Digital Care Management for Community Physicians

We help doctors manage chronic care between visits, with remote monitoring, clinical programs, and outcome-driven provider collaborations in a connected health ecosystem. When the relationship between doctors and their patients becomes digital, all disconnected pieces to optimize care, fall into place.

Digitally-Enabled Care brings new revenues for medical practices, help retain more patients and improve performance on care quality measures

Digital Health Platform

Enables the relationship between patients and their doctors through the logic of a digital version of the treatment plan.

Digital Patient Journeys

Enables the digitization and orchestration of the physicians' plan of care across the patient population.

Embedded Care Managers

Medical practice-embedded care management augment physicians and the office staff, in the support of patients.

Remote Monitoring Devices

The remote monitoring of vital signs, and also measuring the patient's self-reported outcomes and experiences of care (PROMIS) are supported and reimbursed.

Patient using an app

Supporting Collaborative Care for Patients with Complex Needs

Implementing Programs

Digitally-enabled Care Management Programs deliver patient-centric care with a mental health-first focus and nutritional planning to support achieving health goals and outcomes.

Assigning Digital Journeys

With a digital care plan and a supporting care management team, doctors can improve outcomes by supervising care with expanded digital capabilities and data-driven artificial intelligence models.

Coordinating Care

Patients, their families, and their providers can now work collaboratively as one team, with the help of digital tools to coordinate care, working with objective measurements and quick support from our care managers.

Managing Complexity

From a patient-generated data paradigm, doctors can meet quality requirements and act on care gaps in virtually real-time. Planning for complex care starts with the digital treatment plan itself.

Empowering Collaborative Care

Join our digitally-enabled care network, and benefit from tools and collaborative models to improve revenues, health outcomes and care quality measures