Chronic Care Management Programs

Preventing hospital readmissions is key to bending the healthcare cost curve. Changes to reimbursement under the Affordable Care Act have had a dramatic effect on hospitals’ bottom lines. It is no longer acceptable to readmit patients routinely within a specified period of time after discharge, as they won’t be paid on a fee for service basis for services rendered.


Managing chronic care patients in the outpatient setting will be essential as we move toward a value based reimbursement system.


Monitoring patients in the outpatient setting will help prevent those costly readmissions and promote overall well-being for the patient as well as cost effective care for the hospital system.


Using sensor devices to track and monitor a patient while obtaining vital data in real-time greatly reduces the chances that a patient will go unchecked and have to be readmitted due to unforeseen complications.


Connecting vital patient data back to the EHR in real-time promotes an efficient, defragmented ConnectedHealth pathway.


Hospital systems and Accountable Care Organizations will greatly benefit from identifying those chronic disease states that are adversely affecting their bottom lines and establishing ways to track and monitor those patients.


Our partners can create a dashboard within the hospital system to track and monitor those patients in the outpatient setting. It connects the data back to the EHR in real-time, allowing physicians to make decisions on the spot based on what they observe. This is true ConnectedHealth.