A new era of healthcare is here. Choose a partner that’s ahead of the curve.
As a value-based solutions expert, we design programs to identify areas of improvement in your organization and provide solutions that improve quality, care continuity, address SDOH measures and increase return on value.
Virtual Care Services
Annual Wellness Visits (AWV) & Preventative Visits
- Annual health screenings
- Personalized Prevention Plan (PPP)
- Health Risk Assessment (HRA)
- Appropriate labs and testing
- Close identified quality gaps
Appropriate PCP and/or Specialists follow-ups
- ePrescribing
- Identify and document known acute and chronic conditions
On-Demand
- Access 24/7 to care providers
- Consultation in less than 10 minutes
- ePrescribing
- Appropriate labs and testing
- PCP and/or Specialists follow-ups
- Utilize client Clinically Integrated Network (CIN)
- Specificity in diagnosis documentation
- Behavioral health referrals
- Care Navigators and health navigation
Transitional Care Management (TCM)
- Scheduling within 48 hours
- Evaluated within 7 days
- Medication reconciliation
- SDOH screening
- Patient followed for 90-day episode
- Patient may utilize on-demand as needed
- EHR Connector Service for "Real-Time"
- Specificity in diagnosis documentation
Full Life Cycle Risk Adjustment Program
- CMS & HHS Risk Adjustment Education to all providers.
- Data procurement and consolidation (Claims, EMR, HIE etc)
- Certified Professional Coder condition and document reviews
- Post encounter CDI reviews
- Audit sampling and reporting
- Appropriate and accurate condition documentation
- Improve quality
- Ensure accurate risk adjustment revenue and benchmarks
- Patient education on condition to drive patient engagement and support disease management
How we help.
Utilization
Encounter Prevention
Reduce Readmission
Reduce Primary Care Follow-ups
Appropriate Diagnostic Follow-ups
Value-Based Benchmarking/ Performance
Improve benchmark with Risk Adjustment
Quality Measure Gap Closure
Annual Wellness Visits
Transitional Care Management
Tobacco Use Assessment
Depression Screening
Colorectal Cancer and Mammogram Referrals
Patient Experience
Getting Timely Care
Ease of Use
Patient Analytics
Proven Results
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River Garden nursing facility emergency department transfers reduced by 80% in one month.
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First Coast Health Alliance (Flagler Health+) – Telescope Health physicians have success supporting high quality health care and producing shared savings for the First Coast Health Alliance since 2014.
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20% of white labeled Baptist HealthPlace On Demand virtual visits resulted in a new primary care referral.
Proven Results
Expert Value-Based Care is here. Don’t get left behind.
