Fewer admissions. More days at home.
Home time is the number of days a patient spends at home rather than in a hospital or facility. It's a measure patients understand and one that moves with cost and quality. Our programs are built to increase it.
Who we serve: ACOs, Medicare Advantage and Medicaid plans, and provider groups in value-based contracts.
What we do
For ACOs, Medicare Advantage plans and provider groups taking on risk.
- High-risk care managementNamed nurses for your highest-risk members, with a welcome admission call, regular outreach and 24/7 monitoring.
- RPM, CCM, TCM and PCM programsRemote monitoring, chronic and principal care management, and transitional care, run by our nurses and documented to support billing.
- Home infusions and injectionsSpecialty therapies given at home instead of an outpatient facility, with the same nurse following up.
- Social needs coordinationTransportation, food, housing and caregiver support connected to local resources. How our wellness team helps
- Medication supportReconciliation, adherence outreach and teaching, coordinated with prescribers.
How we’re different
A nurse who knows them
The same named nurse calls, monitors and follows up, with 24/7 access by call or text.
Home time as the scorecard
We report the outcome patients feel: days at home instead of in a facility.
Social needs handled
Food, transportation, coverage and medication costs addressed in the care plan.
Billing-ready documentation
RPM, CCM, TCM and PCM work documented to support reimbursement.
What we report
Reports are built around your contract measures, reviewed with you on a set schedule.
- Home timeDays at home per member, tracked over the program.
- UtilizationED visits, admissions and 30-day readmissions.
- EngagementEnrollment, calls, contacts and monitoring adherence.
- ExperiencePatient and caregiver feedback.
Talk with our clinical team.
Call or text 330-275-3755, or tell us about your patients and we'll show you how we'd care for them.