Healthcare
Whole-person care management services
Identify and address the root causes of behaviors that worsen physical health and inflate medical costs with analytics, proprietary technology and clinical content, and passionate clinicians
Our approach
Whole-person model
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Innovative, proprietary approach designed to uncover and address the “root causes”
AXIS platform
- Compliant yet flexible rules-engine
- Enables omnichannel engagement
- Proprietary clinical content
Member-centric clinicians
- Hired for empathy, listening, openness
- Skilled at quickly developing trust
- Trained on enabling behavior change
Impactability Index™
- Proprietary predictive model on who to engage, who will engage, and who will benefit
- Based on physical, behavioral, social, and life factors (e.g., frailty, social deprivation)
Four core solutions
Whole-person model
Case and disease management
Two distinct, yet integrated, NCQA accredited programs supporting health plan needs to deliver care coordination and condition-specific care management to members.
Special needs plans model of care (SNP MOC)
A process-driven, highly disciplined care coordination program designed to meet compliance needs, improve member health and satisfaction, and reduce healthcare costs for D-SNP and C-SNP members.
Aging
in place
A specialized program that enables individuals to age on their own terms in their own homes by leveraging a purpose-built frailty assessment and by deploying individualized interventions to address frailty, cognitive decline, and falls prevention.
Multi-chronic care management
Launching in Fall 2021, a specialized intervention program for members with three or more chronic conditions. These are the 5% of members who drive up to 60% of costs and are the most challenging to engage.
Sagility Care Management:
Quadruple Aim
We optimize opportunities to increase revenue while:
- Decreasing healthcare costs
- Achieving outcomes and compliance
- Increasing policy holder satisfaction
- Improving clinician experience
Sagility Care Management:
Markets
- Government-sponsored healthcare programs
- Medicare Advantage
- Special needs plans (SNPs)
- Managed Medicaid
- State Medicaid
- Long-term care insurance carriers
Case Study
Saving $82 million with proactive UM and analytics focused on the most impactable members
Today’s optimized care management is supported by expertise and analytics that stay a step ahead of members on their health journeys. One prime example of this is how the Sagility solution answered to the needs of high-cost, high-need state Medicaid beneficiaries. This agency’s fee-for-service demographic comprised a significant percentage of aged, blind, and disabled individuals in a remote rural area, with limited access to local healthcare resources…
Healthcare LLC, doing business as Sagility™). All rights reserved.