Dedicated to the Private Practice of Medicine

Promoting Practice Empowerment
and Patient Engagement

Health Coaching and
Collaborative Care

P3N Network and ACO

Clinical and Financial

The Problem

The US spends

$3.7 T /year
or 18% of the US economy, struggling to keep up with an aging population, and the challenge of improving quality care while facing a serious physician shortage. Furthermore, patient care requires a physician order creating a potential bottleneck to timely care.

More than 68% of adults
with amental health condition have at least one chronic medical condition

With these growing concerns, telehealth providers enhance access and deliver more efficient care delivery. Physician-supervised collaborative care expands the professional care team who are empowered to prescribe and treat patients under collaborative care agreements with physician practices. By directly including the primary physician within a collaborative telehealth engagement model, they are better equipped to intervene in a timely manner, and effect greater outcomes with their patients.

Our Solutions

The foundation of our business is physician-lead care coordination supported by clinical and financial data analytics. We create a supervised patient engagement experience guided by data that addresses clinical, behavioral, social and financial determinants. We control costs by reducing disease-specific exacerbations thus preventing emergency room visits, hospitalizations, and readmissions.

We augment business intelligence by capturing, organizing and providing information from your EHR And billing systems.

Our data strategy is used to identify and predict which patients are high risk or in danger of becoming high risk. We provide these patients regularly scheduled mentoring with our health coaching team to develop and target self-identified healthcare goals, identify barriers to care, track progress, and offer a virtual collaborative care team that promotes and reinforces a wholistic healthcare plan.

What We Offer

Chronic Care Management (CCM)

Remote Patient and Therapeutic Monitoring (RPM, RTM)

Psychiatric Collaborative Care (PsychCoCM)

Pharmacy Collaborative Care (PharmCoCM)

Physician Network and Accountable Care Organization

Business Analytics Dashboard

Clinical Analytics

The Value

Influencing patient behavior promotes lifestyle change leading to improved clinical outcomes for patients and healthcare value for payors. Telehealth coaching and collaborative care create an opportunity for structured engagement supported by technology and data to promote and reinforce positive behavior choices. Collaborative care empowers licensed professional such as Health Coaches, Behavioral Care Managers, and Pharmacists, working under the direct supervision of a physician, to provide timely care management and treatment in patients with chronic conditions.

In addition to direct patient care, running a medical practice is complex. Optimizing the business opportunity buried in your practice requires business intelligence gained from experienced data acquisition. Surfacing financial incentive opportunities organized into a dashboard highlighting patient level actions converts potential into action.

How Are We Different?

We create a care team supporting high risk patients and their caregivers coordinated by the primary physician who is directly responsible for patient care. We provide real time monitoring using biometric devices and a bidirectional communication interface between patients, caregivers, and their physicians. Our coaching approach is built around the principles of behavioral science that creates a conducive environment for change and is refined around descriptive data to continually influence health coaching interaction and communication. Under the guidance of collaborative care agreements, our Health Coaches are empowered to treat patients within their scope of practice under the direct supervision.

We use data extracted from EHR and billing systems to surface and organize financial opportunities to convert potential into dollars.