We help healthplans, medical groups, and other at-risk organizations improve patient access, clinical care, patient satisfaction, quality, and avoidable costs.
We take a whole patient/population health approach that addresses both clinical issues and social determinants of health. These include living environment, safety, nutrition, mobility, cognitive status and caregiver support.
We have a team of board-certified clinicians: physicians, nurse practitioners, and physicians assistants, who have been trained in the unique challenges of providing efficient, effective, high-quality care in the home.
Our proprietary data-driven platform identifies and stratifies high-risk/high-value patients to maximize ROI on services. It continually matches care resources to individual patient needs, yielding positive utilization, cost, quality measures, coding accuracy and patient satisfaction.
As dedicated residentialists, we are the leaders in accountable, cost-effective, home-based care. We have deep experience in managed care models, ACO services, CMMI pilots, and traditional Medicare FFS.
Our turnkey solutions can be customized to meet patient and client needs. If your population is growing, we have proven ability to scale.
Both Clinical & Wellness Services
We are one of the few free-standing local home care groups that offers clients high-quality in-home clinical care and HCC Coding/Star Ratings support.
It is well documented that a small percentage of the senior population is responsible for the majority of costs. Additionally, many frail elders suffer because of poor mobility and/or their homebound status limits access to ongoing continuity of care.
Many of these excessive costs are avoidable through effective deployment of residentialist care resources. Residentialists are clinicians who specialize in the unique challenges of delivering care within the walls of the patient’s home.
Residentialist Housecall Medical Group features a widely-deployed network of highly-trained residentialist clinicians who can improve access, quality of care, continuity of care, and patient satisfaction while concurrently reducing unnecessary costs.
We offer a “plug-and-play” solution for at-risk payers and medical groups, providing core competencies and efficiencies of delivery that are challenging and costly to develop and operate within an existing delivery system.
Organizations at-risk for costs of care face significant challenges in the effective management of high-costs seniors. Within the revenues and quality incentive arenas, many senior populations do not receive optimal penetration for HCC coding evaluation/reconfirmation, and Wellness Screening. This may occur through lack of access, lack of patient compliance, or insufficient documentation and coding within the ambulatory environment.
We have extensive background and expertise in providing HCC documentation and wellness services to senior populations. Utilizing a fully-trained field-based staff, supported by in-office coding review and quality-control systems, we provide clients with a comprehensive, fully-compliant documentation to support HCC reporting requirements and Star Ratings criteria. Additionally, the assessment tool is structured to be of high-value for case management and care coordination.