Healthcare Providers

You face patients whose health has been shaped by numerous factors that seem out of your control. A lack of access to primary care, inconsistent health insurance coverage, unstable housing, poorly managed chronic conditions, mental health and substance use conditions. Undergirding all of these conditions are the long lasting impacts of childhood and current life traumas, which threaten hope and leave underappreciated the reality of resilience.

Each provider also faces their own unique financial challenges:

Hospitals

As organizations committed to and obliged to advance health irrespective of ability to pay, uninsured patients, or low reimbursements for Medicaid have meant uncompensated care. The move to value based care has tied reimbursement to quality of care, raising the stakes for care coordination and investments in prevention.

Opportunity

We will provide a forward looking strategy and technology that improves outcomes, keeps patients healthy, improving reimbursement under value based care and reducing uncompensated care.

Federally Qualified Health Centers

Committed to providing comprehensive primary care and preventative services regardless of a patient’s ability to pay, you are deeply connected to the communities you serve. Nevertheless high volumes of Medicaid and Medicare patients make your budget sensitive to State cuts in Medicaid reimbursement or federal pandemic unwinding, or Medicare changes.

Opportunity

Accelerate partnerships, care coordination, and enable participation in value based care contracts by connecting your partners with the data they need and streamlining paperwork.

Long Term Services and Supports (LTSS) & Home and Community Based Services (HCBS)

As providers of life sustaining services to the elderly and disabled in their home or a facility, you have an in depth look at the health related social needs shaping the health outcomes of your patients, as well the multifaceted, cross-sector care coordination challenges required to address patient needs.

Opportunity

Our tools enable you to deliver better care with multi domain assessments, configurable Care Plan with a 360 degree view of your patient's clinical and social needs while expanding Medicaid Long Term Services and Supports enrollment.

Primary Care Clinicians

As the backbone of our healthcare system, primary care clinicians play central roles in prevention, screening, management of chronic disease and advancing the overall health and well being of patients. You face an increasing number of patients with chronic conditions, as well as challenges to care coordination as your patients need to see specialists and the impact of child, or adult trauma, and health related social needs/social determinants (drivers) of health impact patient health.

Opportunity

Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APMs) reward clinicians that meet quality health outcomes. With our Care Management and Case Management software, you can deliver better care quality at lower costs, while driving revenue through better reimbursement.

Health Information Exchanges

Health Information Exchanges and Health Data Utilities serve as the trusted data pipes, connecting the right data, to the right person at the right time. With patient social needs data increasingly being incorporated from Assessments or Questionnaires and the need to bridge referral interoperability between social care referral systems, your staff are likely struggling to understand the requirements of social determinants of health data standards like the Gravity Project’s SDOH Clinical Care Implementation Guide or 360x-SD Closed Loop Referrals.

Opportunity

Our tech can help you accelerate partnerships with Social Care Providers and Government Agencies that are promising areas of growth for HIEs seeking to become a health data utility. if you are equipped with the technology and expertise to enable SDOH interoperability as you have for clinical interoperability. Our executive team are experts on the standards that are shaping SDOH interoperability.

Managed Care Organizations

With State Medicaid plans getting paid a capitation rate, per member per month, health insurance companies are at risk. Meanwhile, the unwinding of pandemic eligibility rules is leading to disenrollment. Managed Care Organizations are looking for ways to engage new members, prevent disenrollment and reduce patient costs of patient care through connecting members with proven clinical and social services that address member health and well-being.

Opportunity

Our technology can empower your members to become more active in managing their own health through AI powered targeted communication, education about member’s plan benefits, as well as recommended social services and government benefits for which they are eligible. Whether it be Community Health Workers or Care Managers that are on staff, or part of trusted community based organizations, or the providers in your network, out technology enables you to better manage member/patient health with shared care plans, and a 360 degree view of clinical and social needs data.