Follow Up Post Hospitalization
Comprehensive support for critical periods of transition between care settings
For high risk, high need individuals
For those with complex medical needs, our coordinated approach to transitional care prioritizes member stability and consistent engagement with their providers, reducing the likelihood of members getting lost in transition.
During this critical time of increased risk for complications or readmission, our team helps ensure transitional care aspects such as care coordination, medication management, education, social and emotional support, and follow-up care are patient-centered and as smooth as can be.
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Identify complications early, in-person
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Improved outcomes
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Increased engagement with providers
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Higher quality of care
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Improved use of resources
Key Features
Rapid member support before and after discharge
Assess and coordinate care to reduce re-admission risk
Addresses the
full Health Triangle
Meet social, behavioral, and physical health needs
Value-based contract with shared risk and savings
Member connectivity technology
Reinforce engagement with community-based provider
Executed by an integrated
healthcare team
Real-time and All-time access to non-emergency help
RESPECT • TRUST • CARE
At Catalytic Health Partners we take social and behavioral needs beyond the “basics” to ensure stability so that medical needs can be achieved.
Catalytic Health Partners includes mental health services and clinical encounters by credentialed providers support MLR.
