WellSky® Transitional Care Coordination connects payers and providers through technology-enabled solutions to drive better member outcomes during transitions of care. Our platform increases visibility into member and provider data, resulting in coordination and interventions that close care gaps, improve member outcomes, and reduce wasteful spending.
Help members receive the right care in the right setting
Collaborate on post-discharge careStreamline post-acute authorization processesCoordinate chronic-care managementManage high-cost membersImprove payer performance
Collaborate on post-discharge care
With WellSky, payers and providers can collaborate to connect members with care programs before discharge and guide the selection of high-quality and appropriate post-acute providers, resulting in improved member satisfaction and outcomes and lowered total cost of care.
Streamline post-acute authorization processes
Receive, review, and respond to post-acute authorization requests within one secure, electronic system. Our technology reduces provider abrasion by streamlining communication between payers and providers and eliminating manual data entry, resulting in lower acute length of stay.
Coordinate chronic-care management
Deliver coordinated care models at scale by partnering with home- and community-based providers and leveraging award-winning analytics tools. Our turnkey coordinated care models help payers deliver better outcomes at lower costs for at-risk, high-cost members.
Manage high-cost members
Improve visibility with real-time data and care transition alerts on high-risk members. Our innovative tools allow payers and providers to modify care plans to divert potential admissions and help prevent readmissions by coordinating timely and appropriate care post-discharge.
Improve payer performance
The WellSky Transitional Care Coordination suite enables payers, physicians, and providers to collaborate to optimize performance on HEDIS and STAR measures, like Transitions of Care and Follow-Up After Emergency Department Visit for People with High-Risk Multiple Chronic Conditions, helping drive revenue.
Helping payers improve care transitions
Improve visibility
Receive updates when a member of your plan presents at the emergency department or is admitted, discharged, or transferred from an acute or post-acute setting.
Improve outcomes
Improve member outcomes and satisfaction by engaging with the member and collaborating on post-discharge care before the member leaves the hospital.
Improve performance
Decrease readmission and improve Medicare Advantage and HEDIS ratings by enabling proactive and timely interventions.
Over 1/3 of patient transitions are coordinated through WellSky
Extend the power of WellSky Transitional Care Coordination
