Our Services

Extension-of-care solutions tailored to your organization

Solutions for Every Partner Type

Our value-based platform adapts to meet the unique needs of FQHCs, health plans, and health systems

For Community Health Centers

Extension of care services including high-touch case management assisting with SDOH naviagation and care coordination. Along with a full-service RPM and CCM operation with device provisioning, patient onboarding, daily monitoring, and clinical documentation.

What We Provide

Full-service RPM + CCM operation
Device provisioning and patient onboarding
Daily monitoring and clinical review
SDOH screening aligned with recognized models (e.g., PRAPARE and HRSN) and navigation
AWV support and care-gap closure

Benefits

No upfront costs or out-of-pocket fees
Improved UDS and HEDIS scores
Improvement in grant funding opportunities
New revenue streams
Lower no-show rates
No additional staffing required

For Health Plans

PMPM model providing high-frequency engagement, RPM + CCM for members, SDOH assessments, and preventive-care coordination tied to HEDIS, STAR ratings, and risk adjustment accuracy.

What We Provide

High-frequency member engagement
RPM + CCM for chronic conditions
SDOH assessments and navigation
AWV and HRA completion
Preventive-care coordination

Benefits

HEDIS and STAR ratings improvement
Risk adjustment accuracy
Reduced avoidable utilization
LArger cost savings
Higher engagement rates

For Health Systems & IPAs

PMPM arrangements for chronic care support, RPM deployment, HEDIS/SDOH workforce augmentation, and post-discharge stabilization to reduce readmissions.

What We Provide

Chronic care support and RPM deployment
HEDIS/SDOH workforce augmentation
Post-discharge stabilization
Population health extension
Structured data insights

Benefits

Reduced readmissions
Immediate capacity expansion
Value-based contract support
No internal hiring required
Longitudinal patient data

Community First Initiative

Supporting community health centers with no upfront costs. Improve UDS scores, increase patient engagement, and create revenue growth opportunities.

Learn More About Our Community Health Center Program

Ready to learn more?

Loading...

Please wait while we prepare your content.