Seamless Transitions of Care
Care Coordination Program that ensures patients discharged from the hospital always know the next step in their health journey.
Informed Discharge Support
We connect with your member or patient before they are discharged home from the hospital. The healthcare system is difficult to navigate and your members can easily be lost in the intricacies of the healthcare maze and miss out on opportunities for quality care and appropriate home and community based services. We secure the support needed to manage care at home.
Expert Care Coordination
Care coordination is foundational to optimizing health outcomes. Our Care Guides connect with your members to help them fully understand their conditions and available benefits, conduct health risk screenings, coordinate primary care visits, manage prescriptions, and order HME/DME equipment. We make sure that your members understand their benefits and utilize them fully and appropriately.
Bringing Healthcare Home
We perform Annual Wellness Visits and an array of screenings to fully understand health needs. We address their risk, care, and quality gaps and provide a clinician-approved Porter Care Plan that also informs your members of their benefits eligibility, cost sharing, and deductibles. We intervene, monitor, and assess for any changes in health status.
Learn, Connect, Thrive
With our platform, your member can manage their care in the comfort of their home with a better understanding of their benefits, personalized condition-specific education, a community of peers and experts, and access to the services and support needed for care at home.
Payer Reporting & Analytics
You can understand how your member is managing their transition of care through Porter. We document engagement activities, barriers to care, and Social Determinants of Health needs, and compile HEDIS supplemental data, discharge notes, and more.
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