We leverage direct EHR integration, machine-learning, and automation to empower care teams and patients during transitions of care.
Personalized support for every patient's discharge.
We leverage machine-learning to customize patient engagement after a recent discharge.
Structured health equity and care gap data.
We use automation to dynamically capture and structure health equity and care gaps via audio and text messages.
Increased utilization of value oriented care management programs.
We drive increased transition care management (TCM) programs utilization through existing FFS codes while matching patients with condition-specific programs.