what still needs attention.
Frequently Asked Questions
We offer flexible models for health plans and health systems - typically PMPM (per member per month) or episodic and bundled arrangements tied to defined outreach and completion scopes. Contact us to discuss which structure fits your population and quality goals.
No additional staffing is required on your side for day-to-day execution. Advantis supplies outreach staff, navigators, care coordinators, and - where RPM/CCM is in scope - clinical monitoring and nursing capacity. Your clinical and operations leads stay involved for governance, escalation, and quality oversight.
We incorporate structured SDOH screening aligned with recognized models (e.g., AHC HRSN), then mobilize transportation, food, utilities, housing, and other community resources to reduce barriers to care. Our team conducts assessments, connects patients with appropriate resources, and tracks outcomes to support whole-person care delivery.
We maintain a clear audit trail: service logs, member interaction records, clinical documentation where applicable, and billing-support artifacts for RPM/CCM when that program is in scope. Documentation is designed for HIPAA, CMS, and plan oversight expectations and to support your compliance and audit processes.
Programs are built around measurable completion: screenings scheduled and completed, gaps closed or in progress, and persistent follow-up when members disengage. We align incentives with your quality goals (HEDIS, STAR ratings, care-gap closure). Clinical utilization and risk outcomes depend on population, benefit design, and primary care capacity - we set realistic targets together during implementation.
We work with your IT and data teams on secure, HIPAA-compliant exchange - whether through your EHR vendor, care-management platforms, or file-based workflows. The goal is reliable visibility into gap lists, outreach results, and escalations without burdening your clinicians with duplicate data entry.
Instead of juggling separate vendors for outreach, navigation, gap closure, and - when needed - RPM/CCM, Advantis runs one accountable operating model: one team, shared playbooks, and consistent documentation back to your plan or system. You reduce fragmentation and handoff risk for members.
We prioritize operational and quality reporting you can act on: outreach and attempt logs, scheduling outcomes, barrier notes, gap-closure status, and encounter-ready documentation. Where RPM/CCM is active, we add monitoring summaries appropriate for billing and clinical oversight. Reports are structured to support HEDIS, STAR, and internal performance management - not slide decks alone.
We maintain open, continuous communication channels with your primary care team. All patient data, alerts, and interventions are shared in real-time through your EHR and direct communication protocols. Our clinicians coordinate closely with your providers, ensuring seamless handoffs and collaborative care planning. We function as an extension of your care team, not a replacement.
Absolutely. Our programs are designed to be flexible and scalable. You can adjust patient volume, add or remove services, and modify the scope of engagement based on your needs and performance metrics. We provide regular reporting to help you make informed decisions about scaling and can quickly adapt to your changing requirements.
Ready to close more gaps?
Talk with us about standing up a high-touch engagement and completion program for your members - without building a large in-house outreach and navigation team overnight.
Get Started Today