Care Management Teams Serving High-acuity Populations

Coordinista streamlines CM and TOC operations and ensures accountability and continuity. Teams can complete critical tasks—like in-home medication reconciliations within 48 hours of discharge, leading to reduced readmissions and ER visits, and boosting patient engagement. The result: stronger quality scores, higher satisfaction, and better outcomes for both patients and organizations.

Mobile Primary Care Teams (ISNP & DSNP Populations)

Coordinista equips mobile and hybrid primary care teams to deliver seamless primary care, care management, and transitions of care across wide territories. By unifying scheduling, documentation, and communication, providers can optimize resources, ensure continuity between teams, and maintain full transparency while serving complex populations.

HCC Recapture Programs

Coordinista helps teams maximize accuracy and efficiency in HCC recapture. In one case, a mobile provider team completed 1,400+ chronic disease assessments across 40+ facilities in just 23 days—analyzing 1,600+ historical ICD-10 codes and increasing an ISNP plan’s RAF score by 16%. At the point of care, embedded coding tools ensured actionable, accurate condition capture, protecting risk-adjustment integrity and aligning reimbursement with actual patient acuity.

Mobile Phlebotomy

Coordinista modernizes mobile phlebotomy by eliminating manual fax and email workflows. Lab orders flow directly to the point of care, improving turn-around times, accuracy, and productivity.

Supports care management associated with Medicaid and pediatric populations. 

Coordinista has delplyed with mobile providers across MI, WV, OH, will be deploying soon in IN and MD. Coordinista provides value for each level of stakeholders.

Clinicians in the Field

What they need: Flexibility, efficiency, and less administrative burden so they can focus on patients.

How Coordinista helps:

• Mobile-first tools making it fast and easy to self-manage caseloads and schedules.
• Point-of-care documentation with embedded coding tools to capture real patient acuity.
• Integrated workflows for labs, phlebotomy, and transitions of care—no more juggling faxes or duplicate entry.
• Built-in mileage tracker and time capture to simplify reporting.

Impact: More time with patients, less administrative burden, and confidence that nothing slips through the cracks.

Supervisors / Care Team Managers

What they need: Visibility, accountability, and seamless coordination across teams.

How Coordinista helps:

• Real-time transparency into schedules, caseloads, and field activity.
• Dashboards that show productivity, engagement, and compliance at a glance.
• Ability to flex between self-managed and centrally scheduled models—even within the same organization.
• Customizable workflows and alerts to ensure deadlines (TOC, CCM, quality tasks) are consistently met.

Impact: Stronger team performance, faster responsiveness to patient needs, and improved quality scores.

Administrators / Operations Leaders

What they need: Compliance, financial integrity, and efficient use of resources.

How Coordinista helps:

• Audit-ready reporting of all encounters (time, duration, geo-location) in real time.
• Accurate condition capture to protect risk-adjustment integrity and align reimbursement with true acuity.
• Seamless interoperability with any EHR or data system to reduce manual work and improve security.
• Operational insights that identify waste and highlight opportunities for optimization.
• Improved outcomes, quality, and compliance, resulting in more savings, increased revenue, and better margins. 

Impact: Lower costs, stronger compliance, improved reimbursement, and data-driven decisions to scale efficiently.

• Heart Failure (HF) in the US is a complex chronic condition with $43B in annual cost.

• There are 960,000 new cases of HF each year with over 6.5M total patients in the US accounting for 8.5% of all cardiac deaths.

• Routine HF care is plagued with high readmission rates of 24% within 1 month and 50%

within 6 months creating the leading cause of hospitalization for patients over age 65.

• The global telehealth market is currently at $71.9B projected to grow to $244B by 2032 with a 12.9% CAGR.

• There are $5.1B Medicare annual losses related to post-acute providers not meeting

quality-of-care requirements for HF with a 37.7% CAGR through 2031 with 75% growth in related software and services.

• We partner with Cardiologists to improve the lives of their patients by overcoming barriers of traditional telemedicine using optimized VPExam virtual care workflows.

• VPExam is the first cardiology focused value-based care company to use technology and continuous care management to deliver peer reviewed publications documenting improved health with reduced readmissions and mortality of cardiovascular patients while significantly reducing cost of care.

o Enables better care for sicker and more complex HF patients.

o Cost effective and portable care to reach high-risk underserved populations in nursing facilities, hospitals, offices, and into the home.

o Customized to each physician with actionable and timely results.

• VPExam Virtual Care for Heart Failure Optimizing Transitions (VPExam QI)

o Revealed 84% moderate clinical modification in care, 40.1% reduction in 30-day rehospitalization, 56.3% reduction in 30-day mortality, 100% compliance with

follow up, and 0% technical errors.

• Growing industry recognition for multiple publications and awards including the Heart Rhythm Society (HRS) Breakthrough Innovation in Cardiovascular Digital Health and Digital Health Hub Foundation 2023 Best in Class Next Generation Telemedicine awards.

Routine physical examination via VPExam.

Healthcare providers: Physicians, care management teams, health systems, and accountable care organizations (ACOs)

Payers: Health insurance companies, Medicare Advantage plans

Employers: Companies looking to manage employee healthcare costs