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Health Plans

Through coordinated and comprehensive care, we help to reduce costs, reduce patient health risks, and improve outcomes.

Care Teams

ConcertoCare uses in-home care teams to provide clinical services in support of plans' existing network providers, creating a value add for PCPs and health systems, while coordinating patient care. We work with providers, specialists, patients, and health plans to support a complete approach to health care.

Find out how ConcertoCare can help improve your plan offering.

Care Teams

Find out how ConcertoCare can help improve your plan offering.

Complete Care

We close gaps through whole-person care – ensuring each encounter with a member is optimized to drive comprehensive patient management.

Assessment and diagnosis

Comprehensive and clinically validated assessments ensure appropriate evaluation and management of patient diagnoses.

Assessment and diagnosis

Comprehensive and clinically validated assessments ensure appropriate evaluation and management of patient diagnoses.

Treatment plans

Patient-centric care plans are developed and implemented in conjunction with providers and specialists.

Treatment plans

Patient-centric care plans are developed and implemented in conjunction with providers and specialists.

Preventive care

Our care teams ensure members receive appropriate preventive care, resulting in HEDIS gaps closure.

Preventive care

Our care teams ensure members receive appropriate preventive care, resulting in HEDIS gaps closure.

Risk optimization

Risk adjustment results from thorough patient evaluation and compliant documentation and coding of disease burden.

Risk optimization

Risk adjustment results from thorough patient evaluation and compliant documentation and coding of disease burden.

Tailored disease pathways

Disease pathways build on custom patient treatment plans to ensure disease specific treatment goals are met.

Tailored disease pathways

Disease pathways build on custom patient treatment plans to ensure disease specific treatment goals are met.

Quality measures

Gap closure measures include medication adherence, reconciliation, advanced care planning, fall risk, evaluation, and management, etc.

Quality measures

Gap closure measures include medication adherence, reconciliation, advanced care planning, fall risk, evaluation, and management, etc.

Our Value

ConcertoCare uses an end-to-end model designed to optimize value. We combine multiple data sources (medical claims, prescription drug claims, eligibility, third-party data) to develop a holistic view of each patient. Members enrolled in our program achieve lower costs, fewer inpatient hospitalizations, and fewer ER visits than those not enrolled.

Plan savings resulting from MLR improvement can be reinvested to significantly enhance member benefits or reduce member premiums.

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