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Best Complex Care Management Products

Best Complex Care Management Products

This category is a work in progress

Care coordination for patients with multiple medical conditions has unique challenges. On average, patients with many chronic health issues see more than 10 providers, take multiple medications and often struggle to manage several co-morbidities. Limited health literacy, which is more common in older and poor patients as well as certain minorities, only compounds the issue. These high-needs patients account for a sizable portion of U.S. healthcare costs and require consistent monitoring. Yet most physicians only have between 15 and 30 minutes for follow-up visit, which is often insufficient time to address all comorbidities effectively.

Health systems are using digital technologies to reduce costs and improve outcomes for patients that require complex care coordination. These solutions focus on promoting patient education, improving communication between patients, and caregivers and tracking and monitoring patient progress. Home monitoring devices, for example, both engage patients in their care and provide valuable data to caregivers. In addition, technology that addresses social determinants of health, which are often present in patients with multiple chronic conditions, can provide services that help prevent gaps in care. Using these digital tools to engage patients at home gives providers cost-effective alternatives to improve treatment plan adherence and overall patient health.

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Complex Care Management: Products


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Through its comprehensive integration of diverse data sources - including EHR, RPM and patient-generated insights - the Medical Brain has a complete understanding of the patient’s medical history and knowledge of the current situation in real-time. With this complete, whole-person understanding, the Medical Brain proactively identifies emerging health risks, care gaps, delays, and errors. 

The Medical Brain is being used by provider groups, health systems, ACOs to help providers manage patients on their behalf so they can succeed with value-based care. Brain contacts providers and orchestrates care. This patient-first, real-time approach helps patients control chronic disease, reduce hospital days, while increasing provider productivity by 92% by eliminating patient communication and follow-up tasks from provider and office staff.  

The Medical Brain is being used by provider groups, health systems, ACOs to help providers manage patients on their behalf so they can succeed with value-based care.

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Leading Health System
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Reduce community health care gaps without adding staff resources with Get Well's SDOH Screening & Navigation program

Reach and assess vulnerable populations

Text-based screening and outreach without requiring an app increases engagement and response, leading to better risk assessments for your patient population, including non-

English speakers.

Augment patient and clinical staff experience

Patient responses automatically integrate into the EHR and are categorized for relevant resource referral by Get Well Navigators, reducing administrative burden on staff. Automate conversations with patients to scale staff resources and efficiently close care gaps.

Empower action with clinical, social, and behavioral interventions

Referring patients to valuable resources and education, with regular follow-up, demonstrates ongoing care, fostering greater trust and loyalty between patients and your organization.

Measure program success and ROI

Our program assists in meeting CMS and IQR requirements, Joint Commission accreditations, HEDIS measures, and broader health equity goals, leading to better reimbursements and more equitable health outcomes.

Learn how UMass Memorial Health broke SDOH screening and navigation records using Get Well Health Equity:https://www.getwellnetwork.com/resource/case-study-umass-memorial-health-sdoh/

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Leading Health System
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Leading Health System
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Leading Health System
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Leading Health System
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We are developing and implementing software which incorporates evidence-based guidelines into algorithms that will provide situational awareness, clinical decision support, and enhanced communication for clinicians caring for laboring mothers and their babies. When our licensed protocols were implemented on paper at a university hospital tertiary care center, they led to a significant decrease in serious safety events and to a concomitant reduction in litigation costs. riskLD is turning the protocols into a software solution that will interface with the Labor & Delivery electronic health record so that implementation can occur on a larger scale. By providing situational awareness, riskLD's platform is calling attention to situations with the potential to lead to suboptimal outcomes, thereby allowing the clinical team to address them in a timely manner. By providing enhanced communication, riskLD's platform is further facilitating awareness of critical clinical information in systems where continuity of care is increasingly fragmented. Most importantly, by providing clinical decision support, riskLD's platform is presenting guidance to the clinical team with a robust and expansive set of proprietary algorithms, thereby ensuring the highest level of evidence-based care.
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Delfina Care is a digital pregnancy care solution that revolutionizes maternal healthcare. It stands out as the only platform that seamlessly integrates data from pregnant individuals, their care teams, and remote monitoring technologies to deliver personalized care in real-time. By harnessing advanced technology, Delfina Care offers a comprehensive approach to pregnancy management, ensuring that each user receives tailored support and guidance throughout their journey to motherhood. Through its innovative features and data-driven approach, Delfina Care aims to optimize maternal health outcomes and empower both pregnant individuals and healthcare providers with valuable insights and support.

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Leading Health System
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Leading Health System
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The Mahmee Membership gives each patient their own team of registered nurses, lactation consultants, doulas, mental health coaches, nutrition coaches and care coordinators — available seven days a week, virtually and in-person. Enterprise organizations can purchase memberships at value-based pricing for the entire episode of care, from pregnancy through baby’s first birthday, making the Mahmee Membership the easiest and most cost-effective way to offer comprehensive support to a population of patients. 

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Leading Health System
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AVIA Marketplace offers a product grid that is a comprehensive resource for health care buyers in their research journey. The grid showcases products from leading vendors and ranks them based on compatibility level and market presence. This approach ensures that the products listed are not only relevant to the buyer's needs but also established in the market. With AVIA Marketplace's product grid, health care buyers can make informed decisions and select products that meet their specific requirements.

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