Solution

We offer payers, hospitals, and risk-bearing ACOs a platform that manages populations across multiple disease states.

Vheda Health’s care intervention platform decreases hospitalization expense for high-risk individuals with chronic conditions. The technology – mobile app, remote monitoring, and real-time operational analytics – brings disparate data sources into a single solution.

Our experience shows that program designs are more effective when they directly address the root causes and barriers to behavior change and provide interactions with the right timing and frequency to ensure impact. In essence, these designs translate clinical insights into person-focused pathways that support individuals from the point at which they decide to make changes to the point at which the new behaviors are sustained.

 

Result: $17,175 net savings per member per year

umbrella-with-plus-sign

Automate care plan compliance for your population
that generates ROI within 12-months.

Key Features
signs White-labeled mobile app on smartphone
signs Identification of care plan deficiencies with customizable assessment engine
signs Live interactions with video conference and text message
signs Automation of data collection with internet-enabled sensors

Value Added Services
signs Population analysis that identifies immediate ROI opportunities
signs Identification of key data insights across population segments
signs Creation of custom reports

 

 

 Result: Up to $583,000 in additional revenue per eligible provider

tool

Achieve readmission targets while generating additional revenue through CCM Medicare Reimbursement

 

Key Features
signs CPT 99040 and 99091 reimbursement eligible
signs White-labeled mobile app for patients
signs Delivering and maintaining of patient care plans
signs Live interactions with video conference and text message
signs Automation of data collection with internet-enabled sensors

Value Added Services
signs Population analysis that identifies immediate ROI opportunities
signs Identification of key data insights across population segments
signs Creation of custom reports

See what chronic care management can do to your bottom line.

Description Your Value
Annual number of unique patients (U.S. average per family medicine provider: 32791)
Percent of patients covered by Medicare (U.S. average: 21.85%1)
Annual number of unique Medicare patients
Percent with 2+ chronic conditions (U.S. average: 68.6%2)
Annual number of unique CCM patients
CCM monthly payment (U.S. average: $41.443) or select your locality

Estimated annual CCM reimbursement for family medicine physician

1Per the MGMA Cost Survey for Single Specialty Practices: 2013 Report Based on 2012 Data specific to the specialty of family medicine. Includes Medicare A/B and Medicare Advantage.

2CMS.gov – County Level Multiple Chronic Conditions (MCC) Table: 2012 Prevalence, National Average.

3Reimbursement amount from the CY 2016 Physician Fee Service Final Rule, October 30, 2015, averaged across 89 localities.

Approach

Identify care plan deficiencies through an adaptive assessment engine

Engage in live interactions through video conference and text

Monitor compliance with 250+ sensor integrations

Here’s how we work with you

First, we work together to risk stratify the eligible population based on pre-determined criteria.

High Risk

10%

Moderate Risk

25%

At Risk

65%

Next, we deploy services based on prioritized conditions.

lungs

Asthma
Chronic Obstructive
Pulmonary Disease

weight

Weight Management

blood-donation

Diabetes

medical

Hypertension
Congestive Heart
Failure

medicines

Medication
Adherence

human-fetus

High-Risk
Pregnancy

Finally, we deliver results.

$17,175

Savings
Per Member Per Year

%

Compliance Rate

%

Annual Hospitalization Reduction

%

Engagement Rate

%

Satisfaction Rate

Let us show what we can do for you.