Referrals & Partnerships
Work With Us
We partner with physicians, hospitals, insurers, employers and other healthcare organizations to deliver better outcomes for patients.
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Primary Care Providers
- βRefer your patient to home health for a personalized treatment plan that you oversee.
- βWe will inventory all medications in the home for you to review and determine medical necessity.
- βWe provide regular updates on changes in condition and obtain your approval when we're ready to discharge.
- βOur goals are the same as yours - keep your patients healthy and out of the hospital.
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Neurologists & Other Specialty Providers
- βOur Medicare GUIDE dementia care management program can support your dementia patients and reduce the burden on your office.
- βWe have customized disease management programs that serve as a template to support each clinical specialty.
- βYour oversight of our individualized care plan will ensure that our treatment protocols uniquely support your overall treatment plan.
- βYou will also have visibility into ALL the medications our mutual patient is taking.
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Orthopedic Practices
- βOur exclusive Ortho360 program is a comprehensive joint replacement program for support before, during and after surgery.
- βDownload our Ortho360 worksheet with a master clinical checklist customized for each surgeon's protocols.
- βPre-operative education and 'pre-hab' exercise program to get the patient ready for surgery.
- βTransportation to and from the surgery center and companion care at the hospital and nursing facility.
- βHome safety evaluation and fall risk assessment prior to the return home.
- βAdvanced wound care to prevent infection of surgical site.
- βIn-home physical therapy and occupational therapy after surgery.
- βSmooth handoff to outpatient facilities when home-based goals are met.
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Hospitals
- βWe reduce avoidable days to shorten length-of-stay while ensuring great outcomes and no unnecessary re-admissions.
- βOur unique Nurse Navigator program coordinates complex discharges starting on the day of admission.
- βWe can assist with social determinants such as food insecurity, poor diet, home safety and transportation.
- βWe look forward to working with you on TEAM, GUIDE, HRRP and other Medicare programs that connect hospitals to community-based care.
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Assisted Living Communities
- βOur ancillary care programs are a perfect complement to your community services and we follow all of your care delivery protocols.
- βWe have a full umbrella of services that we deliver ourselves and coordinate additional services for connected care delivery.
- βWe provide skilled nursing, wound care, chronic disease management and work with outpatient partners for a seamless transition.
- βOur sister company Retire-in-Place can create an in-home private label 'at home' service to keep your future residents connected.
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Insurances, ACOs and Payors
- βOur expertise in disease management programs reduces hospital admissions and keeps medication costs under control.
- βPayors in risk-based arrangements benefit from our ability to manage patient outcomes at a fraction of facility cost.
- βOur clinicians are in the patient's home and uniquely positioned to assess and manage social determinants of health.
- βOur Medicare Cost Ratio is consistently below 1.0 - great outcomes at a lower cost to taxpayers compared to our peers.
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Healthcare Entrepreneurs
- βWe welcome Entrepreneurs-in-Residence to host your AI startup at our operations office.
- βBenefit from our mentorship, advice and direct access to our business to intimately understand the vast problems that can be solved with AI.
- βLearn directly from a working organization, network and build relationships within the overall healthcare industry.
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Employers
- βOffer our home health care services as part of your benefits package to reduce absenteeism for employees caring for aging parents.
- βLowers your own healthcare costs with reduced risk for stress-related illnesses.
- βIncrease employee satisfaction and retention with benefits that your competitors may not offer.
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