Care Continuity Overview
Health System Challenges - Network Integrity and Referral Value Capture
Health systems have built their core business model around the premise of an aligned provider network, with specialist referrals driving downstream service line revenue. At the same time, these organizations are faced with the constraints of limited specialist capacity and network leakage in competitive markets.
The Care Continuity Platform
Care Continuity sits right in the middle of this value chain. Over the past decade we have navigated more than 2 million patient referrals to in-network follow-up care, and collaborated with our health system partners to build smarter strategies for network integrity and downstream revenue capture.
The Care Continuity platform applies predictive modeling to prioritize high-impact referrals, ensuring the right patients are matched with limited specialist appointments. Our team of care concierges engages these patients, ensuring they follow through on recommended care plans and we enhance this smart navigation workflow with granular analytics and outcomes reporting. This creates a feedback loop to continually improve the predictive models foreach service line and optimize the network navigation program.
3 Solution Focus Areas
Care Continuity creates value with three solutions, focused on the navigation of different patient populations. Our Emergency Department Program identifies overlooked specialist opportunities in daily ED discharges, and prioritizes high-impact patients for specialist follow-up appointments. Our Specialist Referral Optimization solution focuses on stratifying the PCP-to-Specialist referral backlog, scoring each referral to maximize downstream procedures and reduce no-shows. Finally our Post-Inpatient Navigation program applies this same approach to the challenge of readmissions, prioritizing a smart outreach cadence to patients at the highest readmissions risk. With each of these solutions, Care Continuity applies our predictive analytics and workflow platform, along with experience navigation staff who are expert in navigating patients to the next step in their care journey, and keeping those patients aligned with the health system for future services.
We look forward to sharing more about Care Continuity and exploring how these solutions can drive value for your health system.
