Follow Up Post Hospitalization
Comprehensive support during a critical period of transition between care settings
For high risk, high need individuals
Designed for individuals with complex medical needs, our coordinated approach to transitional care prioritizes member stability and consistent engagement with their providers, reducing the liklihood of members getting lost in transition.
During this critical time when members are at increased risk for complications or readmission, our team helps ensure transitional care aspects such as care coordination, medication management, education, social and emotional support, and follow-up care are patient-centered and as smooth as can be.
Increased engagement with providers
Higher quality of care
Improved use of resources
Rapid member support before and after discharge
Assess and coordinate care to reduce re-admission risk
full Health Triangle
Ensure social, therapy, and medication needs are met
Value-based contract with shared risk and savings
Member connectivity technology
Reinforce engagement with community-based provider
Executed by an integrated
Real-time and All-time access to non-emergency help
RESPECT • TRUST • CARE
At Catalytic Health Partners we take social and behavioral needs beyond the “basics” to ensure stability so that medical needs can be achieved.
Catalytic Health Partners includes mental health services and clinical encounters by credentialed providers support MLR.
Michelle L, Member
“The CHP team opened doors for me that were closed before so I could get the care I needed.”