Our chronic disease care management services are designed to assist our partners achieve their quality measure, utilization, and financial goals by incorporating clinical care coordination, socioeconomic case management, health literacy education, and disease self-management education and support together into one seamless package.
Our programs have been proven to reduce unwanted and unnecessary utilization such as ER and in-patient admissions while increasing patient compliance and improving healthcare outcomes. Our programs are not one size fits all but instead are tailored to the meet the needs of individual patients and target populations through the use of comprehensive needs assessments and population analysis.
Primary Program Goals
The success of our chronic disease care management programs are based upon a singular focus on achieving the following goals:
Points of Engagement