Chronic Care Management

Who We Serve

CivicHealth is unique in connecting a wide range of clinical and non-clinical organizations to create networks that enable cost-effective care coordination and strategic resource management.

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CivicHealth’s software platform is used by providers, post-acute and long-term care networks, medical plans and public health organizations to manage risk, coordinate care and evaluate individual outcomes and population health. The company’s proven technology has been in use for over a decade in more than 30 communities across the country.

CivicHealth’s solutions address current, major healthcare initiatives including the move to outcomes-based reimbursement and bundled payments. The results are improved management of targeted populations, interoperability, delivery of health services through appropriate channels and patient compliance.

CivicHealth helps a wide range of organizations meet the demands of new and emerging healthcare models.

These organizations include:

Hospitals, ACOs and PCMHs

As the healthcare industry transitions from fee-based reimbursement to value-based payments, CivicHealth’s technology satisfies current coordination and connectivity requirements while creating the infrastructure needed to support evolving care models.

Hospitals, accountable care organizations (ACOs) and patient-centered medical homes (PCMHs) use CivicHealth solutions to manage risk, coordinate care and measure long-term outcomes.

The CivicHealth software solution addresses many of the most pressing issues facing providers including transitions of care, value-based reimbursement, patient compliance, avoidable readmissions and appropriate emergency department utilization. By bridging the gap between healthcare providers and human services, and integrating clinical and non-clinical data, CivicHealth enables comprehensive, cost-effective care coordination and resource management.

Providers with care navigation and case management initiatives rely on CivicHealth to effectively link healthcare and community organizations across disparate technology platforms and deliver a streamlined workflow.

Post-Acute and Long-Term Care

Care providers are being urged to create different types of specialty and narrow networks that include post-acute and long-term care networks to enhance care delivery and coordination while improving efficiency.

CivicHealth solutions help organizations create clinical, non-clinical and combined networks focused on target populations.

Value-based reimbursement and bundled payments are driving much of this network focus, and they require the ability to connect, collaborate and execute across multiple, disparate EHRs and other technology platforms. With a range of organizations being held accountable for long-term patient outcomes, CivicHealth aggregates information and enhances reporting and analytics to simplify tracking and measurement of initiatives.

Providers that have traditionally focused solely on episodic care are now expanding their view to include post-discharge results. CivicHealth delivers this data from the entire continuum of care, including provider, PACN (post-acute care network), LTPAC (long-term and post-acute care networks) and community services information. Care navigators and case managers rely on CivicHealth to effectively link healthcare and community organizations across disparate technology platforms and deliver a streamlined workflow.

Transitions of care, especially between hospitals, PACNs and LTPACs, have come under scrutiny as a stumbling block to achieving the benefits of coordinated care. CivicHealth’s solution platform helps an entire network collaborate to streamline transitions, regardless of whether they take place inside or outside a network.

The CivicHealth software solution addresses many of the most pressing issues facing healthcare networks including transitions of care, value-based reimbursement, patient compliance, avoidable readmissions and appropriate emergency department utilization.

Community and Public Health

Community-based organizations provide a wide range of services to support those most in need and achieve better outcomes for the populations they serve.

This may include basic requirements for post-discharge recovery such as food, lodging and transportation, as well as more specialized types of support for patients struggling with chronic disease management.

The CivicHealth software solution addresses the most pressing issues facing clinical and non-clinical organizations including care coordination, outcomes-based reimbursement, avoidable readmissions and appropriate emergency department utilization. Software solutions from CivicHealth are used by communities to improve access to care, coordinate human services and deliver case management for underserved populations.

With more than a decade of experience in 30 communities nationwide, the CivicHealth solution offers a cost-effective network to integrate and coordinate care between multiple organizations and providers, using disparate technology platforms, across the continuum of care. By bridging the gap between healthcare providers and social services, CivicHealth enables comprehensive, cost-effective care coordination and management.

Health Plans

CivicHealth tackles the challenges of coordinating care for patients with chronic conditions across an entire provider network, maximizing quality care and minimizing errors and duplication of services.

The CivicHealth software solution empowers health plan providers with a comprehensive, network approach to the management and measurement of care, allowing integration and care collaboration between multiple healthcare professionals and providers.

The company’s technology creates the necessary infrastructure to manage risk, coordinate care and measure long-term outcomes. This allows groups to efficiently track and spend their resources wisely under current fee-based care models while simultaneously fulfilling requirements for the transition to value-based care. CivicHealth centralizes data across multiple providers to simplify the complicated process of coordinating records, labs and care plans across the care network.

Ready to easily manage your care pathways?