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Chronic Disease Management

Chronic Disease Management

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Ability to use digital technologies to enhance chronic disease care programs by improving patient access to care, particularly for behavioral health conditions which carry a stigma that often keep patients from seeking care.

Chronic Disease Management: Products


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By Care Angel

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**Care Angel** is designed to meet patients where they are technologically, linguistically and culturally to maximize engagement. Starting with a simple phone call, supported by text, chat, Whatsapp and other familiar communication modalities that will encourage engagement and continuous health improvement, we remove 100% of technology barriers. Angel effectively communicates with hard-to-reach populations through personalized conversations, improving patient care management, care coordination and care plan adherence. Payers and providers optimize HEDIS/STAR performance, improve care quality, patient satisfaction and ROI and outcomes. Our solution boasts higher than average engagement, with sustained annual performance at 86% engagement, 63% reduction in avoidable ER visits and cost savings of $496k / 1,000 patients among a blend of high and rising risk populations that includes low income. Administratively, our solutions enables clinicians to practice at the top of their license through our real-time alerting system that does not disrupt existing workflow.
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Wellth’s smartphone-based Medication Adherence Rewards Program motivates and empowers individuals diagnosed with chronic behavioral health conditions to engage in the daily healthy behaviors that generate actual clinical outcomes. Using a repetitive trigger-behavior-reward interface, Wellth develops a long term habit of self-management and has shown the ability to improve outcomes for our partners including ED utilization, readmissions, and metrics like A1c control for Diabetics. ​ Wellth’s solution is offered to high-acuity health system patients through an intuitive smartphone app that includes daily personalized nudges as well as quick photo ‘check-ins’ for daily medications. Patients enrolled into the program are endowed a $30 reward balance on the first day of each month, but must consistently upload their medication photos each day to earn the full reward. Deductions of $2 per day are made for missed photo uploads (until a minimum balance of $0). Our Wellth Member Educator team regularly monitors enrolled member behaviors, outreaches to members flagged as nonadherent, and initiates motivational interviewing discussions with nonadherent members if appropriate. The Member Educators also communicate regularly with health system care managers to report on patient adherence behaviors.
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By Babylon

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Babylon’s Virtual Appointments/Care Services is a primary care experience. Unlike most telehealth services that provide urgent primary care, Babylon’s clinicians deliver full-service primary care. Our clinicians are licensed in the state of service and credentialed by the client’s health plan contracts and medical group (if applicable). Below is a list of some of the key primary care services Babylon delivers. • General Medicine • Behavioral Health and Mental Health: Psychiatrists, Psychologists, therapists provide medication management and talk therapy services via video or audio visits.  Both specialties provider for Adults and Pediatrics • Care Coordination • Preventive Care • Post virtual visit clinical notes, Rx, and follow-up • Referral and Clinical data repository • Prescriptions and refills • Referrals to subspecialists • Referrals and follow up on lab and radiology tests • Acute care visits • Chronic care follow-up
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The MediKeeper HRA was created and developed in-house and is maintained internally. The science behind the Health Risk Assessment questionnaire and its analytics is based upon the latest evidence-based clinical data reported by recognized medical authorities such as the Journal of the American Medical Association, American College of Obstetricians and Gynecologists, the National Institutes of Health and the Framingham Study. MediKeeper’s Medical Advisory Council reviews the Health Risk Assessment twice per year in order to ensure the Health Risk Assessment questionnaire and its analytics is reflective of the latest accepted research in the medical field. It is NCQA certified.
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EMRs supportedWould prefer not to disclose
SolutionsScreening for Behavioral Health Needs
Keywords health risk assessment
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The Propeller digital health platform consists of inhaler sensors, a patient mobile app or web portal, a clinician portal for provider monitoring as well as support and coaching. These components seamlessly integrate with one another to improve outcomes for patients and healthcare providers. Learn more about each component of our platform below.

Inhaler Sensors: Propeller's sensors attach to patients’ existing inhalers and work with the majority of inhalers on the market. This includes sensors for MDI, Respimat®, Diskus®, Ellipta® and Symbicort® medications. Sensors automatically track how often patients use their medication and send audio reminders when it’s time to take a dose. 

Respimat is a registered trademark of Boehringer Ingelheim Pharmaceuticals, Inc. Diskus and Ellipta are registered trademarks of the GlaxoSmithKline group of companies. Symbicort is a registered trademark of the AstraZeneca group of companies.

Mobile App & Web Portal: The inhaler sensors send information wirelessly to an app on the patient’s smartphone or to a web portal with their unique login. Over time, the app learns about their symptoms and medication use (including when, where and how often) and can help patients identify their triggers. In addition to monthly trend reports, the app also provides a daily outlook for patients to plan for the day (based on weather and air quality), personalized tips and education content to help them learn about and manage their condition.

Clinician Portal: Our Clinician Portal allows physicians and clinical staff to remotely monitor and view reports about patients’ rescue medication usage, adherence, symptoms and triggers as well as monthly Asthma Control Test (ACT) or COPD Assessment Test (CAT) scores. Providers can use this information to adjust treatment plans. Between visits, providers can choose to receive notifications when patients have not been compliant with controller medication or when rescue medication use increases significantly, helping them identify patients who are at a greater risk for an exacerbation. 

Patient and Provider Support: The Propeller platform also includes service and support from an international consumer experience team, such as on-call health coaching to support users through their clinical journey. From patient to provider inquiries, our support team is available to provide answers via phone, email or chat.


Propeller Health Solutions

Propeller configures its digital health platform to offer solutions that meet the specific needs of healthcare and life sciences partners in fee-for-service and value-based care settings. 

  • Independent physician groups: Enabling enhanced patient care through Remote Therapeutic Monitoring (RTM) programs for eligible chronic patients
  • Hospitals and health systems: Launching digital health programs in select clinics, populations or systemwide, or integrating into a service line/specialty for population health management
  • Payers and pharmacy benefits managers (PBMs): Integrating digital health programs into existing care management or population health initiatives 
  • Life science organizations: Integrating or co-packaging digital companion (sensor, app, support) with inhalers to support clinical trials, medication adherence, and other initiatives


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