Spiras Care

Spiras Health is generating significant savings to Medicare Advantage health plans. The unique model consists of the following:

1. Predictive analytics to identify the most appropriate members who will benefit from Spiras and who are at highest risk of incurring avoidable spend

2. Multi-modal approach to care delivery: nurse practitioner driven care, delivered in the member’s home through market-based RTs/nurses; augmented with smart use of technology in the form of tele-video conferencing, 2-way digital communication and remote patient monitoring

3. Provider and Health Plan care coordination and collaboration, closing the loop with community provider

4. Value creation through cost reduction in ER/hospital avoidance, revenue increase through member acquisition/retention, support of Star gaps closures and HCCs, quality metrics impact

Patients dealing with chronic illness, specifically COPD and CHF, with multi-morbidities and social determinants of health.

Medicare and Medicaid Health Plans and Direct Contracting Entities

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.