Providing value-based healthcare through increased engagement
Episode Solutions enhances the performance of value-based risk structures by effectively engaging specialist providers and their patients in achievement of the Triple Aim (+1): superior patient care, improvement of population health, reduced healthcare costs and increased clinician and patient satisfaction.
Consistently deliver quality outcomes at lower total costs.
We reduce the total cost of care without sacrificing quality and outcomes. Utilizing our innovative technology-driven services platform, we engage the patient and extend the physician’s clinical practice to effectively manage to the physician’s plan of care while also managing the patient’s comorbidities throughout the episode period.
Our platform is designed to participate in the financial risk of managing patient total cost of care.
95%+Patient Engagement and Outcomes Satisfaction
~100%Physician Engagement Driven by Ease-of-use and Aligned Incentives
15%Reduction in Cost per Episode
Addressing unmanaged episodes
Fee-For-Service reimbursed providers are typically not equipped or incentivized to follow patients after they leave the physician’s practice thus creating an “unmanaged patient” for the downstream care that is provided and billed to the payor. These unmanaged patients routinely receive unnecessary care from providers and are at risk of self-referrals into the local healthcare ecosystem, leading to unnecessary care such as ER visits, readmissions, additional post-acute visits or inappropriate lengths-of-stay, as well as potential complications from unaddressed conditions.
Consistently engage each patient through the care period.
The Episode Solutions platform consistently engages each and every patient throughout the care period in order to address emerging complications, reduce unnecessary ER visits and readmissions, and avoid excessive spending that commonly occurs with unmanaged patients. Moreover, the Episode Solutions platform effectively reduces leakage from preferred networks and ensures patients transition to each provider in a timely way as the physician prescribes in the care plan.
More consistent outcomes at lower costs
Based in our proprietary technology, the results of the Episode Solutions platform include:
- Effective care coordination driven by a prescribed care plan
- Effectual data analytics and aligned incentives
- Consistent efficiencies and leakage reductions
- Seamless integration into a physician’s practice
- Patient engagement, support, and increased satisfaction
- Real-time analytics and reporting
- Reduced readmissions and unnecessary care
- Best-in-class performance and satisfaction