For Payers

TRANSFORM MEMBER HEALTH.

For Payers

Improve Clinical Outcomes

Drive member engagement and satisfaction

Improve Cost Controls

Drive better adherence rates

Optimize your member experience with remote patient Monitoring and our enhanced care coordination solutions.

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Leverage AMC Health’s 20 years of experience as a consultative virtual care facilitator, offering enhanced care coordination with remote patient monitoring (RPM) and telecare management (TCM) solutions for patients with chronic conditions, high-risk pregnancies, and complex diseases including cancer and behavioral health.

AMC Health supports and scales payers’ care management chronic condition programs and its virtual care management programs for all lines of business (Medicare, Medicaid, Commercial) by:

Identifying and enrolling ideal candidates who will benefit extended outreach
Deploying targeted engagement tactics to encourage program compliance

Delivering risk stratification analytics to inform targeted telecare outreach
Calculating program success through clinical and financial outcomes analyses

Ease of Use

All of our devices are wireless for convenience and easy to use on a daily basis regardless of age and location.

Better Member Care

Provide better care and better access to care for members while empowering them to take charge of their own health.

Advanced Analytics

Real-time data and machine learning capabilities identifies rising risk and is accessible through our Care Console platform.

Clinical Staffing

AMC Health’s strategy for reducing alert fatigue ensures your clinical team is not unnecessarily overwhelmed by false alerts.

Monitor & engage your members

Our RPM and Virtual Care solutions enable a level of care and support that empowers your members and creates a measurable impact.

Ongoing Risk-Stratification

Leveraging over 19 years of historical data, AMC Health provides accurate patient stratification based on true risk and minimizing false alerts.

Chronic Care Management

Powered by AMC Health's CareConsole®, the only FDA Class II cleared, our care management platform manages remote care programs for a variety of populations.

Advanced Data Analytics

Alerts allow clinicians to identify opportunities to optimize treatment, predict decompensation, and identify and prevent medical events before they occur.

Member Condition Education

Increase member engagement and empower member self-management through education resources and AMC Health's automated health coach.

Virtual Care Solutions

Leverage a comprehensive and robust suite of virtual care solutions including Tele-Care Management, and Remote Patient Monitoring.

Sustained hypertension control at 18 mo

Sustained improvement in glycemic control

Reduction in all-cause 30-day readmissions

Reduced risk of microvascular complications

Reduced risk of heart attacks

Reduced risk of stroke

/9mm Hg

Reduction in blood pressure

All-cause readmission reduction

Reduction in Hospitalizations

Return on Investment

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Reduction in CHF readmissions

Patient-generated health data points (per day, on average)

Reduction in CHF readmissions

Increase patient satisfaction

Increase Access to Care

Improve HEDIS/STARS Quality

Identify Social Determinants of Health barriers

Data to Identify Risk Factors (Clinical and Non-Clinical)

Reduce Total Cost of Care / MLR

Lower Readmissions / Avoidable Hospitalizations / ED

Engage Members in Self-Care

High Member Satisfaction

Benefits of Virtual Care for Payers and Their Members

Virtual care solutions can solve some challenges payers face by improving member care, managing rising healthcare costs, improving Centers for Medicare and Medicaid Services Star Ratings, increasing member engagement, and reducing hospital readmissions. Digital health solutions provide tools that enable payers to address concerns such as social determinants of health (SDOH) by improving access to care while minimizing costs. The benefits of these solutions extend beyond payers, however. Members also experience the benefits of virtual care solutions.

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Study Shows Remote Blood Pressure Monitoring Significantly Improves Blood Pressure Control

Hypertension is one of the most common chronic conditions. But only about 1 in 4 adults have their hypertension under control. This has a large impact on both those with hypertension and on payers as chronic conditions often require hospitalization and can be costly to treat, acting as a leading contributor to our nation’s $4.1 trillion in annual healthcare costs. Additionally, approximately 17.8 percent of individuals who were initially hospitalized for acute hypertensive emergency were hospitalized again within 30 days.

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How to Efficiently Increase Monitoring to Better Assist Members with Hypertension

When it comes to virtual care opportunities for members with hypertension, it’s critical for solutions and programs to provide the experience, usability, and monitoring capabilities that members deserve. Because hypertension plays an aggressive role in the deaths of countless Americans each year, it’s important for payers and providers to be vigilant with care offerings that include sophisticated telecare monitoring capabilities.

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Reducing All-Cause Readmission Rates Through Remote Patient Monitoring for Members with High Blood Pressure

For the millions of Americans suffering from hypertension, managing blood pressure is critical to reducing the likelihood of heart disease, stroke, and kidney failure. To help those at risk, remote patient monitoring (RPM) offers the opportunity to equip patients with the necessary tools to manage their conditions from the familiarity of their own homes. At the same time, RPM empowers healthcare professionals with real-time data to monitor patients and proactively intervene when necessary. But can RPM technology actually reduce readmission rates for those with hypertension?

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