Innovista serves as the bridge between physician practices, patients, and payers—helping to streamline systems and processes so that everyone achieves not only successful outcomes but high satisfaction in a risk-based arrangement.
As today’s environment shifts toward value-based care, practices need an experienced partner to help them navigate the journey to better population health management. Partnering with Innovista can help by:
We help physicians and accountable care organizations (ACOs) achieve success through different strategies.
Our group has been impressed with Innovista’s knowledge of the market, along with an awesome dedication and responsibility to their duties. Whether a small IPA or a large ACO, they value the work of independent physicians, developing tools and facilitating efforts to remain competitive in today’s market. For these reasons, Innovista has become an integral and reliable partner, now key to our success.
Oak West Primary Physicians Association
The benefits we have seen through our Innovista partnership have centered around their physician-centric approach to value-based contracting and population health service development. They have proven to be flexible and adaptive to the environment of working with a well-established messenger model IPA, helping to transition its capabilities to include effective patient-focused and practice-focused services simultaneously.
President & CEO,
Genesis Physicians Group
Partnering with Innovista has allowed the Laredo community to create a thriving ACO that welcomes physicians who are committed to improving overall patient care. Our hopes are to continue to grow the Seven Flags ACO with the addition of new value-based contracts and physicians.
Seven Flags ACO
We work directly with payers to manage provider contracts and ensure care is aligned to cost. Our services provide predictable margins and cost-effective care for members.
We facilitate success between payers and providers through:
Reduced administrative burden on physicians and office staff
Physician recruitment and network development to grow networks
Analytics-driven insights to risk-stratify populations and support data-driven care management
Quality improvement for better patient outcomes
Data platforms to collect, analyze, and structure data
Integrated clinical care models for seamless transitions of care, which reduces unnecessary and excess medical costs
Provider engagement and management to enable them with the right capital/capabilities to navigate the transition into risk models
In value-based care, patients have an ecosystem of services at their disposal, aimed at reducing unnecessary expenditures and addressing underlying factors like social determinants of health (SDOH) that affect healthcare decisions and utilization. We support patients with:
Outreach efforts through community health workers to connect patients with health and social resources, and care managers to facilitate post-discharge care, referrals, assessments, disease-specific education, and more
Closing care gaps by expanding care through annual wellness visit and preventive screening scheduling and compliance
Partnerships with organizations to meet the various needs of patients outside the physician’s office
Comprehensive care management including transitional care and follow-up, disease management, and behavioral case management
Clinical partnerships are essential to the success of ACOs, helping to reduce emergency department utilization and medical loss ratio, increase quality gap closure and patient/physician satisfaction, and lessen the burden of PCPs. We partner with a number of organizations to fulfill various needs across the spectrum of healthcare.
Behavioral health resources for patients in the comfort of their own home.
Enables patients, case managers, and community health workers to find free or reduced-cost community-based programs to address SDOH.
Enables communication and continually ensures the medical necessity for home health.
Allows patients to express their wishes to family and physicians so that care is for quality of life, not quantity.
Enables communication between in-patient facilities and case managers when a patient discharges to reduce readmission.
Allows for the bypass of the 6-month waiting list so that five meals a week can be delivered to homes.
Allows PCP to see results regardless of who ordered them, increasing gap closure and utilization of in-network facilities, and reducing duplication of labs.
Enables PCP and case manager to follow a patient’s health without them needing to leave their home, thus increasing real-time management of chronic disease and reducing emergency department visits.
Allows the bypass of the traditional 3-day acute stay prior to admitting to SNF; helps case managers ensure patients meet medical necessity for SNF.
Offers PCPs a diabetic eye camera in their practice without purchasing one to perform retinal eye screening in practice, with real-time results.
Provides mobile urgent care that comes to a patient’s home 365 days a year when a PCP is unavailable, reducing emergency department visits.
Tupelolife and Preferred Primary Care were able to treat a patient who needed immediate care to avoid an ED visit and potential hospitalization. The patient was referred to Tupelolife’s Remote Patient Monitoring program for blood pressure control. His initial blood pressure was 212/113 and escalated to 230/123 within a couple hours. Innovista’s RN spoke to the patient’s daughter to assess medication compliance and symptoms related to a hypertensive crisis, but the patient was asymptomatic. The RN called the PCP’s office, who requested the patient come in immediately. Tupelolife’s RN called the daughter, who expedited transportation to the PCP’s office, where catapress was administered and the patient’s blood pressure lowered to 152/78 within a couple hours. His blood pressure is continuing to improve with close monitoring by his doctor.
Innovista community health worker outreach helped reduce one patient’s out-of-pocket costs and time spent in the hospital. In 2021, this patient visited the emergency department 69 times, totaling $34,305. The community health worker worked to mitigate the social determinants of health that were at play and directed her to alternatives for her non-emergent care needs. In 2022, her ED visits plummeted to two unavoidable emergency care encounters totaling $711.