Manage the clinical needs and well-being of members with complex chronic conditions who reside in nursing facilities through Signify Health’s multi-disciplinary approach. By looking at medical needs and well-being holistically, our clinicians address key elements of the patient’s care plan, including medication adjustments, adherence to care plans, and patient behavioral and nutritional needs, to close gaps in care.
Reduce costly re-admissions using predictive analytics, post-acute member engagement, and coordinated readmission reduction programs.
Proactively address social determinants of health (SDOH), behavioral health, skill needs, and clinically-appropriate hospice transitions through an integrated approach.
Connect members to an interdisciplinary care team that builds trust and coordinates with the facility team, PCP of record, and other key stakeholders to improve quality of life.
Purpose-built technology platform with capabilities to collect and share complete clinical and social data.
Individualized member engagement and a proven track record of conducting facility-based complex care management at scale.
Innovative approach to risk stratification for chronically ill members paired with care management and SDOH capabilities in support of holistic longitudinal care.
Our dedicated multidisciplinary care team engages stakeholders throughout the continuum of care, including facility staff.
Overcome today’s fragmented healthcare model with a multi-disciplinary approach that addresses the clinical and social needs of patients with complex chronic conditions. Our providers engage where it’s most convenient for patients and their families, including resident and palliative care facilities.
Identify and stratify members by risk to close gaps in care.
Enhance the member experience with face-to-face clinician visits.
Focus on follow-up behavior and education as preventative care.
Uncover social determinants of health such as spousal support or food insecurity.
Review medications and increase treatment adherence.