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For Payers

Working together to Optimize Care

Meeting the complex clinical and social needs of your highest-risk members can be complicated, resource-intensive, and challenging. With growing imperatives to address health related social needs and provide a wider array of community-based services, it is critical for plans to implement cost-effective, scalable approaches for engaging underserved populations who drive disproportionate healthcare spend.

We partner with managed care plans to transform the delivery of care for high-risk members through innovative, sustainable, and compassionate solutions and to improve member health outcomes and reduce inappropriate utilization and cost. 
 

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Key Benefits

How it Works

• We collaborate with you to identify a target population, pinpoint their needs, and enroll them in the program that provides the right spectrum of support.
 
• Our field teams then find and work with these members one-on-one in their homes or communities. Supported by our clinical team, they address their unmet clinical and social needs by delivering hands-on medical care, and wraparound supports.
 
• 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
Assessment of Social & Medical Needs
Collaborate
with Providers & Health Plan
Care Plan
Management
Member
Graduation

The MedZed Difference

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Experienced

- 10+ years experience, exclusive focus on high-need, high-risk members
 

- 500k+ in-home visits completed, 30k+ members served in eight states

 

- HITRUST certified

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Flexible

- Extra layer of support for members that does not disrupt plan’s existing provider network

- Strong collaboration with the health plan’s case management department and existing care team

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Focused

- Longitudinal social care services satisfy Medicaid Health Homes/Enhanced Care Management program requirements.

- Longitudinal clinical care services supplement plan’s provider network in underserved and/or rural areas.

 

- Accurate code capture document illness burden

- Customized interventions close critical care gaps

Keep up with our Newsletter 

Click the latest cover to access our past Newsletters

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