See how much revenue you can generate via Transitional Care ManagementCalculator
Dynamic Post Acute Care Plan shared with all your patient’s providers
24/7 access to personalized care team
Individualized Health Record and daily check-ins
Access real-time health data and monitor your enrolled patients
Easy-to-use web and mobile app for patients, their family, and caregivers
Monthly reports required by Medicare
Remote vitals monitoring with integrations with trackers and wearable devices
Direct messaging for effective information exchange
Empower your patients with virtual care and realize new and recurrent revenue stream.
Get more appts with all patients with more pro-active monitoring & reminders for routine maintenance.
We identify and enroll eligible CCM beneficiaries from your EMR system and deliver superior patient engagement models. We guarantee complete integration of our services into your workflow and NO additional burden to your staff.
Proprietary and Patented mechanisms to engage patients to improve their health and overall satisfaction.
We manage referrals to ensure efficient in-network referrals in the most pro-active manner.
Please complete the form, so we can send you a very informative CMS datasheet on Chronic Care Management.
Clinically Proven Solution - Our unique offering is designed to deliver enhanced outcomes to your patients and their caregivers. Our pro-active care has delivered enormous results including 26% reduction in A1C levels in Diabetes patients and reduced unplanned admissions.
Superior Enrollment - We use proven methodology to streamline and maximize patient enrollment to your CCM program.
Enhanced Engagement - We provide the state-of-the art capabilities and support systems to amplify the patient engagement to levels unseen in any patient portal technologies to date. We have higher than 50% of patients who login to self-report their health data.
CCM enables empowerment of patients as primary stakeholders in their care. In the CCM care coordination model, patients take an active role in their care. They understand their care plan and feel comfortable reaching out to their care team.
Engaging diverse patient communities and their families and caregivers in a more active and empowered way will require a significant shift in thinking and patient engagement strategies for many providers, especially as care teams seek to serve a high volume of patients at lower cost.