How our Care Transitions Program Works

  1. Comprehensive patient assessment and record review
  2. Patient, family and care team establish mutually agreed upon goals
  3. Develop a patient centric care plan
  4. Discuss expectations around services within the continuum
  5. Facilitate communication with the Care Coordinator and the care team
  6. Manage and modify care plan for seamless care across the continuum

Stop relying on payment models that will put you out of business

Fee-for-service is disappearing. But this creates an opportunity to make comprehensive changes that generate savings and improve post-acute patient care. We understand the stakes are high in making the shift to value-based care. But the stakes are even higher if you delay.

See how this process benefits you.