Almost one in four Americans are receiving Medicaid. Community-based care programs can improve health outcomes by providing care support at critical times for patients receiving Medicaid. We train and deploy teams to implement these programs, hiring locally from the communities we serve.
We also develop, test, and deploy new data science technologies that have been shown to help care teams make care more accessible and more effective. These technologies help match patients to the interventions that help them most, reduce paperwork and documentation burdens on providers, and optimize the impact of community-based care on health disparities and healthcare quality.
Our research shows that primary care practices are critical to supporting the health of patients receiving Medicaid. We make primary care easier by providing practices with both a community-based team that can provide outreach, and a coordinator in the practice to communicate between clinic and community.
Our teams aim to help practices reduce their paperwork and no-show visit rates, as well as time spent coordinating social services, delivering behavioral healthcare, and managing medications. Because we’re funded by state and federal Medicaid dollars through contracts with health plans, our services cost nothing to patients or practices.
Providers: Refer your patients to us using this brief form.
Our team has decades of experience working with patients, practices, and community-based organizations. We provide: