Our Services

Chronic Care Management

An Evidence Based clinical intervention and resource program for Patients with 2 or more chronic conditions requiring additional help in managing their conditions.

Principal Care Management

An Evidence Based clinical intervention and resource program for Patients with 1 or more chronic conditions requiring additional help in managing their conditions.

Transitional Care Management

A patient centered program designed to coordinate the care of and provide resources to assure a safe return to home from a post acute setting, ie hospital or SNF.

Remote Patient Monitoring

Our LTE/3G enabled devices allow clinicians are able to keep a continuous eye on the most vulnerable patients, ensuring continuity of care, and enhanced and precise clinical decision making capabilities.

Behavioral Health Integration

An Evidence based clinical intervention program blending management of behavioral health factors which affect health and wellness for a more holistic approach to clinical medicine.

Integrated Virtual Care Delivery

Our state of the art platform has the capability to interact with both patients and providers; we integrate with any EMR*, provide a telemedicine functionality, along with full reporting and analytics for Population Health Monitoring. Interaction capabilities for patients include call, text, email, video, or chat.
Our high touch, turn-key, Patient Health Monitoring solutions are designed with your patient’s healthcare needs in mind.

Our Programs

Jane Doe

Provider at Home

Patients with 1 or more chronic conditions qualify for Behavioral, Lifestyle, SDOH, and clinical intervention with our dedicated Medical Concierge Guides to improve clinical outcomes and patient quality of life. Our Medicare validated High Risk Assesment will stratify them based on their risk factors,and an individualized Care Plan will be developed to help your patients reach their healthcare goals.

Bob Dylan

Hospital at Home

Promote the continuity of care for patients discharged from a hospital, SNF, or behavioral health facility by placing them in the hands of one of our Medical Concierge Guides to ensure compliance with discharge instructions, treatment plan, and medication adherence, as well as SDOH components to ensure patient is armed with everything they need to transition safely to home.

John Doe

Pharmacy at Home

Our Concierge Guides, backed by a 24/7 team of Pharmacists, will monitor and promote medication adherence by patients by personalizing the process of taking medications. With our next day delivery guarantee, we will deliver your patient’s medications to the comfort of their home for free, with automatic refills when their supply gets low. Our innovative solution of organizing medications creates a routine for patients to effortlessly understand and take their medications on time, at the same time, everyday.

RPM Combined With Effective Clinical Evidence Based Management

Our program Advances the Triple Aim of clinical care quality, affordability and patient experience. Intervention based on SDOH lead to better clinical outcomes and a lower length of stay.