For Payers
Working together to optimize care
A small number of high-need members are persistently unresponsive to traditional outreach efforts—and driving disproportionate cost. MedZed is purpose-built to be an extra layer of intensive support for this population.
Our field teams find and engage these members and design and coordinate an individualized plan of interventions with clear goals to address the member’s unmet medical, behavioral and social needs. We emphasize reintegrating them into primary care, closing their care gaps, and giving them the skills to navigate and manage their health care. In doing, we improve health outcomes and reduce unnecessary emergency room visits and hospitalizations.
How It Works
We help you to identify the target population and set the program goals. Our field team finds and enrolls your members, pinpoints members’ needs, and develops a comprehensive program of interventions.
We work with your members one-on-one in their homes or communities to provide:
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care management and coordination of primary care, specialists and other providers
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transitions of care
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connection to community-based resources and supports
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focus on health literacy and education
On a regular basis, we deliver customized reporting and meet with you to share information, monitor progress, and enhance the program to best meet your needs.
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Referral from Partners
Outreach &
Engagement
Comprehensive Assessment
Collaborate
with Providers & Health Plan
Care Plan
Management
Member
Graduation
Why It Works
Relationships of Trust
Whole Person Approach
Interdisciplinary Collaborative Model
Systematic, Scalable Operations
Passionate, highly trained and tenured field staff relentlessly and effectively find and enroll members and build relationships of trust for long-term stability.
Comprehensive assessments identify and untangle interrelated needs, enabling an individualized care plans—with realistic goals—targeting a combination of unmet clinical and social needs.
Locally-based Navigators act as lead care managers; they are supported by Clinical Consultants, and partner with community organizations and health plans to break down silos and provide coordinated, seamless care.
Scheduling and routing systems optimize staffing efficiency, allowing teams to deploy quickly and scale capacity up and down. Member and population-level data tracking enable performance monitoring and reporting and support continuous improvement and innovation.
Shared Risk and Reward
We believe that compensation should be linked to performance and put 100% of our fees at risk, based on achieving agreed upon cost saving targets for utilization-related measures. We get paid exclusively from shared savings.
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Our Solutions
Complete Connect
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Longitudinal social support program for out-of-reach members
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Staffed by Navigators, supported by Clinical Consultants
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Strategic collaboration with health plan partners on achieving key outcomes, utilization and cost goals
California Enhanced Care Management (ECM)
& Community Supports (CS)
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Dedicated provider of ECM services for Medi-Cal populations in 24 counties across California
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Comprehensive care management and coordination of health and related services
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Special focus on CS Housing Services
