Spiras Health is the premier next generation care management organization delivering nurse practitioner led in-home specialty care, utilizing predictive analytics and employing smart use of technology for members with advanced chronic conditions, specifically COPD and CHF made more complicated by co-morbidities and SDoH. The Spiras Health Solution combines monthly in-home services, telehealth, 2-way digital communications, and remote monitoring longitudinally. By treating patients with a whole-person approach through multiple modalities, developing clinician/patient relationships, and extending specialty services such as pulmonology, cardiology and palliative care into the home, Spiras Health is able to support adherence to treatment plan, coordinate care, communicate and collaborate with PCP/SCP and other care team members. The results are enhanced quality of life, improved patient/provider satisfaction, total cost of care reduction, and increased communication, coordination and collaboration among care team, patient, caregivers and community and referral back into a health system's ecosystem for continuity.

Spiras Health, headquartered in Brentwood, TN, provides longitudinal care services to complex, chronically ill patients, specifically COPD and CHF. The Spiras Health approach combines home-based services, telehealth, 2-way digital communications, and remote monitoring. This multi-modal approach allows the patient access to care, regardless of situational complexities, in the mode that suits their preferences, needs, and risk. This also provides ongoing data, from a multitude of sources, to Spiras Health for accurate and efficient interventions. Spiras Health creates value to patients by improving quality of life and to health system/payor partners by reducing total cost of care by addressing avoidable costs and supporting quality metrics. Spiras Health utilizes/provides: 1. Multi-disciplinary team approach consisting of MDs, NPs, RRTs, RNs and community resources 2. Predictive modeling and machine learning to identify patients at highest risk for avoidable costs 3. Patient activation strategy for ongoing engagement, goal setting, treatment plan adherence, and behavior modification 4. Multi-modal approach to care delivery 5. Provider collaboration process to partner with patient's PCP and specialists, bridging care from physician office to home 6. Improved clinical and financial outcomes

SeamlessMD provides the leading Digital Care Journey platform for health systems to engage, monitor and stay connected with patients across healthcare journeys (e.g. surgery, oncology, chronic care, women's health, behavioural health). Patients access digital care plans on their own smartphone, tablet or computer and are guided via reminders, education and progress tracking. Providers can receive alerts, monitor patients and access analytics to deliver better care. 35+ clinical studies & evaluations have shown SeamlessMD to help providers reduce length of stay, readmissions, ED visits, phone calls, and costs.SeamlessMD was the first patient engagement platform with direct, turn-key integrations with both Epic (Connection Hub), Oracle Cerner (CODE) and MEDITECH. 

In 2023, SeamlessMD was ranked the #1 solution to improve outcomes and selected as one of the top three solutions to reduce the cost of care, improve the patient experience, and improve the clinician experience in the KLAS Emerging Solutions Top 20 report.

SeamlessMD provides the leading Digital Care Journey platform for health systems to engage, monitor and stay connected with patients across healthcare journeys (e.g. surgery, oncology, chronic care, women's health, mental health and addictions). Patients access digital care plans on their own smartphone, tablet or computer and are guided via reminders, evidence-based education, daily health checks, to dos, and progress tracking. Providers can receive alerts, monitor patients and access analytics to deliver better care. 35+ clinical studies & evaluations have shown SeamlessMD to help providers reduce length of stay, readmissions, ED visits, phone calls, and costs.SeamlessMD was the first digital patient engagement platform with direct, turn-key integrations with Epic (Connection Hub), Oracle Cerner (CODE) and MEDITECH. 

In 2023, SeamlessMD was ranked the #1 solution to improve outcomes and selected as one of the top three solutions to reduce the cost of care, improve the patient experience, and improve the clinician experience in the KLAS Emerging Solutions Top 20 report.

Spiras Health is a next generation care management and care delivery provider bringing specialized services to members at home. Spiras focuses on members at highest risk of incurring avoidable spend due to unnecessary utilization of ER and hospital, primarily as a function of poor adherence to treatment plan and uncontrolled symptom exacerbations.

This solution begins by targeting patients with diseases of the heart and lungs (CHF/COPD) made more complicated by multiple co-morbidities and social determinants of health. However, care for all conditions is provided - with a whole-person approach.

Spiras is distinguished by:

• Predictive models that identify avoidable spend
• Specialty care delivery - in-home with multi-modal use of technology
• Longitudinal vs acute/episodic
• Ability to take risk for specialty care

Much higher probability of success due to:

• High proven patient adoption (e.g. 94.7% in UAB 1,699 patient study)
• Accelerated implementation (8 to 12 weeks) due to customizable, out-of-the-box digital care plans and Professional Services team for Implementation
• Strong EHR & patient portal integration (Epic Connection Hub, Cerner CODE, MEDITECH, traditional integrations as well - e.g. HL7)
• Proven results across multiple specialties: 35+ clinical studies or evaluations showing reductions in LOS, readmissions, costs
• Implementation & Customer Success services provide best practices for high patient adoption, engagement & outcomes

Proven EHR integrations, industry-leading results/outcomes, & industry-leading patient adoption/engagement:

• High proven patient adoption (e.g. 94.7% in UAB 1,699 patient study)
• Was the 1st patient engagement / remote monitoring platform in industry with Epic App Orchard/Connection Hub, Cerner CODE and MEDITECH turn-key integrations
• Most clinical evidence in the market: 35+ clinical studies or evaluations showing reductions in LOS, readmissions, costs
• Out-of-the-box pre-built care plans and proven results across multiple specialties and use cases - surgery, oncology, maternity care, mental health, etc.
• Implementation led by individuals with clinical experience (e.g. pharmacists, allied health, etc.), which enables far more success working with frontline health system providers
• World class Implementation & Customer Success services provide best practices for high patient adoption, engagement & outcomes