TAILORED OFFERINGS DESIGNED TO WRAPAROUND AND AUGMENT CARE

MedZed partners with managed care organizations and health plans by providing social and medical care focused on serving at-risk members with multiple chronic conditions.  We offer short and long-term programs tailored to actively manage members through our multi-disciplinary care teams.  The starting point for all MedZed’s interventions is centered around finding and engaging members in their care.  MedZed is extremely successful in engaging members that have not responded to traditional outreach campaigns, delivering engagement rates at or above 50%. We excel in the “last mile” of going to the home, aligning services, and treating members to improve health and quality outcomes and can link in many services and providers to align with quality and care goals.

 

 
 

MedZed Finds and Treats High-Risk Members, Improving Outcomes and Reducing Hospital Utilization

  • Serving Managed Medicare & Medicaid

  • Nurses & Community Health Navigators in the home​

  • Connecting to Clinicians over telehealth platform​

  • High satisfaction for providers

  • Scalable, technology-supported delivery platform​

  • 125K+ in-home visits​

 
 

 

OUR OFFERINGS

 
 
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LONGITUDINAL SOCIAL CARE

MedZed’s Community Health Navigators engage members face-to-face in their own communities to overcome excessive utilization and social barriers to care.  Working in coordination with our client’s case managers, our field team identifies social, environmental and behavioral hurdles to improved care and develops an individualized service plan. These service plans typically include activities such as:

  • Scheduling and completing appointments with PCPs, specialists, and other necessary health services including transportation support

  • Connecting a member with plan’s case management and with social/community supports

  • Assisting a member in navigation of care needs

Complete Connect

FINDING AND CONNECTING MEMBERS TO CARE

  • Community Health Navigator model

  • Social and medical needs assessment

  • Integrated with existing network

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Health Homes

Targeting the social determinants of health through a community-based model

  • Behavioral and social support focused

  • Transitional and follow-up care

  • Housing support

 
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LONGITUDINAL CLINICAL CARE

Our next-generation house call increases access to care by delivering primary care and specialty care services in a highly scalable fashion. By using telemedicine and other remote services, our multi-disciplinary clinical teams can be launched in both rural and urban geographies.  Our primary care model integrates social and medical approaches to manage the realities of our members’ lives.  All clinical programs begin with outreach and provide longitudinal clinical care including:

  • In-home planned visits from community health navigators and nurses

  • Same day / Next day in-home and virtual urgent visits

  • 24/7 Phone / Video access to MedZed’s PCPs

Complex Primary Care

Unparalleled primary care delivered to the home

  • Compassionate, coordinated multi-disciplinary care model

  • Care coordination / social services

  • Transitions of care and medication management

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Palliative Care

Improving quality of life for both our members and their families

  • Emotional and spiritual support

  • Relief of symptoms and stress

  • Advance care planning and end-of-life wishes

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Behavioral Health

Whole-person care to complement members living with chronic illnesses

  • Medication and case management support

  • Substance use disorder (SUD) treatment

  • Cognitive behavioral therapy

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EPISODIC QUALITY CAMPAIGNS

Our engagement model goes beyond traditional call center and technology-only outreach to improve medical expense management, quality performance, and costs.  Our episodic and quality programs are tailored to our partners’ goals and designed to turbocharge participation in health plan initiatives that lead to overall quality and compliance.

Quality Initiatives

Targeted interventions that address immediate and specific quality performance

  • STARS/HEDIS/NCQA/VBP performance

  • Identify and address key barriers to compliance with preventive and primary care

  • Prepare members for planned appointments and arranging for transportation when needed

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Transitions of Care

reducing barriers to proper follow-up care and lowering avoidable readmissions

  • Coordination to ensure effective continuity of care

  • Coordination of needed medical, behavioral, and social services

  • Clear communication among members, their families, and providers

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Programs can be launched in as little as 90-days.