doctors

Value Based Solutions

  • Increase patient loyalty
  • Empowering disease self-management
  • Strengthening the connection between patient and the practice
  • Decrease unnecessary hospitalizations and morbidity
  • Improve MIPS/APMs measures
doctors

Remote Physiologic Monitoring (RPM)

  • Free monitoring device for patients:

    • Blood Sugar Monitor

    • Blood Pressure Monitor

    • Weight Scale

  • High quality data 24/7 - never miss a valuable reading

  • All readings consistently monitored by our team of experts

  • Alerts and solutions presented to medical team when necessary

Behavioral Health Integration (BHI)

  • Screening for depression and anxiety

  • Medication Management

  • Patient-driven goals

Chronic Care Management (CCM)

  • Monthly Calls from home

  • Pharmacotherapy Management

  • Monthly notes placed in EHR

  • Disease State Management

  • Yearly Care Plans