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For Payers
Working together to Optimize Care
Meeting the complex health related social needs of your highest-risk members can be complicated, resource-intensive, and challenging. With growing imperatives to address social determinants of health and provide a wider array of community-based services, it is critical for plans to implement cost-effective, scalable approaches for engaging underserved populations who drive disproportionate healthcare spend.
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We partner with managed care plans to transform the delivery of care for high-risk members through innovative, sustainable, and compassionate solutions and to improve member health outcomes and reduce inappropriate utilization and cost. 
Key Benefits
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How it Works
We collaborate with you to identify a target population and determine your key goals. Our field team finds and enrolls members, pinpoints their needs, and develops a comprehensive program of interventions. 
• Our dedicated CHNs work with these members one-on-one in their homes or communities. Supported by nurses they address their unmet social needs by delivering hands-on medical care, and wraparound supports.
 
• On a regular basis, we deliver customized reporting and meet with you to share information, monitor progress, and enhance the program to best meet your needs.
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Referral from Partners
Outreach &
Engagement
Comprehensive Assessment
Collaborate
with Providers & Health Plan
Care Plan
Management
Member
Graduation
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